White matter signal abnormalities in former National Football League players

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White matter signal abnormalities in former National Football League players

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Title: White matter signal abnormalities in former National Football League players
Author: Alosco, Michael L.; Koerte, Inga K.; Tripodis, Yorghos; Mariani, Megan; Chua, Alicia S.; Jarnagin, Johnny; Rahimpour, Yashar; Puzo, Christian; Healy, Rose C.; Martin, Brett; Chaisson, Christine E.; Cantu, Robert C.; Au, Rhoda; McClean, Michael; McKee, Ann C.; Lin, Alexander P.; Shenton, Martha E. ORCID  0000-0003-4235-7879 ; Killiany, Ronald J.; Stern, Robert A.

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Citation: Alosco, M. L., I. K. Koerte, Y. Tripodis, M. Mariani, A. S. Chua, J. Jarnagin, Y. Rahimpour, et al. 2017. “White matter signal abnormalities in former National Football League players.” Alzheimer's & Dementia : Diagnosis, Assessment & Disease Monitoring 10 (1): 56-65. doi:10.1016/j.dadm.2017.10.003. http://dx.doi.org/10.1016/j.dadm.2017.10.003.
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Abstract: Introduction: Later-life brain alterations in former tackle football players are poorly understood, particularly regarding their relationship with repetitive head impacts (RHIs) and clinical function. We examined white matter signal abnormalities (WMSAs) and their association with RHIs and clinical function in former National Football League (NFL) players. Methods: Eighty-six clinically symptomatic former NFL players and 23 same-age reportedly asymptomatic controls without head trauma exposure underwent magnetic resonance imaging and neuropsychological testing. FreeSurfer calculated WMSAs. A cumulative head impact index quantified RHIs. Results: In former NFL players, increased volume of WMSAs was associated with higher cumulative head impact index scores (P = .043) and worse psychomotor speed and executive function (P = .015). Although former NFL players had greater WMSA volume than controls (P = .046), these findings are inconclusive due to recruitment of controls based on lack of clinical symptoms and head trauma exposure. Discussion In former NFL players, WMSAs may reflect long-term microvascular and nonmicrovascular pathologies from RHIs that negatively impact cognition.
Published Version: doi:10.1016/j.dadm.2017.10.003
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699890/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:34651812
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