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Blood biomarkers an...
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Whitehouse, Daniel P.Department of Medicine, University Division of Anaesthesia, University of Cambridge, Cambridge, United Kingdom
(author)
Blood biomarkers and structural imaging correlations post-traumatic brain injury : A systematic review
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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2021-12-13
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Wolters Kluwer,2021
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LIBRIS-ID:oai:DiVA.org:oru-113768
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-113768URI
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https://doi.org/10.1227/neu.0000000000001776DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:for swepub-publicationtype
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Background: Blood biomarkers are of increasing importance in the diagnosis and assessment of traumatic brain injury (TBI). However, the relationship between them and lesions seen on imaging remains unclear.Objective: To perform a systematic review of the relationship between blood biomarkers and intracranial lesion types, intracranial lesion injury patterns, volume/number of intracranial lesions, and imaging classification systems.Methods: We searched Medical Literature Analysis and Retrieval System Online, Excerpta Medica dataBASE, and Cumulative Index to Nursing and Allied Health Literature from inception to May 2021, and the references of included studies were also screened. Heterogeneity in study design, biomarker types, imaging modalities, and analyses inhibited quantitative analysis, with a qualitative synthesis presented.Results: Fifty-nine papers were included assessing one or more biomarker to imaging comparisons per paper: 30 assessed imaging classifications or injury patterns, 28 assessed lesion type, and 11 assessed lesion volume or number. Biomarker concentrations were associated with the burden of brain injury, as assessed by increasing intracranial lesion volume, increasing numbers of traumatic intracranial lesions, and positive correlations with imaging classification scores. There were inconsistent findings associating different biomarkers with specific imaging phenotypes including diffuse axonal injury, cerebral edema, and intracranial hemorrhage.Conclusion: Blood-based biomarker concentrations after TBI are consistently demonstrated to correlate burden of intracranial disease. The relation with specific injury types is unclear suggesting a lack of diagnostic specificity and/or is the result of the complex and heterogeneous nature of TBI.
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Vile, Alexander R.Townsville University Hospital, Douglas, Australia
(author)
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Adatia, KrishmaDepartment of Medicine, University Division of Anaesthesia, University of Cambridge, Cambridge, United Kingdom
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Herlekar, RahulSchool of Clinical Medicine, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom
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Roy, Akangsha SurSchool of Clinical Medicine, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom
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Mondello, StefaniaDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
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Czeiter, EndreDepartment of Neurosurgery, Medical School, University of Pécs, Pécs, Hungary; Neurotrauma Research Group, Szentágothai Research Centre, University of Pécs, Pécs, Hungary; MTA-PTE Clinical Neuroscience MR Research Group, Pécs, Hungary
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Amrein, KrisztinaDepartment of Neurosurgery, Medical School, University of Pécs, Pécs, Hungary; Neurotrauma Research Group, Szentágothai Research Centre, University of Pécs, Pécs, Hungary
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Büki, Andras,1966-Department of Neurosurgery, Medical School, University of Pécs, Pécs, Hungary; Neurotrauma Research Group, Szentágothai Research Centre, University of Pécs, Pécs, Hungary(Swepub:oru)asbi
(author)
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Maas, Andrew I. R.Department of Neurosurgery, Antwerp University Hospital and University of Antwerp, Edegem, Belgium
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Menon, David K.Department of Medicine, University Division of Anaesthesia, University of Cambridge, Cambridge, United Kingdom
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Newcombe, Virginia F. J.Department of Medicine, University Division of Anaesthesia, University of Cambridge, Cambridge, United Kingdom
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Department of Medicine, University Division of Anaesthesia, University of Cambridge, Cambridge, United KingdomTownsville University Hospital, Douglas, Australia
(creator_code:org_t)
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In:Neurosurgery: Wolters Kluwer90:2, s. 170-1790148-396X1524-4040
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Czeiter, Endre
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Neurology
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Neurosurgery
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Örebro University