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| Name | Class |
|---|---|
| Xi'an Jiaotong University | OTHER |
| Second Affiliated Hospital of Wenzhou Medical University | OTHER |
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Traumatic brain injury (TBI) is the leading cause of disability in children and young adults. Children with moderate to severe TBI are typically at risk of poor functional outcome in terms of neurocognitive impairment and behavior problems. Neurocognitive impairments include deficits in attention and working memory, learning and memory, and executive functioning, whereas behavior problems include anxiety, depression and aggression. Neuroimaging techniques based on multi-modal magnetic resonance image (MRI) can detect the structural and functional brain abnormalities objectively and sensitively. Recent evidence indicates that even after mild TBI, children with risk factors for intracranial pathology are at risk of poor neurocognitive and behavioral outcome.Meanwhile, recently, the concept of "gut-brain axis" has been proposed and hint gut microbiota could shape the brain. Some studies have emphasized that human gut microbiota plays an important role in the pathogenesis and development of TBI. However, how the gut affects the brain in patients with TBI is unclear. Thus, combining analysis of neuroimaging and "gut-brain axis" will provide more information for finding the risk factors and imaging diagnostic markers of brain impairment in TBI. It will also helpful for explaining the underlying mechanisms of brain impairment in TBI, providing an objective basis for clinical diagnosis and prediction of the prognosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mTBI | A TBI is caused by a bump, blow, or jolt to the head that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. |
| |
| HC | Healthy controls |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| magnetic resonance image | Device | Imaging data were collected in a strong magnetic field |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline brain structure measures at 6 months and 12months | The changes of brain volume (mm3) are evaluated by structural MRI | baseline (early injury), post-traumatic for 6 months and 12 months |
| Change from baseline brain function measures at 6 months and 12months | The changes of brain functional connectivity intensity are evaluated by functional MRI | baseline (early injury), post-traumatic for 6 months and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes from baseline cognitive condition at 6 months and 12months | The cognitive condition is assessed by Wechsler Intelligence Scale for Children-IV-Chinese Version (WISC-IV), higher scores represent better cognitive. | baseline (early injury), post-traumatic for 6 months and 12 months |
| Changes from baseline behavior condition at 6 months and 12months |
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Inclusion Criteria:
Exclusion Criteria:
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All of the patients of mTBI group are in-patients and out-patients in the nephrology department from three research centers. The subjects of control group are recruited from community.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ming Zhang, phD | Contact | 0086-18991232265 | zmmri@163.com | |
| LiJun Bai, phD | Contact | 0086-15129034948 | bailijun@xjtu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Ming Zhang | First Affiliated Hospital of Xian Jiaotong University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First Affiliated Hospital of Xian Jiaotong University | Recruiting | Xi'an | Shaanxi | 710061 | China |
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| ID | Term |
|---|---|
| D001924 | Brain Concussion |
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D008279 | Magnetic Resonance Imaging |
| D000069196 | Gastrointestinal Microbiome |
| ID | Term |
|---|---|
| D014054 | Tomography |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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gut microbiota
| gut microbiota | Other | gut microbiota |
|
the neuro-behavior condition is assessed by child behavior checklist(CBCL),higher scores represent better behavior symptoms. |
| baseline (early injury), post-traumatic for 6 months and 12 months |
| Changes from baseline gut microbiota at 6 months and 12months | Fecal samples were collected within 2 days before or after MR examination | baseline (early injury), post-traumatic for 6 months and 12 months |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D016489 | Head Injuries, Closed |
| D014947 | Wounds and Injuries |
| D014949 | Wounds, Nonpenetrating |
| D064307 |
| Microbiota |
| D008827 | Microbiological Phenomena |
| D058448 | Biota |
| D044822 | Biodiversity |
| D017753 | Ecosystem |
| D004777 | Environment |
| D055669 | Ecological and Environmental Phenomena |
| D001686 | Biological Phenomena |
| D004778 | Environment and Public Health |