The DOI matches its Crossref record; 83 of the 83 references it cites were found in a registry or an index.
A Diffusion Tensor Imaging Study on the White Matter Skeleton in Individuals with Sports-Related Concussion
Open accessAbstract
Recognizing and managing the effects of cerebral concussion is very challenging, given the discrete symptomatology. Most individuals with sports-related concussion will not score below 15 on the Glasgow Coma Scale, but will present with rapid onset of short-lived neurological impairment, demonstrating no structural changes on traditional magnetic resonance imaging (MRI) and computed tomography (CT) scans. The return-to-play decision is one of the most difficult responsibilities facing the physician, and so far this decision has been primarily based on neurological examination, symptom checklists, and neuropsychological (NP) testing. Diffusion tensor imaging (DTI) may be a more objective tool to assess the severity and recovery of function after concussion. We assessed white matter (WM) fiber tract integrity in varsity level college athletes with sports-related concussion without loss of consciousness, who experienced protracted symptoms for at least 1 month after injury. Evaluation of fractional anisotropy (FA) and mean diffusivity (MD) of the WM skeleton using tract-based spatial statistics (TBSS) revealed a large cluster of significantly increased MD for concussed subjects in several WM fiber tracts in the left hemisphere, including parts of the inferior/superior longitudinal and fronto-occipital fasciculi, the retrolenticular part of the internal capsule, and posterior thalamic and acoustic radiations. Qualitative comparison of average FA and MD suggests that with increasing level of injury severity (ranging from sports-related concussion to severe traumatic brain injury), MD might be more sensitive at detecting mild injury, whereas FA captures more severe injuries. In conclusion, the TBSS analysis used to evaluate diffuse axonal injury of the WM skeleton seems sensitive enough to detect structural changes in sports-related concussion.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“the severity of symptoms after mTBI correlates with reduction of white matter integrity on DTI, suggesting that persistent microstructural brain injury underlies the symptoms of PCS [45].”
From The neuropathology of sport (2014) · cites this paper as [45]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Advances in functional and structural MR image analysis and implementation as FSL
Smith, S. M., Jenkinson, M., Woolrich, M. W., Beckmann, C. F., Behrens, T. E. J., Johansen-Berg, H., Bannister, P. R., De Luca, M., Drobnjak, I., Flitney, D. E., et al. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2004.07.051 · Cited by 13,630
ASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS
Teasdale, G., & Jennett, B. (1974) · The Lancet · doi:10.1016/s0140-6736(74)91639-0 · Cited by 13,215
Fast robust automated brain extraction
Smith, S. M. (2002) · Human Brain Mapping · doi:10.1002/hbm.10062 · Cited by 10,496
Tract-based spatial statistics: Voxelwise analysis of multi-subject diffusion data
Smith, S. M., Jenkinson, M., Johansen‐Berg, H., Rueckert, D., Nichols, T. E., Mackay, C. E., Watkins, K. E., Ciccarelli, O., Cader, M. Z., Matthews, P. M., et al. (2006) · NeuroImage · doi:10.1016/j.neuroimage.2006.02.024 · Cited by 6,598
Nonrigid registration using free-form deformations: application to breast mr images
Rueckert, D., Sonoda, L. I., Hayes, C., Hill, D. L. G., Leach, M. O., & Hawkes, D. J. (1999) · IEEE Transactions on Medical Imaging · doi:10.1109/42.796284 · Cited by 5,265
SMITH, S., & NICHOLS, T. (2009) · NeuroImage · doi:10.1016/j.neuroimage.2008.03.061 · Cited by 5,250
The basis of anisotropic water diffusion in the nervous system—A technical review.
Beaulieu, C. (2002) · NMR in Biomedicine · doi:10.1002/nbm.782 · Cited by 4,628
Family history of subarachnoid haemorrhage: supplemental value of scrutinizing all relatives.
