Susceptibility Weighted Imaging: Neuropsychologic Outcome and Pediatric Head Injury
Traumatic brain injury is among the most frequent pediatric neurologic disorders in the United States, affecting multiple aspects of neuropsychologic functioning. This study assessed the efficacy of susceptibility weighted imaging as a predictor of long-term neuropsychologic functioning after pediat...
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| Published in | Pediatric neurology Vol. 33; no. 3; pp. 184 - 194 |
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| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.09.2005
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0887-8994 1873-5150 |
| DOI | 10.1016/j.pediatrneurol.2005.03.015 |
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| Abstract | Traumatic brain injury is among the most frequent pediatric neurologic disorders in the United States, affecting multiple aspects of neuropsychologic functioning. This study assessed the efficacy of susceptibility weighted imaging as a predictor of long-term neuropsychologic functioning after pediatric brain injury compared with magnetic resonance spectroscopic imaging. Susceptibility weighted imaging is a relatively new method that is considered superior to traditional magnetic resonance imaging sequences for detecting hemorrhagic diffuse axonal injury. In this study, imaging and spectroscopy were acquired 6 ± 4 days after injury. Measures of neuropsychologic functioning were administered to 18 children and adolescents 1–4 years post injury. Negative correlations between lesion number and volume with neuropsychologic functioning were demonstrated. Lesion volume explained over 32% of the variance in cognitive performance, explaining at least an additional 20% beyond injury severity and age at injury alone and 19% beyond magnetic resonance spectroscopic metabolite variables. Exploratory analyses resulted in notable trends, with lesions in deeper brain regions more strongly associated with poorer neuropsychologic performance. Improved detection of the extent of diffuse axonal injury following a brain injury will allow for a better understanding of its association with long-term outcome, which in turn can improve prognostic efficacy for effective treatment planning. |
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| AbstractList | Traumatic brain injury is among the most frequent pediatric neurologic disorders in the United States, affecting multiple aspects of neuropsychologic functioning. This study assessed the efficacy of susceptibility weighted imaging as a predictor of long-term neuropsychologic functioning after pediatric brain injury compared with magnetic resonance spectroscopic imaging. Susceptibility weighted imaging is a relatively new method that is considered superior to traditional magnetic resonance imaging sequences for detecting hemorrhagic diffuse axonal injury. In this study, imaging and spectroscopy were acquired 6 ± 4 days after injury. Measures of neuropsychologic functioning were administered to 18 children and adolescents 1–4 years post injury. Negative correlations between lesion number and volume with neuropsychologic functioning were demonstrated. Lesion volume explained over 32% of the variance in cognitive performance, explaining at least an additional 20% beyond injury severity and age at injury alone and 19% beyond magnetic resonance spectroscopic metabolite variables. Exploratory analyses resulted in notable trends, with lesions in deeper brain regions more strongly associated with poorer neuropsychologic performance. Improved detection of the extent of diffuse axonal injury following a brain injury will allow for a better understanding of its association with long-term outcome, which in turn can improve prognostic efficacy for effective treatment planning. Traumatic brain injury is among the most frequent pediatric neurologic disorders in the United States, affecting multiple aspects of neuropsychologic functioning. This study assessed the efficacy of susceptibility weighted imaging as a predictor of long-term neuropsychologic functioning after pediatric brain injury compared with magnetic resonance spectroscopic imaging. Susceptibility weighted imaging is a relatively new method that is considered superior to traditional magnetic resonance imaging sequences for detecting hemorrhagic diffuse axonal injury. In this study, imaging and spectroscopy were acquired 6 +/- 4 days after injury. Measures of neuropsychologic functioning were administered to 18 children and adolescents 1-4 years post injury. Negative correlations between lesion number and volume with neuropsychologic functioning were demonstrated. Lesion volume explained over 32% of the variance in cognitive performance, explaining at least an additional 20% beyond injury severity and age at injury alone and 19% beyond magnetic resonance spectroscopic metabolite variables. Exploratory analyses resulted in notable trends, with lesions in deeper brain regions more strongly associated with poorer neuropsychologic performance. Improved detection of the extent of diffuse axonal injury following a brain injury will allow for a better understanding of its association with long-term outcome, which in turn can improve prognostic efficacy for effective treatment planning. Traumatic brain injury is among the most frequent pediatric neurologic disorders in the United States, affecting multiple aspects of neuropsychologic functioning. This study assessed the efficacy of susceptibility weighted imaging as a predictor of long-term neuropsychologic functioning after pediatric brain injury compared with magnetic resonance