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Related Concept Videos

Assessment of Diffusion and Perfusion01:17

Assessment of Diffusion and Perfusion

Understanding and evaluating diffusion and perfusion is critical in assessing a patient's respiratory and circulatory health. These processes play key roles in maintaining the body's internal environment, ensuring that tissues receive adequate oxygen while waste products are efficiently removed.
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In Vivo Protocol of Controlled Subconcussive Head Impacts for the Validation of Field Study Data
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Published on: April 18, 2019

Position-dependent white matter microstructural differences in amateur soccer players: a multi-shell diffusion MRI

Demet Küçük1, Hamza Küçük2, Barış Genç3

  • 1Department of Radiology, Boyabat State Hospital, Sinop, Turkey. demet.kucuk@yahoo.com.

Neuroradiology
|June 30, 2026
PubMed
Summary
This summary is machine-generated.

Soccer players with longer careers show differences in brain white matter. Defenders exhibited more widespread white matter variations compared to midfielders, suggesting potential impacts from repetitive head impacts.

Keywords:
Advanced diffusion MRIDTIMulti-shell diffusionNODDISoccer athletesSubconcussive head impactsTBSSWhite matter microstructure

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Area of Science:

  • Neuroimaging
  • Sports Medicine
  • Neurology

Background:

  • Repetitive subconcussive head impacts are a concern in contact sports like soccer.
  • Understanding the long-term neurological effects of these impacts is crucial for player health.
  • Player position may correlate with varying levels of head impact exposure.

Purpose of the Study:

  • To explore associations between long-term repetitive head impacts and white matter variations in amateur soccer players.
  • To investigate position-related patterns of white matter microstructural differences using advanced MRI techniques.

Main Methods:

  • Prospective observational study of 43 male amateur soccer players (defenders, midfielders, goalkeepers) with ≥10 years of experience.
  • Multi-shell diffusion MRI, including diffusion tensor imaging (DTI) and neurite orientation dispersion and density imaging (NODDI), was employed.
  • Tract-based spatial statistics were used to analyze white matter microstructural metrics, with an exploratory analytical framework.

Main Results:

  • Defenders showed significantly more widespread white matter microstructural differences than midfielders, including reduced fractional anisotropy and neurite density, and increased radial and mean diffusivity.
  • Alterations in goalkeepers were fewer and more spatially restricted compared to defenders and midfielders.
  • No cerebral microhemorrhages were detected, and neurocognitive performance did not differ significantly among player positions.

Conclusions:

  • Multi-shell diffusion MRI revealed position-associated white matter variations in amateur soccer players, with defenders exhibiting more extensive alterations.
  • Findings suggest that player position may serve as an indirect proxy for head impact exposure and subsequent microstructural changes.
  • Results are exploratory and highlight the need for larger, longitudinal studies with objective exposure metrics.