Evidence map›Paper›PMID 40795830›Full record

ReviewBrain : a journal of neurology2025

The normative modelling framework for traumatic brain injury.

Jake E Mitchell, Stuart J McDonald, David J Sharp, Gavin Gan, Jennie L Ponsford, Andre Marquand, Cheryl Wellington, Meng Law, Sandy R Shultz, Gershon Spitz

Abstract readReview
In one paragraph

Review in Brain : a journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jake E MitchellDepartment of Neuroscience, School of Translational Medicine, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Stuart J McDonaldDepartment of Neuroscience, School of Translational Medicine, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
David J SharpUK Dementia Research Institute Centre for Care Research & Technology Centre, Imperial College London, London W12 0BZ, UK.
Gavin GanMonash-Epworth Rehabilitation Research Centre, School of Psychological Sciences, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Clayton, VIC 3800, Australia.
Jennie L PonsfordMonash-Epworth Rehabilitation Research Centre, School of Psychological Sciences, Faculty of Medicine, Nursing, and Health Sciences, Monash University, Clayton, VIC 3800, Australia.
Andre MarquandDonders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
Cheryl WellingtonDjavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Meng LawDepartment of Neuroscience, School of Translational Medicine, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Sandy R ShultzDepartment of Neuroscience, School of Translational Medicine, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.ORCID 0000-0002-2525-8775
Gershon SpitzDepartment of Neuroscience, School of Translational Medicine, Monash University, 99 Commercial Road, Melbourne, VIC, 3004, Australia.ORCID 0000-0002-7810-1480

Funding

Michael Smith Health Research BC
6 · The paper itself

Abstract

This review examines the principles, applications and methodological foundations of normative modelling, emphasizing its potential to assist in mitigating longstanding challenges in traumatic brain injury (TBI) research and management. TBI remains a major global health concern, with an incidence exceeding 50-60 million cases worldwide. Progress in research and clinical practice has been hindered by the complex and heterogeneous nature of TBI, arising from diverse aetiologies, injury mechanisms and pathophysiological processes that lead to variable clinical presentations. A significant obstacle, particularly present within neuroimaging, is the continued reliance on classification scales and analytical models that do not account for nuanced differences among patients. For example, the Glasgow Coma Scale and many prevalent models categorize injury severity levels by assuming homogeneity within groups, which inevitably results in heterogeneity and obscures individual variability. Similarly, traditional case-control research designs separate injury and control groups to conduct group difference testing, diluting valuable individual data by focusing on mean comparisons. We advocate for a paradigm shift towards normative modelling-a flexible framework that assesses individual differences by comparing patients to a reference cohort. This approach moves beyond traditional methods that emphasize group differences, addressing the limitations of conventional classification by avoiding the aggregation of TBI patients into heterogeneous categories based on simplistic measures. By capturing the full spectrum of variability, normative modelling has the potential to improve patient selection in clinical trials and foster more personalized treatment strategies. Adopting this innovative approach aims to enhance outcomes for TBI patients by emphasizing individual variability rather than relying on broad group classifications. Normative modelling promises to transform the translation of TBI research into clinical practice, ultimately driving progress towards more effective, tailored interventions.

Indexed as

Brain Injuries, TraumaticHumansheterogeneityneuroimagingnormative modellingpersonalized medicinetraumatic brain injury

Identifiers

PMID40795830
PMCPMC12588684

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.