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Traumatic Brain Injury: Evidence-Based Neuroimaging

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Evidence-Based Neuroimaging Diagnosis and Treatment

Part of the book series: Evidence-Based Imaging ((Evidence-Based Imag.))

Abstract

Evidence-based information regarding imaging of traumatic brain injury is not as readily available as other diseases or pathology. To complicate matters, head injury is a heterogeneous event that can be influenced by many factors including mechanism or severity of injury, secondary injuries, patient age or comorbidities, among other things. Direct comparison of population-based studies is hampered by differences in practice patterns and inconsistent definitions of injury or outcomes. The majority of evidence relates to the use of CT for detecting injuries that may require immediate treatment or surgery; and CT continues to be the primary imaging tool in the acute period - due to speed, availability, ease of exam, and cost. Prediction rules have the potential to improve and standardize care, but are currently only used in some pediatric populations. The sensitivity and specificity of MRI for brain injury is generally superior to CT, especially for detection of diffusion axonal injury. MRI may also be better for providing prognostic information and aiding management decisions. However, evidence-based literature for MRI remains sparse, and further research is needed.

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Authors and Affiliations

  1. Department of Neuroscience, Loma Linda University Medical Center, Loma Linda, CA, 92354, USA

    Karen A. Tong

  2. Department of Biophysics and Bioengineering, Loma Linda University, Loma Linda, CA, 92354, USA

    Udochukwu E. Oyoyo

  3. Department of Radiology/MRI, Loma Linda University Medical Center, Loma Linda, CA, 92354, USA

    Barbara A. Holshouser

  4. Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda, CA, 92350, USA

    Stephen Ashwal

  5. Division of Neuroradiology-Neuroimaging, Department of Radiology, Miami Children’s Hospital, Miami, FL, 33155, USA

    L. Santiago Medina

  6. Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA

    L. Santiago Medina

  7. Former Lecturer in Radiology, Harvard Medical School, Boston, MA, USA

    L. Santiago Medina

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  1. Karen A. Tong
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  2. Udochukwu E. Oyoyo
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  3. Barbara A. Holshouser
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  4. Stephen Ashwal
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  5. L. Santiago Medina
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Corresponding author

Correspondence to Karen A. Tong .

Editor information

Editors and Affiliations

  1. Division of Neuroradiology-Neuroimaging, Department of Radiology, Miami Children’s Hospital, Miami, FL, USA

    L. Santiago Medina

  2. Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA

    L. Santiago Medina

  3. Former Lecturer in Radiology, Harvard Medical School, Boston, MA, USA

    L. Santiago Medina

  4. Department of Radiology, Weill Cornell Medical College/NewYork-Presbyterian Hospital, New York, NY, USA

    Pina C. Sanelli

  5. Department of Radiology, Harborview Medical Center, University of Washington, Seattle, WA, USA

    Jeffrey G. Jarvik

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Tong, K.A., Oyoyo, U.E., Holshouser, B.A., Ashwal, S., Medina, L.S. (2013). Traumatic Brain Injury: Evidence-Based Neuroimaging. In: Medina, L.S., Sanelli, P.C., Jarvik, J.G. (eds) Evidence-Based Neuroimaging Diagnosis and Treatment. Evidence-Based Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3320-0_23

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