Functional magnetic resonance imaging of mild traumatic brain injury.

Abstract:

:Functional magnetic resonance imaging (fMRI) offers great promise for elucidating the neuropathology associated with a single or repetitive mild traumatic brain injury (mTBI). The current review discusses the physiological underpinnings of the blood-oxygen level dependent response and how trauma affects the signal. Methodological challenges associated with fMRI data analyses are considered next, followed by a review of current mTBI findings. The majority of evoked studies have examined working memory and attentional functioning, with results suggesting a complex relationship between cognitive load/attentional demand and neuronal activation. Researchers have more recently investigated how brain trauma affects functional connectivity, and the benefits/drawbacks of evoked and functional connectivity studies are also discussed. The review concludes by discussing the major clinical challenges associated with fMRI studies of brain-injured patients, including patient heterogeneity and variations in scan-time post-injury. We conclude that the fMRI signal represents a complex filter through which researchers can measure the physiological correlates of concussive symptoms, an important goal for the burgeoning field of mTBI research.

journal_name

Neurosci Biobehav Rev

authors

Mayer AR,Bellgowan PS,Hanlon FM

doi

10.1016/j.neubiorev.2014.11.016

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

8-18

eissn

0149-7634

issn

1873-7528

pii

S0149-7634(14)00318-2

journal_volume

49

pub_type

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