Neural and Behavioral Sequelae of Blast-Related Traumatic Brain Injury

Abstract

Traumatic brain injuries (TBI) are a common occurrence from roadside blasts of improvised explosive devices (IEDs). In the proposed cross-sectional study, we aim to apply neurobehavioral testing and advanced MRI techniques [task-activated functional MRI (fMRI) and diffusion tensor imaging (DTI)] to gain a comprehensive understanding of the neural changes underlying blast-related MTBI. We will accomplish this goal by conducting advanced neuroimaging (task-activated fMRI and DTI fiber tracking) and neurobehavioral testing (computerized assessment and standard neuropsychological testing) on 60 chronic trauma patients: 15 military MTBI patients who have experienced blast injuries, 15 civilian MTBI patients with mechanical closed head injuries, 15 military and 15 civilian patients with orthopedic injuries. Year one of the project has been devoted to the development of the necessary infrastructure for the execution of this complex multisite study. A number of development tasks have been undertaken, including hiring and training staff and personnel for the study, developing the cognitive and computational neuropsychological tasks, developing the functional imaging tasks and scanning protocols, and developing the avenues for recruitment of subjects. All of these goals have been accomplished and the accrual of subjects is beginning. We are satisfied that we are beginning the accrual of data that will be of high reliability and integrity. Over the next two years, we will enroll the planned 120 subjects across the two study sites.

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Document Details

Document Type
Technical Report
Publication Date
Sep 30, 2009
Accession Number
ADA514612

Entities

People

  • Stephen M Rao

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Blast Injuries
  • Brain Injuries
  • Craniocerebral Trauma
  • Electronic Mail
  • Employment
  • Explosive Devices
  • Explosives
  • Head Injuries
  • Health Services
  • Hearing Loss
  • High Reliability
  • Improvised Explosive Devices
  • Institutional Review Board
  • Medical Personnel
  • Military Personnel
  • Neuroimaging
  • Reliability

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Neurotrauma and Rehabilitation Medicine.