Magnetic resonance spectroscopy detects brain injury and predicts cognitive functioning in children with brain injuries

被引:44
作者
Yeo, Ronald A. [1 ]
Phillips, John P.
Jung, Rex E.
Brown, April J.
Campbell, Richard C.
Brooks, William M.
机构
[1] Univ New Mexico, Dept Psychol, Albuquerque, NM 87131 USA
[2] Univ New Mexico, Sch Med, Dept Neurol, Albuquerque, NM 87131 USA
[3] MIND Inst, Albuquerque, NM USA
[4] Univ New Mexico, Sch Med, Dept Psychiat, Albuquerque, NM USA
[5] Univ Kansas, Med Ctr, Sch Med, Hogland Brain Imaging Ctr, Kansas City, KS USA
关键词
cognitive; outcome; pediatric; spectroscopy; traumatic brain injury;
D O I
10.1089/neu.2006.23.1427
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Proton magnetic resonance spectroscopy (H-1-MRS) and neuropsychological assessment were utilized in a longitudinal investigation of traumatic brain injury (TBI) in children. A spectroscopic imaging protocol was implemented, and neurometabolite ratios of NAA/Cre and Cho/Cre were calculated for anterior and posterior halves of a supraventricular slab of brain tissue. NAA/Cre was reduced and Cho/Cre increased in TBI patients as compared to controls, for both brain regions. Each ratio predicted aspects of neuropsychological performance; though the specific relationships varied somewhat by region and function. Anterior NAA/Cre increased and anterior Cho/Cre decreased from 3 to 21 weeks post-injury, suggesting neurometabolic recovery.
引用
收藏
页码:1427 / 1435
页数:9
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