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Research ArticleBrain

Decreased Fractional Anisotropy Evaluated Using Tract-Based Spatial Statistics and Correlated with Cognitive Dysfunction in Patients with Mild Traumatic Brain Injury in the Chronic Stage

T. Wada, Y. Asano and J. Shinoda
American Journal of Neuroradiology December 2012, 33 (11) 2117-2122; DOI: https://doi.org/10.3174/ajnr.A3141
T. Wada
aFrom the Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, and Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine, Minokamo, Gifu, Japan.
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Y. Asano
aFrom the Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, and Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine, Minokamo, Gifu, Japan.
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J. Shinoda
aFrom the Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Kizawa Memorial Hospital, and Department of Clinical Brain Sciences, Gifu University Graduate School of Medicine, Minokamo, Gifu, Japan.
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  • Fig 1.
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    Fig 1.

    TBSS analysis of the white matter skeleton. Voxels demonstrating significantly (P < .01) decreased FA values for the subjects with mTBI compared with the control group are shown in red-yellow. Voxels are thickened into local tracts and overlaid on the white matter skeleton (green). Further cluster details are given in Table 2.

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    Fig 2.

    TBSS analysis of the white matter skeleton. Voxels demonstrating FA values correlated significantly (P < .01) to MMSE are shown in red-yellow. Voxels are thickened into local tracts and overlaid on the white matter skeleton (green). Further cluster details are given in Table 3.

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    Fig 3.

    TBSS analysis of the white matter skeleton. Voxels demonstrating FA values correlated significantly (P < .01) to FIQ are shown in red-yellow. Voxels are thickened into local tracts and overlaid on the white matter skeleton (green). Further cluster details are given in Table 4.

Tables

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    Table 1:

    Subject characteristicsa

    Patients (n = 51)Controls (n = 50)
    Age (yr)37.1 ± 10.235.8 ± 13.4
    Male sex (%)55.060.0
    Initial GCS (range)14.8 ± 0.6 (13–15)
    Time postinjury (mo)35.1 ± 26.3
    MMSE27.9 ± 2.4
    FIQ (WAIS-R)87.4 ± 18.5
    • ↵a Expressed as mean ± SD.

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    Table 2:

    Anatomic location of decreased FA clusters in the mTBI group compared with controls

    HemisphereAnatomic LocationMNI CoordinatesZ ScoreNo. of Voxels
    XYZ
    RightSuperior longitudinal fasciculus33−4224.18
    LeftSuperior frontal gyrus−1640273.8624
    RightInsula41−163.749
    LeftFornix−4−22173.3811
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    Table 3:

    Anatomic locations showing a positive correlation of MMSE and FA values in patients with mTBI

    LabelHemisphereAnatomic locationMNI CoordinatesZ ScoreNo. of Voxels
    XYZ
    ARightSupramarginal gyrus54−36174.923
    BLeftInferior longitudinal fasciculus−2612−94.2222
    CRightSuperior parietal lobule13−64403.979
    DRightSagittal stratum31−41−53.8913
    ELeftMiddle frontal gyrus−291513.8814
    FRightSuperior frontal gyrus2141193.4110
    GLeftCerebellum−3−70−213.48
    HRightCingulum27−37−83.358
    IRightCingulum8−17353.248
    JRightSuperior occipital gyrus16−82243.179
    • View popup
    Table 4:

    Anatomic locations showing a positive correlation of FIQ and FA values in patients with mTBI

    LabelHemisphereAnatomic locationMNI CoordinatesZ ScoreNo. of Voxels
    XYZ
    ALeftInsula−39−336.0119
    BRightCerebellum29−69−334.938
    CLeftCerebellum−6−55−454.99
    DRightSagittal stratum30−61−104.798
    ERightSuperior temporal gyrus57−34114.5912
    FLeftAmygdala−242−224.4712
    GLeftPrecuneus−5−29444.349
    HRightCerebellum6−68−354.228
    IRightCingulum4−49314.28
    JRightSuperior longitudinal fasciculus37−39224.19
    KRightAngular gyrus46−45233.958
    LRightSuperior occipital gyrus24−76−153.9313
    MLeftCuneus−4−69153.5310
    NRightCerebellum37−62−333.439
    ORightInferior temporal gyrus4211−243.418
    PLeftLenticular fasciculus−143−73.399
    QLeftFusiform gyrus−34−29−183.368
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American Journal of Neuroradiology: 33 (11)
American Journal of Neuroradiology
Vol. 33, Issue 11
1 Dec 2012
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T. Wada, Y. Asano, J. Shinoda
Decreased Fractional Anisotropy Evaluated Using Tract-Based Spatial Statistics and Correlated with Cognitive Dysfunction in Patients with Mild Traumatic Brain Injury in the Chronic Stage
American Journal of Neuroradiology Dec 2012, 33 (11) 2117-2122; DOI: 10.3174/ajnr.A3141

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Decreased Fractional Anisotropy Evaluated Using Tract-Based Spatial Statistics and Correlated with Cognitive Dysfunction in Patients with Mild Traumatic Brain Injury in the Chronic Stage
T. Wada, Y. Asano, J. Shinoda
American Journal of Neuroradiology Dec 2012, 33 (11) 2117-2122; DOI: 10.3174/ajnr.A3141
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