Traumatic Brain Injury: Imaging Patterns and Complications.

@article{Schweitzer2019TraumaticBI,
  title={Traumatic Brain Injury: Imaging Patterns and Complications.},
  author={Andrew D Schweitzer and Sumit N. Niogi and Christopher J Whitlow and A. John Tsiouris},
  journal={Radiographics : a review publication of the Radiological Society of North America, Inc},
  year={2019},
  volume={39 6},
  pages={
          1571-1595
        }
}
  • A. SchweitzerS. Niogi A. Tsiouris
  • Published 1 October 2019
  • Medicine
  • Radiographics : a review publication of the Radiological Society of North America, Inc
While the diagnosis of traumatic brain injury (TBI) is a clinical decision, neuroimaging remains vital for guiding management on the basis of identification of intracranial pathologic conditions. CT is the mainstay of imaging of acute TBI for both initial triage and follow-up, as it is fast and accurate in detecting both primary and secondary injuries that require neurosurgical intervention. MRI is more sensitive for the detection of certain intracranial injuries (eg, axonal injuries) and blood… 

Traumatic Brain Injury: Radiological Findings and Clinical Outcome

This review talks about the principal imaging investigations in traumatic brain injury (TBI) and focuses on the major brain lesions and their imaging appearance with also reference to the most recent techniques that can correlate with prognosis.

The Prognostic Role of Magnetic Resonance Imaging Biomarkers in Mild Traumatic Injury.

A prospective multicenter observational study that included patients from the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) to study the association of white matter changes detected on diffusion tensor imaging (DTI) with persistent symptoms after mild TBI finds that cerebral white matter volume decreased and ventricular and cerebral spinal fluid volume increased after injury in Mild TBI compared with controls.

Emerging Utility of Applied Magnetic Resonance Imaging in the Management of Traumatic Brain Injury

The scientific basis of functional MRI, diffusion tensor imaging, MR perfusion, and MR spectroscopy, and how they may be clinically implemented to improve the care of TBI patients are discussed.

Prognostic Value of Hemorrhagic Brainstem Injury on Early Computed Tomography: A TRACK-TBI Study

Rec retrospective data on patients from the multicenter prospective Transforming Research and Clinical Knowledge in TBI study suggest two groups of patients with brainstem injuries may exist with divergent recovery potential after TBI, and support the notion that newer CT imaging classification systems may augment traditional clinical measures in identifying those patients with TBI and brain stem injuries that stand a higher chance of favorable outcome.

Radiology and the Treatment of Brain Injury and Disease: Review Article

Primary and metastatic brain tumours are frequently observed in neuroimaging practice and the benefits from using MRI, CT, and PET scans to diagnose brain injuries or diseases, radiologically are investigated.

Postoperative magnetic resonance imaging may predict poor outcome in children with severe traumatic brain injuries who undergo cranial surgery.

The authors' results revealed that DAI-type lesions in the brainstem and evidence of cerebral herniation may indicate a poorer prognosis; however, more studies with larger cohorts are needed to make definitive conclusions.

Mild-to-Moderate Traumatic Brain Injury: A Review with Focus on the Visual System

Treatment and rehabilitation options available to TBI sufferers are inadequate and there is a pressing need for new ways to help these patients to optimize their functioning and maintain productivity and participation in life activities, family and community.

Disruption of white matter integrity and its relationship with cognitive function in non-severe traumatic brain injury

The non-severe TBI patients had abnormally reduced FA values in multiple regions compared to controls that correlated with several measures of executive function during the sub-acute phase of TBI.

Prediction of Intraparenchymal Hemorrhage Progression and Neurologic Outcome in Traumatic Brain Injury Patients Using Radiomics Score and Clinical Parameters

It is suggested that radiomics analysis of IPH lesions on initial CT images has the potential to predict HPC and poor neurologic outcome in traumatic IPH patients and the clinical and R-score combined model further improves the performance of HPC prediction.

Usefulness of Diffusion Tensor Imaging in Unexplained Ipsilateral Hemiplegia

A case of a patient with a patients with a traumatic subdural hematoma on the left hemisphere and left spastic hemiparesis is presented, and diffusion tensor imaging (DTI) concluded that the right corticospinal tract injury caused by compression of the cerebral peduncle accounted for the ipsilateral hemIParesis.

References

SHOWING 1-10 OF 60 REFERENCES

Detecting traumatic brain lesions in children: CT versus MRI versus susceptibility weighted imaging (SWI).

Susceptibility-weighted imaging (SWI), a relatively novel MRI sequence, shows promise in terms of its sensitivity in detecting hemorrhagic lesions; however, its clinical potential remains uncertain and may be more sensitive in detecting traumatic lesions than CT or MRI.

Neuroimaging Radiological Interpretation System for Acute Traumatic Brain Injury.

In a cohort of 542 patients with TBI, NIRIS was developed to predict discharge, follow-up brain imaging/admission, need for advanced care unit, neurosurgical procedures, and death and performed similarly to the Marshall and Rotterdam scoring systems for TBI.

ACR Appropriateness Criteria Head Trauma.

Trauma-Specific Brain Abnormalities in Suspected Mild Traumatic Brain Injury Patients Identified in the First 48 Hours after Injury: A Blinded Magnetic Resonance Imaging Comparative Study Including Suspected Acute Minor Stroke Patients.

The ability of a fast MRI protocol to identify trauma-related abnormalities not seen on CT, and differentiate acute trauma from nonspecific chronic disease in a blinded cohort of mTBI patients is demonstrated.

Head injury: early results of comparing CT and high-field MR.

MR was far superior to CT in the detection and characterization of subacute injuries, including shearing injuries, hemorrhagic and nonhemorrhagic contusions, and subdural hematomas, and MR was the key to correct prognosis in patients with subacutes or chronic injury.

Developing a decision instrument to guide computed tomographic imaging of blunt head injury patients.

Clinical characteristics can reliably identify patients who are unlikely to have intracranial injuries and who do not require CT imaging, according to Physicians assessed blunt trauma patients undergoing imaging.

Imaging and Management of Blunt Cerebrovascular Injury.

The imaging evaluation of BCVI is detailed and the clinical and follow-up imaging implications of specific injury findings are discussed, including improvements in magnetic resonance angiography with vessel wall imaging hold promise as supplemental imaging studies that may improve diagnostic specificity for vessel wall injuries.

Clinical Findings in a Multicenter MRI Study of Mild TBI

Clinicians should take female sex, older age, and history of psychiatric disorder into account when managing mTBI patients, and 5- and 6-Digit Backward Recall, the modified Balance Error Scoring System (BESS), and Immediate 5-Word Recall should be considered useful in demonstrating cognitive and vestibular improvement during themTBI recovery process.
...