Hart, MG;
Housden, CR;
Suckling, J;
Tait, R;
Young, A;
Müller, U;
Newcombe, VFJ;
Jalloh, I;
Pearson, B;
Cross, J;
et al.
Hart, MG; Housden, CR; Suckling, J; Tait, R; Young, A; Müller, U; Newcombe, VFJ; Jalloh, I; Pearson, B; Cross, J; Trivedi, RA; Pickard, JD; Sahakian, BJ; Hutchinson, PJ
(2017)
Advanced magnetic resonance imaging and neuropsychological assessment for detecting brain injury in a prospective cohort of university amateur boxers.
Neuroimage Clin, 15.
pp. 194-199.
ISSN 2213-1582
https://doi.org/10.1016/j.nicl.2017.04.026
SGUL Authors: Hart, Michael Gavin
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Abstract
BACKGROUND/AIM: The safety of amateur and professional boxing is a contentious issue. We hypothesised that advanced magnetic resonance imaging and neuropsychological testing could provide evidence of acute and early brain injury in amateur boxers. METHODS: We recruited 30 participants from a university amateur boxing club in a prospective cohort study. Magnetic resonance imaging (MRI) and neuropsychological testing was performed at three time points: prior to starting training; within 48 h following a first major competition to detect acute brain injury; and one year follow-up. A single MRI acquisition was made from control participants. Imaging analysis included cortical thickness measurements with Advanced Normalization Tools (ANTS) and FreeSurfer, voxel based morphometry (VBM), and Tract Based Spatial Statistics (TBSS). A computerized battery of neuropsychological tests was performed assessing attention, learning, memory and impulsivity. RESULTS: During the study period, one boxer developed seizures controlled with medication while another developed a chronic subdural hematoma requiring neurosurgical drainage. A total of 10 boxers contributed data at to the longitudinal assessment protocol. Reasons for withdrawal were: logistics (10), stopping boxing (7), withdrawal of consent (2), and development of a chronic subdural hematoma (1). No significant changes were detected using VBM, TBSS, cortical thickness measured with FreeSurfer or ANTS, either cross-sectionally at baseline, or longitudinally. Neuropsychological assessment of boxers found attention/concentration improved over time while planning and problem solving ability latency decreased after a bout but recovered after one year. CONCLUSION: While this neuroimaging and neuropsychological assessment protocol could not detect any evidence of brain injury, one boxer developed seizures and another developed a chronic sub-dural haematoma.
Item Type: | Article | ||||||||||||||||||
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Additional Information: | © 2017 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/). | ||||||||||||||||||
Keywords: | Boxing, Brain structure, CANTAB, Neuroimaging, Adult, Athletic Injuries, Boxing, Brain Injuries, Female, Humans, Magnetic Resonance Imaging, Male, Neuropsychological Tests, Prospective Studies, Universities, Young Adult, Humans, Brain Injuries, Athletic Injuries, Magnetic Resonance Imaging, Prospective Studies, Neuropsychological Tests, Universities, Boxing, Adult, Female, Male, Young Adult, Boxing, Neuroimaging, Brain structure, CANTAB | ||||||||||||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) | ||||||||||||||||||
Journal or Publication Title: | Neuroimage Clin | ||||||||||||||||||
ISSN: | 2213-1582 | ||||||||||||||||||
Language: | eng | ||||||||||||||||||
Dates: |
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Publisher License: | Creative Commons: Attribution 4.0 | ||||||||||||||||||
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PubMed ID: | 28529875 | ||||||||||||||||||
Web of Science ID: | WOS:000410067200022 | ||||||||||||||||||
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URI: | https://openaccess.sgul.ac.uk/id/eprint/113748 | ||||||||||||||||||
Publisher's version: | https://doi.org/10.1016/j.nicl.2017.04.026 |
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