Advanced MRI in Acute Military TBI

Abstract

The objective of the project is to test two advanced MRI methods, DTI and resting-state fMRI correlation analysis, in military TBI patients acutely after injury and correlate findings with TBI-related clinical outcomes 6-12 months later. An additional objective is to test the interaction of candidate genetic vulnerability factors with patterns of injury. These combined methods may add clinically useful predictive information following traumatic brain injury that could be of assistance in standardizing diagnostic criteria for TBI, making return-to-duty triage decisions, guiding post-injury rehabilitation, and developing novel therapeutics. The overarching hypothesis is that traumatic axonal injury, interacting with genetic vulnerability factors, is a principal cause of impaired brain function following blast-related and non-blast-related TBI. The study is a prospective longitudinal study with subject enrollment and initial evaluation at Landstuhl Regional Medical Center in Landstuhl Germany and at 2 sites in Afghanistan. Follow-up evaluations are performed at Washington University in St Louis. We have closed enrollment in all sites as of June 1, 2013. 255 subjects were enrolled at LRMC and 230 subjects were enrolled in Afghanistan. 177 subjects enrolled at LRMC and 70 subjects enrolled in Afghanistan have completed follow-up evaluations There have been no adverse events.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2013
Accession Number
ADA590498

Entities

People

  • David L. Brody

Organizations

  • Washington University in St. Louis

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Brain
  • Brain Injuries
  • Data Science
  • Databases
  • Department Of Defense
  • Genetics
  • Health Services
  • Information Science
  • Medical Personnel
  • Military Personnel
  • Neuroimaging
  • Surveys
  • Traumatic Stress Disorder

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Medical or Health Care Field.
  • Traumatic Brain Injury (TBI) and Cognitive Aging in the Guam and Border Populations Affected by Alzheimer's Disease and Tau-Associated Dementias.

Technology Areas

  • Biotechnology