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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleAdult Brain

Near-Term Decrease in Brain Volume following Mild Traumatic Injury Is Detectible in the Context of Preinjury Volumetric Stability: Neurobiologic Insights from Analysis of Historical Imaging Examinations

A.E. Goldman-Yassen, K.X. Chen, D. Edasery, K. Hsu, K. Ye and M.L. Lipton
American Journal of Neuroradiology October 2018, 39 (10) 1821-1826; DOI: https://doi.org/10.3174/ajnr.A5769
A.E. Goldman-Yassen
aFrom the Department of Radiology (A.E.G.-Y., K.X.C., D.E., K.H.), Montefiore Medical Center, Bronx, New York
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  • ORCID record for A.E. Goldman-Yassen
K.X. Chen
aFrom the Department of Radiology (A.E.G.-Y., K.X.C., D.E., K.H.), Montefiore Medical Center, Bronx, New York
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D. Edasery
aFrom the Department of Radiology (A.E.G.-Y., K.X.C., D.E., K.H.), Montefiore Medical Center, Bronx, New York
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K. Hsu
aFrom the Department of Radiology (A.E.G.-Y., K.X.C., D.E., K.H.), Montefiore Medical Center, Bronx, New York
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K. Ye
bDepartment of Epidemiology and Population Health (K.Y.), Albert Einstein College of Medicine, Bronx, New York
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M.L. Lipton
cGruss Magnetic Resonance Research Center Departments of Radiology, Psychiatry and Behavioral Sciences and Dominick P. Purpura Department of Neuroscience (M.L.L.), Albert Einstein College of Medicine, Bronx, New York.
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    Fig 1.

    Flowsheet of included and excluded cases.

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    Fig 2.

    ITK-SNAP screenshot showing total brain volume segmentation.

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    Fig 3.

    Differences in brain volume across time points in cases and controls.

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    Table 1:

    Subject demographics

    mTBI (n = 48)Controls (n = 48)P Value
    Median age (IQR) (yr)63 (52–79)71 (50–82).202a
    Male sex percent (No.)42% (20)31% (15).289b
    Median pre- to index interval (IQR) (day)118 (67–239)171 (87–274).123a
    Median index to post interval (IQR) (day)149 (79–204)124 (61–219).901a
    • ↵a Mann-Whitney U test.

    • ↵b χ2 test.

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    Table 2:

    No significant differences in comorbidities that may affect brain volume between cases and controls

    mTBI (n = 48)Controls (n = 48)P Valuea
    Dementia23% (11)25% (12)>.999
    End-stage renal disease8% (4)8% (4)>.999
    Diabetes mellitus48% (23)38% (18).409
    Hypertension75% (36)77% (37)>.999
    Cardiac arrhythmia/valvular disease19% (9)19% (9)>.999
    Seizure disorder10% (5)10% (5)>.999
    Cirrhosis8% (4)6% (3)>.999
    Psychiatric disorders30% (14)19% (9).339
    • ↵a Fisher exact test.

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American Journal of Neuroradiology: 39 (10)
American Journal of Neuroradiology
Vol. 39, Issue 10
1 Oct 2018
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Cite this article
A.E. Goldman-Yassen, K.X. Chen, D. Edasery, K. Hsu, K. Ye, M.L. Lipton
Near-Term Decrease in Brain Volume following Mild Traumatic Injury Is Detectible in the Context of Preinjury Volumetric Stability: Neurobiologic Insights from Analysis of Historical Imaging Examinations
American Journal of Neuroradiology Oct 2018, 39 (10) 1821-1826; DOI: 10.3174/ajnr.A5769

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Near-Term Decrease in Brain Volume following Mild Traumatic Injury Is Detectible in the Context of Preinjury Volumetric Stability: Neurobiologic Insights from Analysis of Historical Imaging Examinations
A.E. Goldman-Yassen, K.X. Chen, D. Edasery, K. Hsu, K. Ye, M.L. Lipton
American Journal of Neuroradiology Oct 2018, 39 (10) 1821-1826; DOI: 10.3174/ajnr.A5769
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