Regional brain morphometry in patients with traumatic brain injury based on acute- and chronic-phase magnetic resonance imaging.
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Published version
Author(s)
Type
Journal Article
Abstract
Traumatic brain injury (TBI) is caused by a sudden external force and can be very heterogeneous in its manifestation. In this work, we analyse T1-weighted magnetic resonance (MR) brain images that were prospectively acquired from patients who sustained mild to severe TBI. We investigate the potential of a recently proposed automatic segmentation method to support the outcome prediction of TBI. Specifically, we extract meaningful cross-sectional and longitudinal measurements from acute- and chronic-phase MR images. We calculate regional volume and asymmetry features at the acute/subacute stage of the injury (median: 19 days after injury), to predict the disability outcome of 67 patients at the chronic disease stage (median: 229 days after injury). Our results indicate that small structural volumes in the acute stage (e.g. of the hippocampus, accumbens, amygdala) can be strong predictors for unfavourable disease outcome. Further, group differences in atrophy are investigated. We find that patients with unfavourable outcome show increased atrophy. Among patients with severe disability outcome we observed a significantly higher mean reduction of cerebral white matter (3.1%) as compared to patients with low disability outcome (0.7%).
Date Issued
2017-11-28
Date Acceptance
2017-11-01
Citation
PLoS ONE, 2017, 12 (11)
ISSN
1932-6203
Publisher
Public Library of Science (PLoS)
Journal / Book Title
PLoS ONE
Volume
12
Issue
11
Copyright Statement
© 2017 Ledig et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
License URL
Sponsor
Commission of the European Communities
Engineering & Physical Science Research Council (EPSRC)
Identifier
PII: PONE-D-17-12845
Grant Number
270259-TBIcare
EP/N023668/1
Subjects
MD Multidisciplinary
General Science & Technology
Publication Status
Published online
Article Number
e0188152