A Scoping Review of Magnetic Resonance Modalities Used in Detection of Persistent Postconcussion Symptoms in Pediatric Populations
Open Access
- 15 November 2022
- journal article
- review article
- Published by SAGE Publications in Journal of Child Neurology
- Vol. 38 (1-2), 85-102
- https://doi.org/10.1177/08830738221120741
Abstract
Up to 30% of youth with concussion experience PPCSs (PPCS) lasting 4 weeks or longer, and can significantly impact quality of life. Magnetic resonance imaging (MRI) has the potential to increase understanding of causal mechanisms underlying PPCS. However, there are no clear modalities to assist in detecting PPCS. This scoping review aims to synthesize findings on utilization of MRI among children and youth with PPCS, and summarize progress and limitations. Thirty-six studies were included from 4907 identified papers. Many studies used multiple modalities, including (1) structural (n = 27) such as T1-weighted imaging, diffusion weighted imaging, and susceptibility weighted imaging; and (2) functional (n = 23) such as functional MRI and perfusion-weighted imaging. Findings were heterogeneous among modalities and regions of interest, which warrants future reviews that report on the patterns and potential advancements in the field. Consideration of modalities that target PPCS prediction and sensitive modalities that can supplement a biopsychosocial approach to PPCS would benefit future research.Keywords
This publication has 115 references indexed in Scilit:
- Symptom Severity Predicts Prolonged Recovery after Sport-Related Concussion, but Age and Amnesia Do NotThe Journal of Pediatrics, 2013
- Predicting and preventing postconcussive problems in paediatrics (5P) study: protocol for a prospective multicentre clinical prediction rule derivation study in children with concussionBMJ Open, 2013
- Pediatric Sports-Related Concussion Produces Cerebral Blood Flow AlterationsPEDIATRICS, 2012
- Acute and Chronic Changes in Diffusivity Measures after Sports ConcussionJournal of Neurotrauma, 2011
- The Role of Neuroimaging in Sport-Related ConcussionClinics in Sports Medicine, 2011
- Scoping studies: advancing the methodologyImplementation Science, 2010
- Longitudinal Trajectories of Postconcussive Symptoms in Children With Mild Traumatic Brain Injuries and Their Relationship to Acute Clinical StatusPEDIATRICS, 2009
- Magnetic Resonance Imaging Techniques: fMRI, DWI, and PWISeminars in Neurology, 2008
- Descriptive Epidemiology of ConcussionPediatric Neurology, 2006
- Can we manage sport related concussion in children the same as in adults?British Journal of Sports Medicine, 2004