DTI-derived parameters differ between moderate and severe traumatic brain injury and its association with psychiatric scores

Background and aim Diffusion tensor imaging (DTI) parameters in the corpus callosum have been suggested to be a biomarker for prognostic outcomes in individuals with diffuse axonal injury (DAI). However, differences between the DTI parameters on moderate and severe trauma in DAI over time are still...

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Veröffentlicht in:Neurological sciences 2022-02, Vol.43 (2), p.1343-1350
Hauptverfasser: Zaninotto, Ana Luiza, Grassi, Daphine Centola, Duarte, Dante, Rodrigues, Priscila Aparecida, Cardoso, Ellison, Feltrin, Fabricio Stewan, Guirado, Vinicius Monteiro de Paula, Macruz, Fabiola Bezerra de Carvalho, Otaduy, Maria Concepción Garcia, da Costa Leite, Claudia, Paiva, Wellingson Silva, Andrade, Celi Santos
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container_end_page 1350
container_issue 2
container_start_page 1343
container_title Neurological sciences
container_volume 43
creator Zaninotto, Ana Luiza
Grassi, Daphine Centola
Duarte, Dante
Rodrigues, Priscila Aparecida
Cardoso, Ellison
Feltrin, Fabricio Stewan
Guirado, Vinicius Monteiro de Paula
Macruz, Fabiola Bezerra de Carvalho
Otaduy, Maria Concepción Garcia
da Costa Leite, Claudia
Paiva, Wellingson Silva
Andrade, Celi Santos
description Background and aim Diffusion tensor imaging (DTI) parameters in the corpus callosum have been suggested to be a biomarker for prognostic outcomes in individuals with diffuse axonal injury (DAI). However, differences between the DTI parameters on moderate and severe trauma in DAI over time are still unclear. A secondary goal was to study the association between the changes in the DTI parameters, anxiety, and depressive scores in DAI over time. Methods Twenty subjects were recruited from a neurological outpatient clinic and evaluated at 2, 6, and 12 months after the brain injury and compared to matched age and sex healthy controls regarding the DTI parameters in the corpus callosum. State-Trace Anxiety Inventory and Beck Depression Inventory were used to assess psychiatric outcomes in the TBI group over time. Results Differences were observed in the fractional anisotropy and mean diffusivity of the genu, body, and splenium of the corpus callosum between DAI and controls ( p  
doi_str_mv 10.1007/s10072-021-05455-0
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However, differences between the DTI parameters on moderate and severe trauma in DAI over time are still unclear. A secondary goal was to study the association between the changes in the DTI parameters, anxiety, and depressive scores in DAI over time. Methods Twenty subjects were recruited from a neurological outpatient clinic and evaluated at 2, 6, and 12 months after the brain injury and compared to matched age and sex healthy controls regarding the DTI parameters in the corpus callosum. State-Trace Anxiety Inventory and Beck Depression Inventory were used to assess psychiatric outcomes in the TBI group over time. Results Differences were observed in the fractional anisotropy and mean diffusivity of the genu, body, and splenium of the corpus callosum between DAI and controls ( p  &lt; 0.02). Differences in both parameters in the genu of the corpus callosum were also detected between patients with moderate and severe DAI ( p  &lt; 0.05). There was an increase in the mean diffusivity values and the fractional anisotropy decrease in the DAI group over time ( p  &lt; 0.02). There was no significant correlation between changes in the fractional anisotropy and mean diffusivity across the study and psychiatric outcomes in DAI. Conclusion DTI parameters, specifically the mean diffusivity in the corpus callosum, may provide reliable characterization and quantification of differences determined by the brain injury severity. No correlation was observed with DAI parameters and the psychiatric outcome scores.</description><identifier>ISSN: 1590-1874</identifier><identifier>EISSN: 1590-3478</identifier><identifier>DOI: 10.1007/s10072-021-05455-0</identifier><identifier>PMID: 34264413</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Anisotropy ; Anxiety ; Brain Injuries, Traumatic ; Corpus callosum ; Corpus Callosum - diagnostic imaging ; Diffusion Magnetic Resonance Imaging ; Diffusion Tensor Imaging ; Humans ; Magnetic resonance imaging ; Medicine ; Medicine &amp; Public Health ; Neuroimaging ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Original Article ; Psychiatry ; Traumatic brain injury</subject><ispartof>Neurological sciences, 2022-02, Vol.43 (2), p.1343-1350</ispartof><rights>Fondazione Società Italiana di Neurologia 2021</rights><rights>2021. 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However, differences between the DTI parameters on moderate and severe trauma in DAI over time are still unclear. A secondary goal was to study the association between the changes in the DTI parameters, anxiety, and depressive scores in DAI over time. Methods Twenty subjects were recruited from a neurological outpatient clinic and evaluated at 2, 6, and 12 months after the brain injury and compared to matched age and sex healthy controls regarding the DTI parameters in the corpus callosum. State-Trace Anxiety Inventory and Beck Depression Inventory were used to assess psychiatric outcomes in the TBI group over time. Results Differences were observed in the fractional anisotropy and mean diffusivity of the genu, body, and splenium of the corpus callosum between DAI and controls ( p  &lt; 0.02). Differences in both parameters in the genu of the corpus callosum were also detected between patients with moderate and severe DAI ( p  &lt; 0.05). There was an increase in the mean diffusivity values and the fractional anisotropy decrease in the DAI group over time ( p  &lt; 0.02). There was no significant correlation between changes in the fractional anisotropy and mean diffusivity across the study and psychiatric outcomes in DAI. Conclusion DTI parameters, specifically the mean diffusivity in the corpus callosum, may provide reliable characterization and quantification of differences determined by the brain injury severity. 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However, differences between the DTI parameters on moderate and severe trauma in DAI over time are still unclear. A secondary goal was to study the association between the changes in the DTI parameters, anxiety, and depressive scores in DAI over time. Methods Twenty subjects were recruited from a neurological outpatient clinic and evaluated at 2, 6, and 12 months after the brain injury and compared to matched age and sex healthy controls regarding the DTI parameters in the corpus callosum. State-Trace Anxiety Inventory and Beck Depression Inventory were used to assess psychiatric outcomes in the TBI group over time. Results Differences were observed in the fractional anisotropy and mean diffusivity of the genu, body, and splenium of the corpus callosum between DAI and controls ( p  &lt; 0.02). Differences in both parameters in the genu of the corpus callosum were also detected between patients with moderate and severe DAI ( p  &lt; 0.05). There was an increase in the mean diffusivity values and the fractional anisotropy decrease in the DAI group over time ( p  &lt; 0.02). There was no significant correlation between changes in the fractional anisotropy and mean diffusivity across the study and psychiatric outcomes in DAI. Conclusion DTI parameters, specifically the mean diffusivity in the corpus callosum, may provide reliable characterization and quantification of differences determined by the brain injury severity. 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source MEDLINE; SpringerNature Journals
subjects Anisotropy
Anxiety
Brain Injuries, Traumatic
Corpus callosum
Corpus Callosum - diagnostic imaging
Diffusion Magnetic Resonance Imaging
Diffusion Tensor Imaging
Humans
Magnetic resonance imaging
Medicine
Medicine & Public Health
Neuroimaging
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Original Article
Psychiatry
Traumatic brain injury
title DTI-derived parameters differ between moderate and severe traumatic brain injury and its association with psychiatric scores
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