Preliminary Evidence of Sex Differences in Cortical Thickness Following Acute Mild Traumatic Brain Injury

The main objective of this study was to evaluate sex differences in cortical thickness after acute mild traumatic brain injury (mTBI) and its associations with clinical outcomes. Thirty-two patients with mTBI at acute phase (2.4 ± 1.3 days post-injury) and 30 healthy controls were enrolled. All the...

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Published inFrontiers in neurology Vol. 9; p. 878
Main Authors Shao, Meihua, Cao, Jieli, Bai, Lijun, Huang, Wenming, Wang, Shan, Sun, Chuanzhu, Gan, Shuoqiu, Ye, Limei, Yin, Bo, Zhang, Danbin, Gu, Chenghui, Hu, Liuxun, Bai, Guanghui, Yan, Zhihan
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Published Switzerland Frontiers Media S.A 17.10.2018
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Abstract The main objective of this study was to evaluate sex differences in cortical thickness after acute mild traumatic brain injury (mTBI) and its associations with clinical outcomes. Thirty-two patients with mTBI at acute phase (2.4 ± 1.3 days post-injury) and 30 healthy controls were enrolled. All the participants underwent comprehensive neurocognitive assessments and MRI to assess cortical thickness. Significant sex differences were determined by using variance analysis of factorial design. Relations between the cortical thickness and clinical assessments were measured with the Spearman Correlation. Results revealed that patients with mTBI had significantly reduced cortical thickness in the left entorhinal cortex while increased cortical thickness in the left precuneus cortex and right lateral occipital cortex, compared with healthy controls. The interaction effect of the group × sex on cortical thickness was significant. Female patients had significant thicker cortical thickness in the left caudal anterior cingulate cortex (ACC) than male patients and had higher scores on Posttraumatic stress disorder Checklist-Civilian Version (PCL-C). Spearman correlational analysis showed a significantly positive correlations between the cortical thickness of the left caudal ACC and PCL-C ratings in female patients. Sex differences in cortical thickness support its potential as a neuroimaging phenotype for investigating the differences in clinical profiles of mild TBI between women and men.
AbstractList The main objective of this study was to evaluate sex differences in cortical thickness after acute mild traumatic brain injury (mTBI) and its associations with clinical outcomes. Thirty-two patients with mTBI at acute phase (2.4 ± 1.3 days post-injury) and 30 healthy controls were enrolled. All the participants underwent comprehensive neurocognitive assessments and MRI to assess cortical thickness. Significant sex differences were determined by using variance analysis of factorial design. Relations between the cortical thickness and clinical assessments were measured with the Spearman Correlation. Results revealed that patients with mTBI had significantly reduced cortical thickness in the left entorhinal cortex while increased cortical thickness in the left precuneus cortex and right lateral occipital cortex, compared with healthy controls. The interaction effect of the group × sex on cortical thickness was significant. Female patients had significant thicker cortical thickness in the left caudal anterior cingulate cortex (ACC) than male patients and had higher scores on Posttraumatic stress disorder Checklist-Civilian Version (PCL-C). Spearman correlational analysis showed a significantly positive correlations between the cortical thickness of the left caudal ACC and PCL-C ratings in female patients. Sex differences in cortical thickness support its potential as a neuroimaging phenotype for investigating the differences in clinical profiles of mild TBI between women and men.
