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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticlePediatric Neuroimaging
Open Access

Prevalence and Incidence of Microhemorrhages in Adolescent Football Players

B.R. Shah, J.M. Holcomb, E.M. Davenport, C.M. Lack, J.M. McDaniel, D.M. Imphean, Y. Xi, D.A. Rosenbaum, J.E. Urban, B.C. Wagner, A.K. Powers, C.T. Whitlow, J.D. Stitzel and J.A. Maldjian
American Journal of Neuroradiology July 2020, 41 (7) 1263-1268; DOI: https://doi.org/10.3174/ajnr.A6618
B.R. Shah
aFrom the Department of Radiology (B.R.S., J.M.H., E.M.D., J.M.M., D.M.I., Y.X., B.C.W., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas
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J.M. Holcomb
aFrom the Department of Radiology (B.R.S., J.M.H., E.M.D., J.M.M., D.M.I., Y.X., B.C.W., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas
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E.M. Davenport
aFrom the Department of Radiology (B.R.S., J.M.H., E.M.D., J.M.M., D.M.I., Y.X., B.C.W., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas
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C.M. Lack
bDepartments of Radiology (C.M.L., C.T.W.)
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J.M. McDaniel
aFrom the Department of Radiology (B.R.S., J.M.H., E.M.D., J.M.M., D.M.I., Y.X., B.C.W., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas
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D.M. Imphean
aFrom the Department of Radiology (B.R.S., J.M.H., E.M.D., J.M.M., D.M.I., Y.X., B.C.W., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas
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Y. Xi
aFrom the Department of Radiology (B.R.S., J.M.H., E.M.D., J.M.M., D.M.I., Y.X., B.C.W., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas
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D.A. Rosenbaum
cSports Medicine (D.A.R.)
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J.E. Urban
dBiomedical Engineering (J.E.U., J.D.S.)
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B.C. Wagner
aFrom the Department of Radiology (B.R.S., J.M.H., E.M.D., J.M.M., D.M.I., Y.X., B.C.W., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas
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A.K. Powers
eNeurosurgery (A.K.P.), Wake Forest School of Medicine, Winston-Salem, North Carolina.
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C.T. Whitlow
bDepartments of Radiology (C.M.L., C.T.W.)
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J.D. Stitzel
dBiomedical Engineering (J.E.U., J.D.S.)
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J.A. Maldjian
aFrom the Department of Radiology (B.R.S., J.M.H., E.M.D., J.M.M., D.M.I., Y.X., B.C.W., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas
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  • FIG 1.
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    FIG 1.

    SWI and corresponding phase images. A and B, Subject 10. C and D, Subject 14. E and F, Subject 46. Subject 10 is an 18-year-old, male defensive lineman. Subject 14 is a 17-year-old, male defensive end. Subject 46 is an 18-year-old, male quarterback. Microhemorrhages are indicated by a white arrow. A, SWI hypointensity in the choroid plexus of the left lateral ventricle. B, Corresponding hyperintensity in the choroid plexus of the left lateral ventricle on phase imaging, verifying microhemorrhage. C, SWI hypointensity in the periventricular white matter of the left parietal lobe. D, Corresponding hyperintensity in the periventricular white matter of the left parietal lobe on phase imaging, verifying microhemorrhage. E, SWI hypointensity in the cerebellar gray/white matter. F, Corresponding hyperintensity in the cerebellar gray/white matter on phase imaging, verifying microhemorrhage.

  • FIG 2.
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    FIG 2.

    Developed microhemorrhages in 2 football players. Dashed circles identify the ROI on each image. A and B, Subject 72. C and D, Subject 75. Subject 72 is a 17-year-old, male quarterback. Subject 75 is a 16-year-old, male cornerback. A, Preseason SWI with no hypointensity in the right occipital lobe white matter. B, Postseason SWI with hypointensity in the right occipital lobe white matter. C, Preseason SWI with no hypointensity in the right frontal lobe white matter. D, Preseason SWI with hypointensity in the right frontal lobe white matter.

Tables

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  • Contingency table describing relationship between prior concussion diagnosis and microhemorrhage status in adolescent football players

    Microhemorrhage FoundNo Microhemorrhage FoundTotal
    Prior concussion3912
    No prior concussion95766
    Total126678
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American Journal of Neuroradiology: 41 (7)
American Journal of Neuroradiology
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1 Jul 2020
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Cite this article
B.R. Shah, J.M. Holcomb, E.M. Davenport, C.M. Lack, J.M. McDaniel, D.M. Imphean, Y. Xi, D.A. Rosenbaum, J.E. Urban, B.C. Wagner, A.K. Powers, C.T. Whitlow, J.D. Stitzel, J.A. Maldjian
Prevalence and Incidence of Microhemorrhages in Adolescent Football Players
American Journal of Neuroradiology Jul 2020, 41 (7) 1263-1268; DOI: 10.3174/ajnr.A6618

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Prevalence and Incidence of Microhemorrhages in Adolescent Football Players
B.R. Shah, J.M. Holcomb, E.M. Davenport, C.M. Lack, J.M. McDaniel, D.M. Imphean, Y. Xi, D.A. Rosenbaum, J.E. Urban, B.C. Wagner, A.K. Powers, C.T. Whitlow, J.D. Stitzel, J.A. Maldjian
American Journal of Neuroradiology Jul 2020, 41 (7) 1263-1268; DOI: 10.3174/ajnr.A6618
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