TY - JOUR PY - 2021// TI - Phenotyping the spectrum of traumatic brain injury: a review and pathway to standardization JO - Journal of neurotrauma A1 - Pugh, Mary Jo A1 - Kennedy, Eamonn A1 - Prager, Eric M. A1 - Humpherys, Jeffrey A1 - Dams-O'connor, Kristen A1 - Hack, Dallas C. A1 - McCafferty, Mary Katherine A1 - Wolfe, Jessica A1 - Yaffe, Kristine C. A1 - McCrea, Michael A1 - Ferguson, Adam R. A1 - Lancashire, Lee A1 - Ghajar, Jamshid A1 - Lumba-Brown, Angela SP - ePub EP - ePub VL - ePub IS - ePub N2 - It is widely appreciated that the spectrum of traumatic brain injury (TBI), mild through severe, contains distinct clinical presentations, variably referred to as subtypes, phenotypes, and/or clinical profiles. As part of the Brain Trauma Blueprint TBI State of the Science, we review the current literature on TBI phenotyping with an emphasis on unsupervised methodological approaches, and describe five phenotypes that appear similar across reports. However, we also find the literature contains divergent analysis strategies, inclusion criteria, findings, and use of terms. Further, while some studies delineate phenotypes within a specific severity of TBI, others derive phenotypes across the full spectrum of severity. Together, these facts confound direct synthesis of findings. To overcome this, we introduce PhenoBench, a freely available code repository for the standardization and evaluation of raw phenotyping data. With this review and toolset, we provide a pathway towards robust, data-driven phenotypes that can capture the heterogeneity of TBI, enabling reproducible insights and targeted care.
Language: en
LA - en SN - 0897-7151 UR - http://dx.doi.org/10.1089/neu.2021.0059 ID - ref1 ER -