Return to Play Following Concussion: Role for Imaging?
Publication/Presentation Date
4-1-2024
Abstract
This review surveys concussion management, focusing on the use of neuroimaging techniques in return to play (RTP) decisions. Clinical assessments traditionally were the foundation of concussion diagnoses. However, their subjective nature prompted an exploration of neuroimaging modalities to enhance diagnosis and management. Magnetic resonance spectroscopy provides information about metabolic changes and alterations in the absence of structural abnormalities. Diffusion tensor imaging uncovers microstructural changes in white matter. Functional magnetic resonance imaging assesses neuronal activity to reveal changes in cognitive and sensorimotor functions. Positron emission tomography can assess metabolic disturbances using radiotracers, offering insight into the long-term effects of concussions. Vestibulo-ocular dysfunction screening and eye tracking assess vestibular and oculomotor function. Although these neuroimaging techniques demonstrate promise, continued research and standardization are needed before they can be integrated into the clinical setting. This review emphasizes the potential for neuroimaging in enhancing the accuracy of concussion diagnosis and guiding RTP decisions.
Volume
28
Issue
2
First Page
193
Last Page
202
ISSN
1098-898X
Published In/Presented At
Sanclemente, D., Belair, J. A., Talekar, K. S., Roedl, J. B., & Stache, S. (2024). Return to Play Following Concussion: Role for Imaging?. Seminars in musculoskeletal radiology, 28(2), 193–202. https://doi.org/10.1055/s-0043-1778031
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
38484771
Department(s)
Administration and Leadership
Document Type
Article