spectroscopic imaging. Susceptibility weighted imaging is a relatively new method that is considered superior to traditional magnetic resonance imaging sequences for detecting hemorrhagic diffuse axonal injury. In this study, imaging and spectroscopy were acquired 6 +/- 4 days after injury. Measures of neuropsychologic functioning were administered to 18 children and adolescents 1-4 years post injury. Negative correlations between lesion number and volume with neuropsychologic functioning were demonstrated. Lesion volume explained over 32% of the variance in cognitive performance, explaining at least an additional 20% beyond injury severity and age at injury alone and 19% beyond magnetic resonance spectroscopic metabolite variables. Exploratory analyses resulted in notable trends, with lesions in deeper brain regions more strongly associated with poorer neuropsychologic performance. Improved detection of the extent of diffuse axonal injury following a brain injury will allow for a better understanding of its association with long-term outcome, which in turn can improve prognostic efficacy for effective treatment planning.Traumatic brain injury is among the most frequent pediatric neurologic disorders in the United States, affecting multiple aspects of neuropsychologic functioning. This study assessed the efficacy of susceptibility weighted imaging as a predictor of long-term neuropsychologic functioning after pediatric brain injury compared with magnetic resonance spectroscopic imaging. Susceptibility weighted imaging is a relatively new method that is considered superior to traditional magnetic resonance imaging sequences for detecting hemorrhagic diffuse axonal injury. In this study, imaging and spectroscopy were acquired 6 +/- 4 days after injury. Measures of neuropsychologic functioning were administered to 18 children and adolescents 1-4 years post injury. Negative correlations between lesion number and volume with neuropsychologic functioning were demonstrated. Lesion volume explained over 32% of the variance in cognitive performance, explaining at least an additional 20% beyond injury severity and age at injury alone and 19% beyond magnetic resonance spectroscopic metabolite variables. Exploratory analyses resulted in notable trends, with lesions in deeper brain regions more strongly associated with poorer neuropsychologic performance. Improved detection of the extent of diffuse axonal injury following a brain injury will allow for a better understanding of its association with long-term outcome, which in turn can improve prognostic efficacy for effective treatment planning. |
| Author | Wall, Christopher J. Freier, M. Catherin Riggs, Matt L. Ashwal, Stephen Tong, Karen A. Holshouser, Barbara A. Burley, Todd Babikian, Talin Nickerson, Joshua P. |
| Author_xml | – sequence: 1 givenname: Talin surname: Babikian fullname: Babikian, Talin organization: Department of Psychology, Loma Linda University, Loma Linda, California and the Department of Psychiatry and Biobehavioral Sciences, UCLA Neuropsychiatric Institute, Los Angeles, CA – sequence: 2 givenname: M. Catherin surname: Freier fullname: Freier, M. Catherin organization: Departments of Psychology and Pediatrics, Loma Linda University and Children’s Hospital, Loma Linda, California – sequence: 3 givenname: Karen A. surname: Tong fullname: Tong, Karen A. organization: Department of Radiology, Loma Linda University Medical Center – sequence: 4 givenname: Joshua P. surname: Nickerson fullname: Nickerson, Joshua P. organization: School of Medicine, Loma Linda University – sequence: 5 givenname: Christopher J. surname: Wall fullname: Wall, Christopher J. organization: Department of Medical Imaging, Royal University Hospital, University of Saskatchewan, Saskatoon, SK, Canada – sequence: 6 givenname: Barbara A. surname: Holshouser fullname: Holshouser, Barbara A. organization: Department of Radiology, Loma Linda University Medical Center – sequence: 7 givenname: Todd surname: Burley fullname: Burley, Todd organization: Department of Psychology, Loma Linda University, Loma Linda, California and the Department of Psychiatry and Biobehavioral Sciences, UCLA Neuropsychiatric Institute, Los Angeles, CA – sequence: 8 givenname: Matt L. surname: Riggs fullname: Riggs, Matt L. organization: Department of Psychology, Portland State University, Portland, Oregon – sequence: 9 givenname: Stephen surname: Ashwal fullname: Ashwal, Stephen organization: Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda, California |
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| Keywords | Human Pediatrics Nervous system diseases Prognosis Craniocerebral Head trauma Child Nuclear magnetic resonance imaging Magnetic susceptibility |
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| SubjectTerms | Adolescent Aspartic Acid - analogs & derivatives Aspartic Acid - metabolism Biological and medical sciences Brain - metabolism Brain - pathology Brain Hemorrhage, Traumatic - diagnosis Brain Hemorrhage, Traumatic - metabolism Brain Hemorrhage, Traumatic - psychology Child Child, Preschool Creatine - metabolism Follow-Up Studies Humans Infant Injuries of the nervous system and the skull. Diseases due to physical agents Intelligence Intelligence Tests Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Imaging Magnetic Resonance Spectroscopy Medical sciences Nervous system Neurology Neuropsychological Tests Prognosis Radiodiagnosis. Nmr imagery. Nmr spectrometry Severity of Illness Index Traumas. Diseases due to physical agents |
| Title | Susceptibility Weighted Imaging: Neuropsychologic Outcome and Pediatric Head Injury |
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