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Abstract #0303

Evaluation of MR Elastography-Based Biomarkers for Detecting Skull-Brain Interface Decoupling Changes in Response to Repetitive Head Impacts

Xiang Shan1, Matthew Murphy1, Yi Sui1, Keni Zheng1, Emi Hojo1, Armando Manduca2, Richard Ehman1, John Huston III1, and Ziying Yin1
1Radiology, Mayo Clinic, Rochester, MN, United States, 2Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States

Synopsis

Keywords: Traumatic Brain Injury, Traumatic brain injury, Repetitive head impacts, Magnetic resonance elastography

Motivation: The growing concern about subconcussive, repetitive head impacts (RHI) has prompted the need for non-invasive RHI detection methods.

Goal(s): To understand if there are alterations of the skull-brain interface due to RHI exposure and explore potential imaging biomarkers for characterizing RHI.

Approach: Four MR Elastography (MRE)-based parameters were compared between RHI(-) and RHI(+) groups, encompassing assessment of cortical stiffness, capabilities of motion dampening, and strain mediation at the skull-brain interface.

Results: Our findings revealed increased cortical stiffness, rotational transmission ratio, and adjusted NOSS in individuals with high RHI exposure, suggesting a degeneration of the skull-brain interface decoupling performance.

Impact: This study sheds light on RHI-induced changes at the skull-brain interface, proposing three potential non-invasive biomarkers for monitoring such alterations. These findings hold promise for aiding medical professionals in identifying individuals at high RHI exposure risk.

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