Transforming Research and Clinical Knowledge in Traumatic Brain Injury

Abstract

Using the TRACK-TBI (Transforming Research and Clinical Knowledge in TBI) dataset we have created an Information Commons that integrates clinical, imaging, proteomic, genomic, and outcome biomarkers based upon the domains of the TBI Common Data Elements. The comprehensive TBI-CDE outcome measures allow for analyses of biomarker associations with a variety of measures. Available prognostic models have been evaluated against new prognostic models for TBI and found to be unsatisfactory using a multivariate approach that goes beyond the crude definitions of Mild, Moderate and Severe TBI. The latest neuroimaging methods including Quantitative CT, DTI, and resting-state functional MRI are surpassing other methods for predicting TBI patient outcomes. In emergency settings where high resolution neuroimaging is not available, rapid measurement of proteomic markers is appearing to be a valuable adjunct to current screening practices for ruling out TBI. Most importantly improving the collection of biomarkers in TBI patients will be vital to the design of future clinical trials. For future plans during Year 2 we are on target to complete the original tasks to conduct multivariate diagnostic and prognostic modeling across all aims and CDE domains.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2014
Accession Number
ADA622960

Entities

People

  • Geoffrey T. Manley

Organizations

  • University of California, San Francisco

Tags

DTIC Thesaurus Topics

  • Brain
  • Brain Injuries
  • Cardiovascular Physiological Phenomena
  • Cerebrovascular Disorders
  • Health Services
  • Medical Personnel
  • Spine
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Neurotrauma and Rehabilitation Medicine.
  • Oncology and Biomarker-Based Cancer Detection.
  • Systems Analysis and Design

Technology Areas

  • Biotechnology