Assessing connectivity related injury burden in diffuse traumatic brain injury.

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TitleAssessing connectivity related injury burden in diffuse traumatic brain injury.
Publication TypeJournal Article
Year of Publication2017
AuthorsSolmaz, B, Tunc, B, Parker, D, Whyte, J, Hart, T, Rabinowitz, A, Rohrbach, M, Kim, J, Verma, R
JournalHum Brain Mapp
Volume38
Issue6
Pagination2913-2922
Date Published2017 06
ISSN1097-0193
KeywordsBrain Injuries, Traumatic, Connectome, Diffusion Tensor Imaging, Executive Function, Factor Analysis, Statistical, Female, Glasgow Coma Scale, Humans, Longitudinal Studies, Magnetic Resonance Imaging, Male, Neural Pathways, Neuropsychological Tests, Statistics as Topic, Verbal Learning
Abstract

Many of the clinical and behavioral manifestations of traumatic brain injury (TBI) are thought to arise from disruption to the structural network of the brain due to diffuse axonal injury (DAI). However, a principled way of summarizing diffuse connectivity alterations to quantify injury burden is lacking. In this study, we developed a connectome injury score, Disruption Index of the Structural Connectome (DISC), which summarizes the cumulative effects of TBI-induced connectivity abnormalities across the entire brain. Forty patients with moderate-to-severe TBI examined at 3 months postinjury and 35 uninjured healthy controls underwent magnetic resonance imaging with diffusion tensor imaging, and completed behavioral assessment including global clinical outcome measures and neuropsychological tests. TBI patients were selected to maximize the likelihood of DAI in the absence of large focal brain lesions. We found that hub-like regions, with high betweenness centrality, were most likely to be impaired as a result of diffuse TBI. Clustering of participants revealed a subgroup of TBI patients with similar connectivity abnormality profiles who exhibited relatively poor cognitive performance. Among TBI patients, DISC was significantly correlated with post-traumatic amnesia, verbal learning, executive function, and processing speed. Our experiments jointly demonstrated that assessing structural connectivity alterations may be useful in development of patient-oriented diagnostic and prognostic tools. Hum Brain Mapp 38:2913-2922, 2017. © 2017 Wiley Periodicals, Inc.

DOI10.1002/hbm.23561
Alternate JournalHum Brain Mapp
PubMed ID28294464
PubMed Central IDPMC5426975
Grant ListR01 MH092862 / MH / NIMH NIH HHS / United States
R01 NS065980 / NS / NINDS NIH HHS / United States
R01 NS096606 / NS / NINDS NIH HHS / United States