Evidence map›Paper›PMID 40918995›Full record

ArticleNeurotrauma reports2025

Longitudinal Multimodal Magnetic Resonance Imaging Reveals Improvement in Verbal Fluency Over Time in Moderate-to-Severe Traumatic Brain Injury.

Ana Luiza Zaninotto, Fabiola Macruz, Fabricio S Feltrin, Celi S Andrade, Claudia C Leite, Vinicius Monteiro de Paula Guirado, Wellingson S Paiva, Sylvain Bouix

Abstract read
In one paragraph

Article in Neurotrauma reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Ana Luiza ZaninottoPsychiatry and Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Fabricio S FeltrinLIM44 Instituto de Radiologia (INRAD), Hospital das Clínicas da Faculdade de Medicina, Universidade de Sao Paulo (HC-FMUSP), Sao Paulo, Brazil.
Celi S AndradeLIM44 Instituto de Radiologia (INRAD), Hospital das Clínicas da Faculdade de Medicina, Universidade de Sao Paulo (HC-FMUSP), Sao Paulo, Brazil.
Claudia C LeiteLIM44 Instituto de Radiologia (INRAD), Hospital das Clínicas da Faculdade de Medicina, Universidade de Sao Paulo (HC-FMUSP), Sao Paulo, Brazil.
Vinicius Monteiro de Paula GuiradoDepartment of Neurosurgery, Hospital das Clínicas da Faculdade de Medicina, Universidade de Sao Paulo (HC-FMUSP), Sao Paulo, Brazil.
Wellingson S PaivaDepartment of Neurosurgery, Hospital das Clínicas da Faculdade de Medicina, Universidade de Sao Paulo (HC-FMUSP), Sao Paulo, Brazil.ORCID https://orcid.org/0000-0002-5165-7040
Sylvain BouixPsychiatry and Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most individuals with moderate-to-severe diffuse axonal injury (DAI) have impaired verbal fluency (VF) capacity. Still, the relationship between brain and VF recovery post-DAI has remained mostly unknown. The aim was to assess brain changes in 13 cortical thickness regions of interest (ROIs), fractional anisotropy (FA), and free water (FW) in three language-related tracts; the VF performance at 6 and 12 months after the DAI; and whether brain changes from 3 to 6 months predict VF performance from 6- to 12-month post-DAI. Twenty-one adults with moderate and severe DAI were analyzed. Structural and diffusion data were acquired on a 3T system 3 and 6 months after the injury. The differences in cortical thickness, FA, and FW values over time were analyzed as factors for the phonemic and semantic VF scores between the 6th and 12th months following the DAI. All analyses were corrected for multiple comparisons. Cortical thickness increased over time in 7 of the 13 ROIs in the right hemisphere and 5 of the 13 ROIs in the left hemisphere. There was an increase in FA in the right arcuate fasciculus and the inferior longitudinal fasciculus over time. An increase in phonemic VF scores was detected between 6 and 12 months post-traumatic brain injury, but not in semantic VF scores over time. Cortical thickness changes in the left posterior inferior frontal pars opercularis and left anterior superior temporal sulcus from 3 to 6 months were associated with improved phonemic VF scores over time. There was no association between diffusion magnetic resonance imaging metrics and VF scores. Our findings suggest that brain plasticity plays a significant role in the initial year following traumatic brain injury, as evidenced by increased cortical thickness and white matter integrity. Improved VF is associated with increased thickness in cortical motor regions responsible for speech performance. However, a larger sample size is needed to confirm these findings.

Indexed as

cognitiondiffuse axonal injurylanguagemagnetic resonance imagingtractographytraumatic brain injuryverbal fluency

Identifiers

PMID40918995
PMCPMC12413258

What Socratic holds

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Registered trials

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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.