1
|
Thomas PA, Bolton SH, Ontiveros F, Mattson WI, Vannatta K, Lo W, Wilde EA, Cunningham WA, Yeates KO, Hoskinson KR. Exploring the link among injury severity, white matter connectivity and psychosocial outcomes in pediatric TBI: a probabilistic tractography approach. Int J Neurosci 2024:1-13. [PMID: 39235059 DOI: 10.1080/00207454.2024.2394777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2024] [Revised: 06/26/2024] [Accepted: 08/16/2024] [Indexed: 09/06/2024]
Abstract
AIM We examined associations among injury severity, white matter structural connectivity within functionally defined brain networks and psychosocial/adaptive outcomes in children with traumatic brain injury (TBI). METHOD Participants included 58 youths (39 male) with complicated-mild TBI (cmTBI; n = 12, age = 12.6 ± 2.0), moderate/severe TBI (msTBI; n = 16, age = 11.4 ± 2.9) and a comparison group with orthopedic injury (OI; n = 24, age = 11.7 ± 2.1), at least 1 year post-injury. Participants underwent diffusion tensor imaging and parents rated children's behavioral and adaptive function on the CBCL and ABAS-3, respectively. Probabilistic tractography quantified streamline density. Group differences were analyzed for structural connectivity and behavioral outcomes. RESULTS Groups differed in structural connectivity within regions of the default mode and central executive networks (ps < .05, FDR corrected). The msTBI group displayed decreased connectivity relative to cmTBI and OI, whereas the cmTBI group displayed increased connectivity relative to msTBI and OI. Similar patterns emerged in several behavioral domains. Ordinary least squares path analyses showed that structural connectivity mediated the relationship between injury severity and multiple parent-reported outcomes for msTBI. INTERPRETATION White matter structural connectivity may explain unique variance in long-term psychosocial and adaptive outcome in children with TBI, particularly in cases of moderate-to-severe injury.
Collapse
Affiliation(s)
- Peyton A Thomas
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA
- Interdisciplinary Program in Neuroscience, Georgetown University Medical Center, Washington, DC, USA
| | - Scout H Bolton
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA
| | - Florencia Ontiveros
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA
| | - Whitney I Mattson
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA
| | - Kathryn Vannatta
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA
- Section of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA
| | - Warren Lo
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA
- Section of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA
| | - Elisabeth A Wilde
- Department of Neurology, University of Utah, Salt Lake City, UT, USA
| | | | - Keith Owen Yeates
- Department of Psychology and Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
- Child Brain and Mental Health Program, Alberta Children's Hospital Research Institute, Alberta Children's Hospital, Alberta, Canada
| | - Kristen R Hoskinson
- Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA
- Section of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA
| |
Collapse
|
3
|
Dennis EL, Vervoordt S, Adamson MM, Houshang A, Bigler ED, Caeyenberghs K, Cole JH, Dams-O'Connor K, Deutscher EM, Dobryakova E, Genova HM, Grafman JH, Håberg AK, Hellstrøm T, Irimia A, Koliatsos VE, Lindsey HM, Livny A, Menon DK, Merkley TL, Mohamed AZ, Mondello S, Monti MM, Newcombe VF, Newsome MR, Ponsford J, Rabinowitz A, Smevik H, Spitz G, Venkatesan UM, Westlye LT, Zafonte R, Thompson PM, Wilde EA, Olsen A, Hillary FG. Accelerated Aging after Traumatic Brain Injury: An ENIGMA Multi-Cohort Mega-Analysis. Ann Neurol 2024; 96:365-377. [PMID: 38845484 DOI: 10.1002/ana.26952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Revised: 04/10/2024] [Accepted: 04/15/2024] [Indexed: 07/11/2024]
Abstract
OBJECTIVE The long-term consequences of traumatic brain injury (TBI) on brain structure remain uncertain. Given evidence that a single significant brain injury event increases the risk of dementia, brain-age estimation could provide a novel and efficient indexing of the long-term consequences of TBI. Brain-age procedures use predictive modeling to calculate brain-age scores for an individual using structural magnetic resonance imaging (MRI) data. Complicated mild, moderate, and severe TBI (cmsTBI) is associated with a higher predicted age difference (PAD), but the progression of PAD over time remains unclear. We sought to examine whether PAD increases as a function of time since injury (TSI) and if injury severity and sex interacted to influence this progression. METHODS Through the ENIGMA Adult Moderate and Severe (AMS)-TBI working group, we examine the largest TBI sample to date (n = 343), along with controls, for a total sample size of n = 540, to replicate and extend prior findings in the study of TBI brain age. Cross-sectional T1w-MRI data were aggregated across 7 cohorts, and brain age was established using a similar brain age algorithm to prior work in TBI. RESULTS Findings show that PAD widens with longer TSI, and there was evidence for differences between sexes in PAD, with men showing more advanced brain age. We did not find strong evidence supporting a link between PAD and cognitive performance. INTERPRETATION This work provides evidence that changes in brain structure after cmsTBI are dynamic, with an initial period of change, followed by relative stability in brain morphometry, eventually leading to further changes in the decades after a single cmsTBI. ANN NEUROL 2024;96:365-377.
