Traumatic Brain Injury: Evidence-Based Neuroimaging

Tong, Karen A.; Oyoyo, Udochukwu; Holshouser, Barbara A.; Ashwal, Stephen; Medina, L. Santiago

doi:10.1007/978-1-4614-3320-0_23

Evidence-Based Neuroimaging Diagnosis and Treatment 2013

DOI: 10.1007/978-1-4614-3320-0_23

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Traumatic Brain Injury: Evidence-Based Neuroimaging

Karen A. Tong¹,

Udochukwu Oyoyo²,

Barbara A. Holshouser³

et al.

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Cited by 2 publications

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“…Advances in neuroimaging over the past 2 decades have greatly helped in the clinical care and management of children with traumatic brain injury. [1][2][3][4][5][6] Immediately after injury, computed tomography (CT) is important for rapid detection of extraaxial hemorrhage (eg, subdural or epidural hematomas), acute hydrocephalus, fractures, or other intracranial lesions that require acute neurosurgical intervention. 7 Magnetic resonance imaging (MRI) is very sensitive for intraparenchymal lesion detection but frequently is not acquired acutely.…”

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Application of Advanced Neuroimaging Modalities in Pediatric Traumatic Brain Injury

et al. 2014

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Neuroimaging is commonly used for the assessment of children with traumatic brain injury and has greatly advanced how children are acutely evaluated. More recently, emphasis has focused on how advanced magnetic resonance imaging methods can detect subtler injuries that could relate to the structural underpinnings of the neuropsychological and behavioral alterations that frequently occur. We examine several methods used for the assessment of pediatric brain injury. Susceptibility-weighted imaging is a sensitive 3-dimensional high-resolution technique in detecting hemorrhagic lesions associated with diffuse axonal injury. Magnetic resonance spectroscopy acquires metabolite information, which serves as a proxy for neuronal (and glial, lipid, etc) structural integrity and provides sensitive assessment of neurochemical alterations. Diffusion-weighted imaging is useful for the early detection of ischemic and shearing injury. Diffusion tensor imaging allows better structural evaluation of white matter tracts. These methods are more sensitive than conventional imaging in demonstrating subtle injury that underlies a child’s clinical symptoms. There also is an increasing desire to develop computational methods to fuse imaging data to provide a more integrated analysis of the extent to which components of the neurovascular unit are affected. The future of traumatic brain injury neuroimaging research is promising and will lead to novel approaches to predict and improve outcomes.

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Application of Advanced Neuroimaging Modalities in Pediatric Traumatic Brain Injury

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Unveiling the predictive power of biomarkers in traumatic brain injury: A narrative review focused on clinical outcomes

Liang,

2024

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Traumatic Brain Injury: Evidence-Based Neuroimaging

Cited by 2 publications

References 111 publications

Application of Advanced Neuroimaging Modalities in Pediatric Traumatic Brain Injury

Application of Advanced Neuroimaging Modalities in Pediatric Traumatic Brain Injury

Unveiling the predictive power of biomarkers in traumatic brain injury: A narrative review focused on clinical outcomes

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