Fractal dimension brain morphometry: a novel approach to quantify white matter in traumatic brain injury.

Traumatic brain injury (TBI) is the main cause of disability in people younger than 35 in the United States. The mechanisms of TBI are complex resulting in both focal and diffuse brain damage. Fractal dimension (FD) is a measure that can characterize morphometric complexity and variability of brain...

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Publicado en:Brain Imaging & Behavior Vol. 13; no. 4; pp. 914 - 925
Autores principales: Rajagopalan, Venkateswaran, Das, Abhijit, Zhang, Luduan, Hillary, Frank, Wylie, Glenn R., Yue, Guang H.
Formato: Journal Article
Publicado: Springer Nature Aug2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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          Rajagopalan, Venkateswaran
          Das, Abhijit
          Zhang, Luduan
          Hillary, Frank
          Wylie, Glenn R.
          Yue, Guang H.
        affil: Department of Electrical and Electronics Engineering, Birla Institute of Technology and Science, Pilani, Hyderabad Campus, Hyderabad, India
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Brain
          Adult
          Brain Anatomy and Histology
          Brain Injuries Complications
          Female
          Neuropsychological Tests
          Male
          Cognition Disorders Etiology
          Image Processing, Computer Assisted
          Adolescence
          Image Interpretation, Computer Assisted Methods
          Adult: 19-44 years
          Adolescent: 13-18 years
          Female
          Male
      ab: Traumatic brain injury (TBI) is the main cause of disability in people younger than 35 in the United States. The mechanisms of TBI are complex resulting in both focal and diffuse brain damage. Fractal dimension (FD) is a measure that can characterize morphometric complexity and variability of brain structure especially white matter (WM) structure and may provide novel insights into the injuries evident following TBI. FD-based brain morphometry may provide information on WM structural changes after TBI that is more sensitive to subtle structural changes post injury compared to conventional MRI measurements. Anatomical and diffusion tensor imaging (DTI) data were obtained using a 3 T MRI scanner in subjects with moderate to severe TBI and in healthy controls (HC). Whole brain WM volume, grey matter volume, cortical thickness, cortical area, FD and DTI metrics were evaluated globally and for the left and right hemispheres separately. A neuropsychological test battery sensitive to cognitive impairment associated with traumatic brain injury was performed. TBI group showed lower structural complexity (FD) bilaterally (p < 0.05). No significant difference in either grey matter volume, cortical thickness or cortical area was observed in any of the brain regions between TBI and healthy controls. No significant differences in whole brain WM volume or DTI metrics between TBI and HC groups were observed. Behavioral data analysis revealed that WM FD accounted for a significant amount of variance in executive functioning and processing speed beyond demographic and DTI variables. FD therefore, may serve as a sensitive marker of injury and may play a role in outcome prediction in TBI.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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