The relationship between brain atrophy and cognitive-behavioural symptoms in retired Canadian football players with multiple concussions

被引:40
作者
Misquitta, Karen [1 ,10 ]
Dadar, Mahsa [2 ]
Tarazi, Apameh [3 ,4 ]
Hussain, Mohammed W. [3 ,4 ]
Alatwi, Mohammed K. [3 ,4 ]
Ebraheem, Ahmed [3 ,4 ]
Multani, Namita [1 ,3 ]
Khodadadi, Mozhgan [3 ,4 ]
Goswami, Ruma [3 ,5 ]
Wennberg, Richard [3 ,4 ]
Tator, Charles [3 ,4 ,6 ,7 ,10 ]
Green, Robin [3 ,8 ,10 ]
Colella, Brenda [3 ,8 ]
Davis, Karen Deborah [3 ,5 ,10 ]
Mikulis, David [3 ,9 ,10 ]
Grinberg, Mark [1 ]
Sato, Christine [1 ]
Rogaeva, Ekaterina [1 ]
Collins, D. Louis [2 ]
Tartaglia, Maria Carmela [1 ,3 ,4 ,10 ]
机构
[1] Univ Toronto, Tanz Ctr Res Neurodegenerat Dis, Krembil Discovery Tower,60 Leonard Ave, Toronto, ON M5T 0S8, Canada
[2] McConnell Brain Imaging Ctr, Montreal Neurol Inst, 3801 Rue Univ, Montreal, PQ H3A 2B4, Canada
[3] Toronto Western Hosp, Canadian Concuss Ctr, 399 Bathurst St, Toronto, ON M5T 2S8, Canada
[4] Toronto Western Hosp, Krembil Neurosci Ctr, Div Neurol, 399 Bathurst St, Bathurst, ON M5T 2S8, Canada
[5] Toronto Western Hosp, Krembil Neurosci Ctr, Div Brain Imaging & Behav Syst Neurosci, 399 Bathurst St, Toronto, ON M5T 2S8, Canada
[6] Univ Toronto, Dept Surg, 1 Kings Coll Circle, Toronto, ON M5S 1A8, Canada
[7] Toronto Western Hosp, Krembil Neurosci Ctr, Div Neurosurg, 399 Bathurst St, Bathurst, ON M5T 2S8, Canada
[8] Univ Hlth Network, Toronto Rehabil Inst, 550 Univ Ave, Toronto, ON M5G 2A2, Canada
[9] Toronto Western Hosp, Dept Med Imaging, 399 Bathurst St, Toronto, ON M5T 2S8, Canada
[10] Univ Toronto, Inst Med Sci, 1 Kings Coll Circle, Toronto, ON M5S 1A8, Canada
基金
英国医学研究理事会; 英国生物技术与生命科学研究理事会;
关键词
Sport-related concussion; Mild traumatic brain injury; Deformation based morphometry; Aging; CHRONIC TRAUMATIC ENCEPHALOPATHY; DEFORMATION-BASED MORPHOMETRY; HEAD-INJURY; RECURRENT CONCUSSION; HIPPOCAMPAL VOLUME; LEAGUE PLAYER; MILD; MRI; SEGMENTATION; ASSOCIATION;
D O I
10.1016/j.nicl.2018.05.014
中图分类号
R445 [影像诊断学];
学科分类号
100207 ;
摘要
Multiple concussions, particularly in contact sports, have been associated with cognitive deficits, psychiatric impairment and neurodegenerative diseases like chronic traumatic encephalopathy. We used volumetric and deformation-based morphometric analyses to test the hypothesis that repeated concussions may be associated with smaller regional brain volumes, poorer cognitive performance and behavioural symptoms among former professional football players compared to healthy controls. This study included fifty-three retired Canadian Football League players, 25 age-and education-matched healthy controls, and controls from the Cambridge Centre for Aging and Neuroscience database for validation. Volumetric analyses revealed greater hippocampal atrophy than expected for age in former athletes with multiple concussions than controls and smaller left hippocampal volume was associated with poorer verbal memory performance in the former athletes. Deformation-based morphometry confirmed smaller bilateral hippocampal volume that was associated with poorer verbal memory performance in athletes. Repeated concussions may lead to greater regional atrophy than expected for age.
引用
收藏
页码:551 / 558
页数:8
相关论文
共 56 条
[1]   Self-Reported Head Injury and Risk of Late-Life Impairment and AD Pathology in an AD Center Cohort [J].
Abner, Erin L. ;
Nelson, Peter T. ;
Schmitt, Frederick A. ;
Browning, Steven R. ;
Fardo, David W. ;
Wan, Lijie ;
Jicha, Gregory A. ;
Cooper, Gregory E. ;
Smith, Charles D. ;
Caban-Holt, Allison M. ;
Van Eldik, Linda J. ;
Kryscio, Richard J. .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2014, 37 (5-6) :294-306
[2]  
Ashburner J, 1998, HUM BRAIN MAPP, V6, P348, DOI 10.1002/(SICI)1097-0193(1998)6:5/6<348::AID-HBM4>3.0.CO
[3]  
2-P
[4]  
Bigler ED, 1997, AM J NEURORADIOL, V18, P11
[5]  
Cantu RC, 2001, J ATHL TRAINING, V36, P244
[6]   Prediction of Brain Age Suggests Accelerated Atrophy after Traumatic Brain Injury [J].
Cole, James H. ;
Leech, Robert ;
Sharp, David J. .
ANNALS OF NEUROLOGY, 2015, 77 (04) :571-581
[7]   Towards accurate, automatic segmentation of the hippocampus and amygdala from MRI by augmenting ANIMAL with a template library and label fusion [J].
Collins, D. Louis ;
Pruessner, Jens C. .
NEUROIMAGE, 2010, 52 (04) :1355-1366
[8]  
COLLINS DL, 1995, COMP IMAG VIS, V3, P139
[9]   AUTOMATIC 3D INTERSUBJECT REGISTRATION OF MR VOLUMETRIC DATA IN STANDARDIZED TALAIRACH SPACE [J].
COLLINS, DL ;
NEELIN, P ;
PETERS, TM ;
EVANS, AC .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1994, 18 (02) :192-205
[10]   Animal: Validation and applications of nonlinear registration-based segmentation [J].
Collins, DL ;
Evans, AC .
INTERNATIONAL JOURNAL OF PATTERN RECOGNITION AND ARTIFICIAL INTELLIGENCE, 1997, 11 (08) :1271-1294