Applications of advanced MRI to disorders of consciousness

David Fischer, Virginia Newcombe, Davinia Fernandez-Espejo, Samuel B Snider

Research output: Contribution to journalReview articlepeer-review

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Abstract

Disorder of consciousness (DoC) after severe brain injury presents numerous challenges to clinicians, as the diagnosis, prognosis, and management are often uncertain. Magnetic resonance imaging (MRI) has long been used to evaluate brain structure in patients with DoC. More recently, advances in MRI technology have permitted more detailed investigations of the brain's structural integrity (via diffusion MRI) and function (via functional MRI). A growing literature has begun to show that these advanced forms of MRI may improve our understanding of DoC pathophysiology, facilitate the identification of patient consciousness, and improve the accuracy of clinical prognostication. Here we review the emerging evidence for the application of advanced MRI for patients with DoC.

Original languageEnglish
Pages (from-to)325-334
Number of pages10
JournalSeminars in neurology
Volume42
Issue number3
Early online date5 Jul 2022
DOIs
Publication statusPublished - 13 Sept 2022

Bibliographical note

Funding Information:
D.F.-E. reports grants or contracts from Medical Research Council (MRC) grant MR/P02596X/1 and Research Collaboration Agreement with HCA Healthcare.

Publisher Copyright:
© 2022 Thieme Medical Publishers, Inc.. All rights reserved.

Keywords

  • MRI
  • disorders of consciousness
  • neuroimaging
  • prognostication
  • Disorders of consciousness

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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