Collapse
Affiliation(s)
- Emily L Dennis
- Department of Neurology, University of Utah, Salt Lake City, UT, USA
- George E. Whalen Veterans Affairs Medical Center, Salt Lake City, UT, USA
| | | | - Maheen M Adamson
- Women's Operational Military Exposure Network (WOMEN) & Rehabilitation, VA Palo Alto Healthcare System, Palo Alto, CA, USA
- Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Amiri Houshang
- Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
- Department of Radiology & Nuclear Medicine, Amsterdam UMC, Amsterdam, The Netherlands
| | - Erin D Bigler
- Department of Neurology, University of Utah, Salt Lake City, UT, USA
- Department of Psychology and Neuroscience Center, Brigham Young University, Provo, UT, USA
| | - Karen Caeyenberghs
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Australia
| | - James H Cole
- Centre for Medical Image Computing, Computer Science, University College London, London, UK
- Dementia Research Centre, Queen Square Institute of Neurology, University College London, London, UK
| | - Kristen Dams-O'Connor
- Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Evelyn M Deutscher
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, Australia
| | - Ekaterina Dobryakova
- Center for Traumatic Brain Injury, Kessler Foundation, East Hanover, NJ, USA
- Rutgers New Jersey Medical School, Newark, NJ, USA
| | - Helen M Genova
- Rutgers New Jersey Medical School, Newark, NJ, USA
- Center for Neuropsychology and Neuroscience Research, Kessler Foundation, East Hanover, NJ, USA
| | | | - Asta K Håberg
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU, Trondheim, Norway
- Department of Radiology and Nuclear Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Torgeir Hellstrøm
- Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway
| | - Andrei Irimia
- Ethel Percy Andrus Gerontology Center, Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA
- Alfred E. Mann Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA, USA
- Department of Quantitative and Computational Biology, Dornsife College of Arts and Sciences, University of Southern California, Los Angeles, CA, USA
| | - Vassilis E Koliatsos
- Departments of Pathology (Neuropathology), Neurology, and Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Neuropsychiatry Program, Sheppard and Enoch Pratt Hospital, Baltimore, MD, USA
| | - Hannah M Lindsey
- Department of Neurology, University of Utah, Salt Lake City, UT, USA
| | - Abigail Livny
- Division of Diagnostic Imaging, Sheba Medical Center, Tel-Aviv, Israel
- Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- Sagol Neuroscience School, Tel-Aviv University, Tel-Aviv, Israel
| | - David K Menon
- Department of Medicine, University of Cambridge, Cambridge, UK
| | - Tricia L Merkley
- Department of Neurology, University of Utah, Salt Lake City, UT, USA
- Department of Psychology and Neuroscience Center, Brigham Young University, Provo, UT, USA
| | - Abdalla Z Mohamed
- Thompson Institute, University of the Sunshine Coast, Birtinya, Australia
| | - Stefania Mondello
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Martin M Monti
- Department of Psychology, UCLA, Los Angeles, CA, USA
- Brain Injury Research Center (BIRC), Department of Neurosurgery, UCLA, Los Angeles, CA, USA
| | | | - Mary R Newsome
- Department of Neurology, University of Utah, Salt Lake City, UT, USA
- George E. Whalen Veterans Affairs Medical Center, Salt Lake City, UT, USA
| | - Jennie Ponsford
- Monash-Epworth Rehabilitation Research Centre, School of Psychological Sciences, Monash University, Melbourne, Australia
- School of Psychological Sciences, Monash University, Melbourne, Australia
| | - Amanda Rabinowitz
- Moss Rehabilitation Research Institute, Elkins Park, PA, USA
- Department of Rehabilitation Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | - Hanne Smevik
- Department of Psychology, NTNU, Trondheim, Norway
- NorHEAD - Norwegian Centre for Headache Research, NTNU, Trondheim, Norway
| | - Gershon Spitz
- Monash-Epworth Rehabilitation Research Centre, School of Psychological Sciences, Monash University, Melbourne, Australia
- School of Psychological Sciences, Monash University, Melbourne, Australia
- Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia
| | - Umesh M Venkatesan
