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Journal Article

Citation

Vergara VM, Mayer A, Damaraju E, Kiehl K, Calhoun VD. J. Neurotrauma 2016; 34(5): 1045-1053.

Affiliation

University of New Mexico, Department of Electrical and Computer Engineering, Albuquerque, New Mexico, United States ; vcalhoun@mrn.org.

Copyright

(Copyright © 2016, Mary Ann Liebert Publishers)

DOI

10.1089/neu.2016.4526

PMID

27676221

Abstract

Traumatic brain injury (TBI) may adversely affect a person's thinking, memory, personality, and behavior. While mild TBI (mTBI) diagnosis is challenging, there is a risk for long-term psychiatric, neurologic, and psychosocial problems in some patients that motivates the search for new and better biomarkers. Recently, diffusion magnetic resonance imaging (dMRI) has shown promise in detecting mTBI, but its validity is still being investigated. Resting state functional network connectivity (rsFNC) is another approach that is emerging as a promising option for the diagnosis of mTBI. The present work investigated the use of rsFNC for mTBI detection compared to dMRI results on the same cohort. Fifty mTBI patients (25 males) and age-gender matched healthy controls were recruited. Features from dMRI were obtained using all voxels, the enhanced Z-score microstructural assessment for pathology and the distribution corrected Z-score. Features based on rsFNC were obtained through group independent component analysis and correlation between pairs of resting state networks. A linear support vector machine was used for classification and validated using leave-one-out cross validation. Classification achieved a maximum accuracy of 84.1 % for rsFNC and 75.5 % for dMRI and 74.5 % for both combined. A t-test analysis revealed significant increase in rsFNC between cerebellum vs. sensorimotor networks and between left angular gyrus vs. precuneus in mTBI subjects. These outcomes suggest that inclusion of both common and unique information is important for classification of mTBI.

RESULTS also suggest that rsFNC can yield viable biomarkers that might outperform dMRI and points to connectivity to the cerebellum as an important region for the detection of mTBI.


Language: en

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