Greebe, P., Bromberg, J. E. C., Rinkel, G. J. E., Algra, A., & van Gijn, J. (1997) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.62.3.273 · Cited by 4,137
Estimation of the Effective Self-Diffusion Tensor from the NMR Spin Echo
Basser, P. J., Mattiello, J., & Bihan, D. L. (1994) · Journal of Magnetic Resonance Series B · doi:10.1006/jmrb.1994.1037 · Cited by 3,656
Diffusion tensor imaging: Concepts and applications
Le Bihan, D., Mangin, J., Poupon, C., Clark, C. A., Pappata, S., Molko, N., & Chabriat, H. (2001) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.1076 · Cited by 3,547
Research works printed but not linked: 7
- Anderson B., 1999, Neuropsychiatry Neuropsychol. Behav. Neurol., 12, 247
- Arfanakis K., 2002, Am. J. Neuroradiol., 23, 794
- Cantu R.C., 2001, J. Athl. Train., 36, 244
- Guskiewicz K.M., 2004, J. Athl. Train., 39, 280
- Horsfield M.A., 1998, J. Neurol. Neurosurg. Psychiatry, 64, S80
- Huisman T.A., 2004, Am. J. Neuroradiol., 25, 370
- Kim J., 2010, Clin. Transl. Sci. 3,, S45
Cited by
Sorted by citations
American Medical Society for Sports Medicine position statement: concussion in sport
Harmon, K. G., Drezner, J. A., Gammons, M. R., Guskiewicz, K. M., Halstead, M., Herring, S. A., Kutcher, J. S., Pana, A., Putukian, M., & Roberts, W. O. (2012) · British Journal of Sports Medicine · doi:10.1136/bjsports-2012-091941 · Cited by 1,433
Self-citationShenton, M. E., Hamoda, H. M., Schneiderman, J. S., Sylvain Bouix, A., Pasternak, O., Yogesh Rathi, A., Vu, M.-A. T., Purohit, M. P., Helmer, K. G., Koerte, I. K., et al. (2012) · Brain Imaging and Behavior · doi:10.1007/s11682-012-9156-5 · Cited by 994
A Decade of DTI in Traumatic Brain Injury: 10 Years and 100 Articles Later
Hulkower, M., Poliak, D. B., Rosenbaum, S. B., Zimmerman, M. E., & Lipton, M. L. (2013) · American Journal of Neuroradiology · doi:10.3174/ajnr.a3395 · Cited by 455
McKee, A. C., Daneshvar, D. H., Alvarez, V. E., & Stein, T. D. (2014) · Acta Neuropathologica · doi:10.1007/s00401-013-1230-6 · Cited by 422
The clinical spectrum of sport-related traumatic brain injury
Jordan, B. D. (2013) · Nature Reviews Neurology · doi:10.1038/nrneurol.2013.33 · Cited by 347
Metadata
- Authors
- Cubon, V. A., Putukian, M., Boyer, C., & Dettwiler, A.
- Affiliations
- Princeton University (US)
- Brain Injury Services, Bancroft NeuroHealth, Cherry Hill, New Jersey.
- Corresponding author
- Dettwiler, Annegret
- Venue
- Journal of Neurotrauma
- Publisher
- SAGE Publications
- Published
- 2011-02
- Volume
- 28
- Issue
- 2
- Pages
- 189-201
- ISSN
- 0897-7151 (ISSN-L)
- 1557-9042
- PMC
- PMC3037804
- OpenAlex
- W1998393686
- Cited by
- 297
- References
- 82
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 7 · 2023: 12 · 2022: 19 · 2021: 17 · 2020: 16 · 2019: 27 · 2018: 19 · 2017: 29 · 2016: 24 · 2015: 21 · 2014: 28 · 2013: 29 · 2012: 25
- FWCI
- 15.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Neurotrauma (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- W.K. Kellogg Foundation
- National Institutes of Health (5r21hd049546-02)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD049546-01)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Physical Sciences › Engineering › Biomedical Engineering › Automotive and Human Injury Biomechanics
- Keywords
- sports-related concussion, white matter integrity, diffusion tensor imaging, fractional anisotropy, mean diffusivity, tract-based spatial statistics, diffuse axonal injury, college athletes, return to sport, mild traumatic brain injury
- MeSH terms
- Adolescent, Athletic Injuries, Brain Concussion, Brain Injuries, Brain Mapping, Female, Humans, Male, Nerve Fibers, Myelinated, Young Adult, Diffusion Tensor Imaging
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
