Differences in Brain Metabolic Impairment between Chronic Mild/Moderate TBI Patients with and without Visible Brain Lesions Based on MRI.

Introduction. Many patients with mild/moderate traumatic brain injury (m/mTBI) in the chronic stage suffer from executive brain function impairment. Analyzing brain metabolism is important for elucidating the pathological mechanisms associated with their symptoms. This study aimed to determine the d...

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Publicado en:BioMed Research International Vol. 2016; pp. 1 - 9
Autores principales: Ito, Keiichi, Asano, Yoshitaka, Ikegame, Yuka, Shinoda, Jun
Formato: diagnostic images research tables/charts Journal Article
Publicado: Wiley-Blackwell 7/26/2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 7/26/2016
      vid: 2016
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2016/3794029
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        atl: Differences in Brain Metabolic Impairment between Chronic Mild/Moderate TBI Patients with and without Visible Brain Lesions Based on MRI.
      aug:
        au:
          Ito, Keiichi
          Asano, Yoshitaka
          Ikegame, Yuka
          Shinoda, Jun
        affil: Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine, Gifu, Gifu 501-1194, Japan
      sug:
        subj:
          Magnetic Resonance Imaging
          Brain Metabolism
          Executive Function
          Brain Injuries Complications
          Glucose Metabolism
          Brain Injuries Classification
          Human
          Accidents, Traffic
          Tomography, Emission-Computed
          Fludeoxyglucose F 18
          Cognition Evaluation
          Frontal Lobe Metabolism
          Limbic System Metabolism
          Thalamus Metabolism
          Adult
          Middle Age
          Japan
          Glasgow Coma Scale
          Scales
          Male
          Female
          Descriptive Statistics
          P-Value
          Data Analysis Software
          Paired T-Tests
          Regression
          Parietal Lobe Metabolism
          Occipital Lobe Metabolism
          Cognition Disorders Pathology
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Introduction. Many patients with mild/moderate traumatic brain injury (m/mTBI) in the chronic stage suffer from executive brain function impairment. Analyzing brain metabolism is important for elucidating the pathological mechanisms associated with their symptoms. This study aimed to determine the differences in brain glucose metabolism between m/mTBI patients with and without visible traumatic brain lesions based on MRI. Methods. Ninety patients with chronic m/mTBI due to traffic accidents were enrolled and divided into two groups based on their MRI findings. Group A comprised 50 patients with visible lesions. Group B comprised 40 patients without visible lesions. Patients underwent FDG-PET scans following cognitive tests. FDG-PET images were analyzed using voxel-by-voxel univariate statistical tests. Results. There were no significant differences in the cognitive tests between Group A and Group B. Based on FDG-PET findings, brain metabolism significantly decreased in the orbital gyrus, cingulate gyrus, and medial thalamus but increased in the parietal and occipital convexity in Group A compared with that in the control. Compared with the control, patients in Group B exhibited no significant changes. Conclusions. These results suggest that different pathological mechanisms may underlie cognitive impairment in m/mTBI patients with and without organic brain damage.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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