The main objective of this study was to evaluate sex differences in cortical thickness after acute mild traumatic brain injury (mTBI) and its associations with clinical outcomes. Thirty-two patients with mTBI at acute phase (2.4 ± 1.3 days post-injury) and 30 healthy controls were enrolled. All the participants underwent comprehensive neurocognitive assessments and MRI to assess cortical thickness. Significant sex differences were determined by using variance analysis of factorial design. Relations between the cortical thickness and clinical assessments were measured with the Spearman Correlation. Results revealed that patients with mTBI had significantly reduced cortical thickness in the left entorhinal cortex while increased cortical thickness in the left precuneus cortex and right lateral occipital cortex, compared with healthy controls. The interaction effect of the group × sex on cortical thickness was significant. Female patients had significant thicker cortical thickness in the left caudal anterior cingulate cortex (ACC) than male patients and had higher scores on Posttraumatic stress disorder Checklist-Civilian Version (PCL-C). Spearman correlational analysis showed a significantly positive correlations between the cortical thickness of the left caudal ACC and PCL-C ratings in female patients. Sex differences in cortical thickness support its potential as a neuroimaging phenotype for investigating the differences in clinical profiles of mild TBI between women and men.The main objective of this study was to evaluate sex differences in cortical thickness after acute mild traumatic brain injury (mTBI) and its associations with clinical outcomes. Thirty-two patients with mTBI at acute phase (2.4 ± 1.3 days post-injury) and 30 healthy controls were enrolled. All the participants underwent comprehensive neurocognitive assessments and MRI to assess cortical thickness. Significant sex differences were determined by using variance analysis of factorial design. Relations between the cortical thickness and clinical assessments were measured with the Spearman Correlation. Results revealed that patients with mTBI had significantly reduced cortical thickness in the left entorhinal cortex while increased cortical thickness in the left precuneus cortex and right lateral occipital cortex, compared with healthy controls. The interaction effect of the group × sex on cortical thickness was significant. Female patients had significant thicker cortical thickness in the left caudal anterior cingulate cortex (ACC) than male patients and had higher scores on Posttraumatic stress disorder Checklist-Civilian Version (PCL-C). Spearman correlational analysis showed a significantly positive correlations between the cortical thickness of the left caudal ACC and PCL-C ratings in female patients. Sex differences in cortical thickness support its potential as a neuroimaging phenotype for investigating the differences in clinical profiles of mild TBI between women and men.
Author Gan, Shuoqiu
Hu, Liuxun
Gu, Chenghui
Yan, Zhihan
Cao, Jieli
Yin, Bo
Sun, Chuanzhu
Bai, Guanghui
Bai, Lijun
Huang, Wenming
Shao, Meihua
Ye, Limei
Wang, Shan
Zhang, Danbin
AuthorAffiliation 3 Neurosurgery Department of the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University , Wenzhou , China
1 Radiology Department of the Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University , Wenzhou , China
2 The Key Laboratory of Biomedical Information Engineering, Ministry of Education, Department of Biomedical Engineering, School of Life Science and Technology, Xi' an Jiaotong University , Xi' an , China
AuthorAffiliation_xml – name: 3 Neurosurgery Department of the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University , Wenzhou , China
– name: 1 Radiology Department of the Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University , Wenzhou , China
– name: 2 The Key Laboratory of Biomedical Information Engineering, Ministry of Education, Department of Biomedical Engineering, School of Life Science and Technology, Xi' an Jiaotong University , Xi' an , China
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Copyright Copyright © 2018 Shao, Cao, Bai, Huang, Wang, Sun, Gan, Ye, Yin, Zhang, Gu, Hu, Bai and Yan. 2018 Shao, Cao, Bai, Huang, Wang, Sun, Gan, Ye, Yin, Zhang, Gu, Hu, Bai and Yan
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Keywords clinical outcomes
gender difference
interaction effect
mild traumatic brain injury
cortical thickness
Language English
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Edited by: Nada Andelic, Oslo University Hospital, Norway
These authors have contributed equally to this work
This article was submitted to Neurotrauma, a section of the journal Frontiers in Neurology
Reviewed by: Paul Perrin, Virginia Commonwealth University, United States; Rao P. Gullapalli, University of Maryland, United States
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Snippet The main objective of this study was to evaluate sex differences in cortical thickness after acute mild traumatic brain injury (mTBI) and its associations with...
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SubjectTerms clinical outcomes
cortical thickness
gender difference
interaction effect
mild traumatic brain injury
Neurology
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Title Preliminary Evidence of Sex Differences in Cortical Thickness Following Acute Mild Traumatic Brain Injury
URI https://www.ncbi.nlm.nih.gov/pubmed/30386291
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