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| Name | Class |
|---|---|
| Xi'an Jiaotong University | OTHER |
| Second Affiliated Hospital of Wenzhou Medical University | OTHER |
| Central South University | OTHER |
| Xijing Hospital |
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The investigators will carry out multi-center and large sample research based on the Chinese population, screen the optimal diagnostic and prognosis recognition biomarkers and analyze the diagnostic critical cutoff values in patients with mild to moderate traumatic brain injury, so as to provide a substantial basis for clinical diagnosis and prognosis recognition.
Traumatic brain injury (TBI) is a complex disorder that comprises a spectrum of intracranial pathologies, many of which present diagnostic challenges. Detection of intracranial injuries after TBI relies on head CT, which is overused and resource intensive. Prior studies have shown the potential for blood-based brain injury biomarkers to predict the absence of intracranial injury after TBI and aid in reducing unnecessary head CT use. Furthermore, plasma biomarker concentrations in the acute phase after TBI identified patients with a suspected TBI and normal head CT who had detectable pathology on MRI. However, most of the current studies are based on the European and American population, and whether the research results are applicable to the Chinese population remains to be studied. Therefore, the investigators will carry out multi-center and large sample research based on the Chinese population, screen the optimal diagnostic and prognosis recognition biomarkers and analyze the diagnostic critical cutoff values, so as to provide a substantial basis for clinical diagnosis and prognosis recognition.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mild to moderate traumatic brain injury | patients diagnosed with mild to moderate traumatic brain injury within 1 week after onset of TBI. |
| |
| isolated orthopaedic trauma patients | Patients with isolated orthopaedic trauma were identified and enrolled using the same process as that for patients with TBI. |
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| healthy non-injury control | Healthy non-injured controls were recruited either via a relationship with a TRACK-TBI participant or through public advertisement within TRACK-TBI institutions, and were able to provide informed consent. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MRI, CT, and serum biomarkers | Device | magnetic resonance image Imaging data were collected in a strong magnetic field, and collected the serum of participants. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The concentration of serum biomarkers. | the concentration of GFAP with pg/mL, S-100B with pg/mL，IL-6 with pg/mL, IL-8 with pg/mL, IL-10 with pg/mL, IL-1β with pg/mL, TNF-α with pg/mL, UCH-L1 with pg/mL, NSE with pg/mL, T-Tau with pg/mL, P-Tau with pg/mL, NFL with pg/mL, BDNF with pg/mL, and VEGF with pg/mL; | baseline (early injury), post-traumatic for 3 months, 6 months, and 12 months. |
| Score of Extended Glasgow Outcome Scale. | The functional outcome of TBI patients. The minimum value is 1, and the maximum value is 8. The higher scores mean a better outcome. | post-traumatic for 3 months |
| Score of Extended Glasgow Outcome Scale. | The functional outcome of TBI patients. The minimum value is 1, and the maximum value is 8. The higher scores mean a better outcome. | post-traumatic for 6 months |
| Score of Extended Glasgow Outcome Scale. | The functional outcome of TBI patients. The minimum value is 1, and the maximum value is 8. The higher scores mean a better outcome. | post-traumatic for 12 months |
| Number of participants with positive head CT scan | CT-positive was defined as the presence of one or more of the following injuries: acute epidural haematoma, acute subdural haematoma, indeterminate extraaxial haemorrhage, intraventricular haemorrhage, parenchymal haematoma, petechial haemorrhagic or bland sheer injury, subarachnoid haemorrhage, brain oedema, brain herniation, non-haemorrhagic contusion, ventricular compression, ventricular trapping, cranial fractures, depressed skull fractures, facial fractures, scalp injury, or skull base fractures. | baseline (early injury) |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline brain structure measures at 3 months | The changes of brain volume (mm3) are evaluated by structural MRI | baseline (early injury), post-traumatic for 3 months. |
| Change from baseline brain structure measures at 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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TBI patients will be recruited from the emergency department of hospital.
| 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, phD | 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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| OTHER |
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whole blood, gut microbiota, urine
| Number of participants with MRI abnormalities |
MRI abnormalities were quantified according to common data elements standards and definitions by three board-certified neuroradiologists masked to the identity and clinical history of the patient. MRI scans were read as positive if there was evidence of acute intracranial pathology consistent with TBI (eg, contusion, traumatic axonal injury, diffuse axonal injury). |
| baseline (early injury) |
The changes of brain volume (mm3) are evaluated by structural MRI
| baseline (early injury), post-traumatic for 6 months. |
| Change from baseline brain structure measures at 12 months | The changes of brain volume (mm3) are evaluated by structural MRI | baseline (early injury), post-traumatic for 12 months. |
| White matter integrity at baseline (early injury), post-traumatic for 3 months,6 months, and 12 months. | The white matter integrity are characterized by fractional anisotropy (FA) which calculated by diffusion tensor imaging. | baseline (early injury), post-traumatic for 3 months,6 months, and 12 months. |
| ID | Term |
|---|---|
| D001924 | Brain Concussion |
| D004194 | Disease |
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D016489 | Head Injuries, Closed |
| D014947 | Wounds and Injuries |
| D014949 | Wounds, Nonpenetrating |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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