- Moss Rehabilitation Research Institute, Elkins Park, PA, USA
- Department of Rehabilitation Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | - Lars T Westlye
- Department of Psychology, University of Oslo, Oslo, Norway
- NORMENT, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
| | - Ross Zafonte
- Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital/Brigham & Women's Hospital, Boston, MA, USA
- Spaulding Rehabilitation Hospital, Boston, MA, USA
| | - Paul M Thompson
- Imaging Genetics Center, Stevens Neuroimaging & Informatics Institute, Keck School of Medicine of USC, Marina del Rey, CA, USA
- Departments of Neurology, Pediatrics, Psychiatry, Radiology, Engineering, and Ophthalmology, USC, Los Angeles, CA, USA
| | - Elisabeth A Wilde
- Department of Neurology, University of Utah, Salt Lake City, UT, USA
- George E. Whalen Veterans Affairs Medical Center, Salt Lake City, UT, USA
| | - Alexander Olsen
- Department of Psychology, NTNU, Trondheim, Norway
- NorHEAD - Norwegian Centre for Headache Research, NTNU, Trondheim, Norway
- Clinic of Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Frank G Hillary
- Department of Psychology, Penn State University, State College, PA, USA
| |
Collapse
|
6
|
Pieniak M, Seidel K, Oleszkiewicz A, Gellrich J, Karpinski C, Fitze G, Schriever VA. Olfactory training effects in children after mild traumatic brain injury. Brain Inj 2023; 37:1272-1284. [PMID: 37486172 DOI: 10.1080/02699052.2023.2237889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 05/29/2023] [Accepted: 06/12/2023] [Indexed: 07/25/2023]
Abstract
OBJECTIVE Mild traumatic brain injury (mTBI) might impair the sense of smell and cognitive functioning. Repeated, systematic exposure to odors, i.e., olfactory training (OT) has been proposed for treatment of olfactory dysfunctions, including post-traumatic smell loss. Additionally, OT has been shown to mitigate cognitive deterioration in older population and enhance selected cognitive functions in adults. We aimed to investigate olfactory and cognitive effects of OT in the pediatric population after mTBI, likely to exhibit cognitive and olfactory deficits. METHODS Our study comprised 159 children after mTBI and healthy controls aged 6-16 years (M = 9.68 ± 2.78 years, 107 males), who performed 6-months-long OT with a set of 4 either high- or low-concentrated odors. Before and after OT we assessed olfactory functions, fluid intelligence, and executive functions. RESULTS OT with low-concentrated odors increased olfactory sensitivity in children after mTBI. Regardless of health status, children who underwent OT with low-concentrated odors had higher fluid intelligence scores at post-training measurement, whereas scores of children performing OT with high-concentrated odors did not change. CONCLUSION Our study suggests that OT with low-concentrated odors might accelerate rehabilitation of olfactory sensitivity in children after mTBI and support cognitive functions in the area of fluid intelligence regardless of head trauma.
Collapse
Affiliation(s)
- Michal Pieniak
- Smell & Taste Clinic, Department of Otorhinolaryngology, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Faculty of Historical and Pedagogical Sciences, Institute of Psychology, University of Wrocław, Wroclaw, Poland
| | - Katharina Seidel
- Abteilung Neuropädiatrie, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Anna Oleszkiewicz
- Smell & Taste Clinic, Department of Otorhinolaryngology, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Faculty of Historical and Pedagogical Sciences, Institute of Psychology, University of Wrocław, Wroclaw, Poland
| | - Janine Gellrich
- Abteilung Neuropädiatrie, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Christian Karpinski
- Klinik Und Poliklinik Für Kinderchirurgie, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Guido Fitze
- Klinik Und Poliklinik Für Kinderchirurgie, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Valentin A Schriever
- Abteilung Neuropädiatrie, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Center for Chronically Sick Children (Sozialpädiatrisches Zentrum, SPZ), Charité - Universitätsmedizin Berlin, Berlin, Germany
- Department of Pediatric Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| |
Collapse
|