Imaging of Traumatic Brain Injury (Imaging of TBI)
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
This project aims to study the prognostic ability of various MRI imaging markers in the evaluation of TBI patients. Cognitive, social, and occupational recovery will be measured at each time point, and compared to MRI findings. Healthy volunteers will serve as a comparison to the TBI patients.
It is hypothesized that novel MRI markers of metabolism, hemodynamics, functional connectivity, and tissue microstructure will be related to the clinical status of the patient, as well as their social and occupational outcomes.
| Condition |
|---|
|
Traumatic Brain Injury |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Prognostic Value of MR Imaging Markers in the Assessment of Traumatic Brain Injury Patients |
- Identification of advanced MR imaging markers [ Time Frame: 18 months post-injury ] [ Designated as safety issue: No ]Systematically study the imaging markers obtained from novel MRI techniques (diffusion tensor imaging (DTI), susceptibility-weighted imaging (SWI), MR spectroscopy, resting state MRI, and arterial spin labeling) and assess the markers for sensitivity.
- level of cognitive function [ Time Frame: 18 months post-injury ] [ Designated as safety issue: No ]
- extent of disability [ Time Frame: 18 months post-injury ] [ Designated as safety issue: No ]
- level of orientation [ Time Frame: 18 months post-injury ] [ Designated as safety issue: No ]
- level of functional independence [ Time Frame: 18 months post-injury ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 150 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Severe Traumatic Brain Injury Group
The severe traumatic brain injury group are patients admitted to the study with an admission GCS between 3 and 8.
|
|
Moderate Head Injury Group
The moderate head injury group are patients admitted to the study with an admission GCS from 9 to 12.
|
|
Mild Head Injury Group
The mild head injury group are patients admitted to the study with an admission GCS from 13 to 15.
|
|
Healthy Volunteer Group
Healthy volunteers will be selected to match the age distribution of the TBI groups. They must be absent of any abnormal radiological findings.
|
Detailed Description:
The goal of this study is to identify advanced magnetic resonance imaging markers that can serve as a prognostic marker in the evaluation and management of traumatic brain injury patients.
Magnetic resonance imaging and cognitive testing (when possible) will be performed in the acute (within 10 days following injury), and recovery stages (about 1 month, about 6 months,and about 18 months). The relationship between the advanced magnetic resonance imaging markers and the clinical condition of the patient will be evaluated at each time point to determine which combination of imaging markers best describe the current clinical status of the patient and which markers best predict a patient's outcome status.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Patients admitted with head trauma ranging from mild to severe.
Inclusion Criteria:
- Age 18 or older
- Evidence of external head injury or facial trauma, or mechanism of injury consistent with brain trauma, including loss of consciousness or altered mental status.
- Residence within 90 minutes driving time of University of Maryland Medical Center, and willingness to attend follow-up appointments.
Exclusion Criteria:
- History of white matter disease or neurodegenerative disorders including Multiple Sclerosis, Huntington's Disease, Alzheimer's Disease, or Pick's Disease.
- History of Stroke
- History of treatment or diagnosis of psychiatric conditions: Major Depressive Disorder (MDD), Bipolar Disorder (BPD), Schizophrenia, or Dementia of any type.
- History of Brain Tumor
- Status post trauma due to asphyxiation
- Preexisting contraindications for Magnetic Resonance Imaging (MRI)
- Active Duty Military Status
- Police custody or prisoner status
- Pregnant women
Contacts and Locations| Contact: Rao P Gullapalli, PhD | 4103282099 | rgullapalli@umm.edu |
| United States, Maryland | |
| University of Maryland Medical Center | Recruiting |
| Baltimore, Maryland, United States, 21201 | |
| Principal Investigator: Rao P Gullapalli, PhD | |
| Principal Investigator: | Rao P Gullapalli, PhD | University of Maryland Medical School |
More Information
No publications provided
| Responsible Party: | Rao P Gullapalli, University of Maryland, Baltimore |
| ClinicalTrials.gov Identifier: | NCT01196299 History of Changes |
| Other Study ID Numbers: | HP-00040713, W81XWH-08-1-0725 |
| Study First Received: | September 3, 2010 |
| Last Updated: | September 21, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Maryland:
|
diffusion tensor imaging magnetic resonance spectroscopy traumatic brain injury |
Metabolite changes Cerebral perfusion Hemorrhagic burden |
Additional relevant MeSH terms:
|
Brain Injuries Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Craniocerebral Trauma Trauma, Nervous System Wounds and Injuries |
ClinicalTrials.gov processed this record on May 16, 2013