Comment: Does brain DTI MRI aid diagnosis of battlefield concussion?
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Traumatic brain injury (TBI) and posttraumatic stress disorder have been labeled the “signature” injuries of the wars in Afghanistan and Iraq, and the Department of Defense has invested heavily in research focused on these 2 areas. More than 327,000 TBIs, most (>82%) being mild TBIs (also known as concussions), have been sustained by active duty military service members since 2000, of which 15% occurred during deployment to a combat zone (some of the injuries were not due to combat, however).1 Concussion is a clinical diagnosis based on history; the search for reliable objective markers (serum, imaging, balance and neurocognitive testing) is highly desirable and ongoing. In 2011, Chairman of the Joint Chiefs of Staff, Admiral Michael Mullen, directed placement of MRI scanners in Afghanistan to bring standard-of-care medicine to the battlefield. An added benefit was TBI imaging research.
Footnotes
Study funding: No targeted funding reported.
Disclosure: The author reports no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.
Disclaimer: The opinions or assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the Department of the Navy or the Department of Defense.
- © 2015 American Academy of Neurology
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