Citation

Bhattrai A, Irimia A, Van Horn JD. J. Clin. Neurosci. 2019; ePub(ePub): ePub.

Affiliation

USC Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, 2025 Zonal Avenue, SHN, Los Angeles, CA 90033, USA. Electronic address: jvanhorn@usc.edu.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.jocn.2019.07.001

PMID

31331746

Abstract

BACKGROUND: The incidence of blunt-force traumatic brain injury (TBI) is especially prevalent in the military, where the emergency care admission rate has been reported to be 24.6-41.8 per 10,000 soldier-years. Given substantial advancements in modern neuroimaging techniques over the past decade in terms of structural, functional, and connectomic approaches, this mode of exploration can be viewed as best suited for understanding the underlying pathology and for providing proper intervention at effective time-points. APPROACH: Here we survey neuroimaging studies of mild-to-severe TBI in military veterans with the intent to aid the field in the creation of a roadmap for clinicians and researchers whose aim is to understand TBI progression.

DISCUSSION: Recent advancements on the quantification of neurocognitive dysfunction, cellular dysfunction, intracranial pressure, cerebral blood flow, inflammation, post-traumatic neuropathophysiology, on blood serum biomarkers and on their correlation to neuroimaging findings are reviewed to hypothesize how they can be used in conjunction with one another. This may allow clinicians and scientists to comprehensively study TBI in military service members, leading to new treatment strategies for both currently-serving as well as veteran personnel, and to improve the study of TBI more broadly.

Copyright © 2019 Elsevier Ltd. All rights reserved.

Language: en

Keywords

Biomarkers; Metabolism; Military; Neuroimaging; Recovery; Traumatic brain injury