Volume change in frontal cholinergic structures after traumatic brain injury and cognitive outcome
Author(s)
Type
Journal Article
Abstract
The cholinergic nuclei in the basal forebrain innervate frontal cortical structures regulating attention. Our aim was to investigate if cognitive test results measuring attention relate to the longitudinal volume change of cholinergically innervated structures following traumatic brain injury (TBI). During the prospective, observational TBIcare project patients with all severities of TBI (n = 114) and controls with acute orthopedic injuries (n = 17) were recruited. Head MRI was obtained in both acute (mean 2 weeks post-injury) and late (mean 8 months) time points. T1-weighted 3D MR images were analyzed with an automatic segmentation method to evaluate longitudinal, structural brain volume change. The cognitive outcome was assessed with the Cambridge Neuropsychological Test Automated Battery (CANTAB). Analyses included 16 frontal cortical structures, of which four showed a significant correlation between post-traumatic volume change and the CANTAB test results. The strongest correlation was found between the volume loss of the supplementary motor cortex and motor screening task results (R-sq 0.16, p < 0.0001), where poorer test results correlated with greater atrophy. Of the measured sum structures, greater cortical gray matter atrophy rate showed a significant correlation with the poorer CANTAB test results. TBI caused volume loss of frontal cortical structures that are heavily innervated by cholinergic neurons is associated with neuropsychological test results measuring attention.
Date Issued
2020-08-13
Date Acceptance
2020-07-03
Citation
Frontiers in Neurology, 2020, 11, pp.1-10
ISSN
1664-2295
Publisher
Frontiers Media
Start Page
1
End Page
10
Journal / Book Title
Frontiers in Neurology
Volume
11
Copyright Statement
© 2020 Östberg, Ledig, Katila, Maanpää, Posti, Takala, Tallus, Glocker, Rueckert and Tenovuo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) http://creativecommons.org/licenses/by/4.0/. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000566227200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences
Neurosciences & Neurology
cholinergic system
traumatic brain injury
atlas based volumetric MRI analysis
structural MRI
cognitive testing
HEAD-INJURY
ATTENTION PERFORMANCE
SUSTAINED ATTENTION
DIFFUSION-TENSOR
CHRONIC SEQUELS
DONEPEZIL
MILD
RIVASTIGMINE
MODERATE
ATROPHY
Publication Status
Published
Article Number
ARTN 832
Date Publish Online
2020-08-13