Logo for the Journal of Rehab R and D

Volume 46 Number 6, 2009
   Pages 717 — 756

Abstract — Advances in neuroimaging of traumatic brain injury and posttraumatic stress disorder

Robert W. Van Boven, MD, DDS;1* Greg S. Harrington, PhD;1 David B. Hackney, MD;2 Andreas Ebel, PhD;3 Grant Gauger, MD;4 J. Douglas Bremner, MD;5 Mark D'Esposito, MD;6 John A. Detre, MD;7 E. Mark Haacke, PhD;8 Clifford R. Jack Jr, MD;9 William J. Jagust, MD;10 Denis Le Bihan, MD, PhD;11 Chester A. Mathis, PhD;12 Susanne Mueller, MD;3 Pratik Mukherjee, MD;13 Norbert Schuff, PhD;3 Anthony Chen, MD;13-14 Michael W. Weiner, MD3,13

1The Brain Imaging and Recovery Laboratory, Central Texas Department of Veterans Affairs (VA) Health Care System, Austin, TX; 2Harvard Medical School, Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA; 3University of California, San Francisco (UCSF) Center for Imaging of Neurodegenerative Diseases, VA Medical Center, San Francisco, CA; 4UCSF, San Francisco VA Medical Center, San Francisco, CA; 5Emory Clinical Neuroscience Research Unit, Emory University School of Medicine, Atlanta VA Medical Center, Atlanta, GA; 6Henry H. Wheeler Jr Brain Imaging Center, Helen Wills Neuroscience Institute, University of California, Berkeley, Berkeley, CA; 7Center for Functional Neuroimaging, Department of Neurology and Radiology, University of Pennsylvania, Philadelphia, PA; 8The Magnetic Resonance Imaging Institute for Biomedical Research, Wayne State University, Detroit, MI; 9Mayo Clinic, Rochester, MN; 10Helen Wills Neuroscience Institute, University of California, Berkeley, Berkeley, CA; 11NeuroSpin, CEA-Saclay, Gif-sur-Yvette, France; 12PET Facility, University of Pittsburgh, Pittsburgh, PA; 13UCSF, San Francisco, CA; 14Program in Rehabilitation Neuroscience, San Francisco VA Medical Center, San Francisco, CA

Abstract — Improved diagnosis and treatment of traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) are needed for our military and veterans, their families, and society at large. Advances in brain imaging offer important biomarkers of structural, functional, and metabolic information concerning the brain. This article reviews the application of various imaging techniques to the clinical problems of TBI and PTSD. For TBI, we focus on findings and advances in neuroimaging that hold promise for better detection, characterization, and monitoring of objective brain changes in symptomatic patients with combat-related, closed-head brain injuries not readily apparent by standard computed tomography or conventional magnetic resonance imaging techniques.

Key words: diagnosis, diffusion tensor imaging, fMRI, neuroimaging, OIF/OEF, posttraumatic stress disorder, PTSD, TBI, traumatic brain injury, veterans.


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