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Cited by 309

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Alteration of brain default network in subacute phase of injury in concussed individuals: Resting-state fMRI study

Open access
Johnson, Brian, Zhang, Kai, Gay, Michael, Horovitz, Silvina, Hallett, Mark, Sebastianelli, Wayne, Slobounov, Semyon·2012·NeuroImage

Abstract

There are a number of symptoms, both neurological and behavioral, associated with a single episode of r mild traumatic brain injury (mTBI). Neuropsychological testing and conventional neuroimaging techniques are not sufficiently sensitive to detect these changes, which adds to the complexity and difficulty in relating symptoms from mTBI to their underlying structural or functional deficits. With the inability of traditional brain imaging techniques to properly assess the severity of brain damage induced by mTBI, there is hope that more advanced neuroimaging applications will be more sensitive, as well as specific, in accurately assessing mTBI. In this study, we used resting state functional magnetic resonance imaging to evaluate the default mode network (DMN) in the subacute phase of mTBI. Fourteen concussed student-athletes who were asymptomatic based upon clinical symptoms resolution and clearance for aerobic exercise by medical professionals were scanned using resting state functional magnetic resonance imaging. Nine additional asymptomatic yet not medically cleared athletes were recruited to investigate the effect of a single episode of mTBI versus multiple mTBIs on the resting state DMN. In concussed individuals the resting state DMN showed a reduced number of connections and strength of connections in the posterior cingulate and lateral parietal cortices. An increased number of connections and strength of connections was seen in the medial prefrontal cortex. Connections between the left dorso-lateral prefrontal cortex and left lateral parietal cortex showed a significant reduction in magnitude as the number of concussions increased. Regression analysis also indicated an overall loss of connectivity as the number of mTBI episodes increased. Our findings indicate that alterations in the brain resting state default mode network in the subacute phase of injury may be of use clinically in assessing the severity of mTBI and offering some insight into the pathophysiology of the disorder.

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Crossref · 10.1016/j.neuroimage.2011.07.081

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Metadata

Authors
Johnson, B., Zhang, K., Gay, M., Horovitz, S., Hallett, M., Sebastianelli, W., & Slobounov, S.
Venue
NeuroImage
Publisher
Elsevier BV
Published
2012-01
Volume
59
Issue
1
Pages
511-518
ISSN
1053-8119 (ISSN-L)
OpenAlex
W2111066106
Cited by
309
References
16
FWCI
14.70
Type
journal article
Language
en
Open access
green

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