Unpacking the Importance of the Structural Injuries in Mild Traumatic Brain Injury

Overview

Using advanced MRI methods, we are searching for underlying microstructural and macrostructural brain changes associated with cognitive outcome in patients with mild traumatic brain injury (MTBI).

MTBI is a major public health concern. In this study, we develop and apply advanced diffusion MRI techniques and novel parameter estimation methods to characterize longitudinal microstructural changes. We also investigate the relationship among white matter injury, cortical volume loss, and cognitive outcome following MTBI. Our goal is to identify imaging biomarkers linked to cognitive status, which, when found, will have the potential to play a significant role in improving diagnosis, prognosis, and treatment planning.

Keywords
  • Mild traumatic brain injury
  • Diffusion MRI
  • Microstructure

Figure 1. White matter ROI analysis reveals significant differences in (left) fractional anisotropy (FA) and (right) intra-axonal diffusivity (Da) between symptom-based subgroups (derived from network analysis) and normal controls. Notably, alterations are observed in the corpus callosum, internal capsules, corona radiata and cingulum– differences not apparent when analyzing the entire MTBI group. Blue indicates regions where NC > MTBI; red indicates NC < MTBI.

Project Team
External Collaborators

Publications

  1. Chung S, Bacon T, Rath JF, et al. Callosal Interhemispheric Communication in Mild Traumatic Brain Injury: A Mediation Analysis on WM Microstructure Effects. AJNR Am J Neuroradiol. 2024;45(6):788-794. Published 2024 Jun 7. doi:10.3174/ajnr.A8213
  2. Chung S, Chen J, Li T, Wang Y, Lui YW. Investigating Brain White Matter in Football Players with and without Concussion Using a Biophysical Model from Multishell Diffusion MRI. AJNR Am J Neuroradiol. 2022;43(6):823-828. doi:10.3174/ajnr.A7522
  3. Chung S, Wang X, Fieremans E, et al. Altered Relationship between Working Memory and Brain Microstructure after Mild Traumatic Brain Injury. AJNR Am J Neuroradiol. 2019;40(9):1438-1444. doi:10.3174/ajnr.A6146
  4. Chung S, Fieremans E, Kucukboyaci NE, et al. Working Memory And Brain Tissue Microstructure: White Matter Tract Integrity Based On Multi-Shell Diffusion MRI. Sci Rep. 2018;8(1):3175. Published 2018 Feb 16. doi:10.1038/s41598-018-21428-4
  5. Chung S, Fieremans E, Wang X, et al. White Matter Tract Integrity: An Indicator of Axonal Pathology after Mild Traumatic Brain Injury. J Neurotrauma. 2018;35(8):1015-1020. doi:10.1089/neu.2017.5320

Acknowledgements

We acknowledge support from the following grants: NIH R01 NS119767-01A1, R01 NS039135-11, R56 NS119767, and DoD grant PT190013.