Evidence map›Paper›PMID 40961419›Full record

ArticleNeurology2025

Soccer Heading Exposure-Dependent Microstructural Injury at Depths of Sulci in Adult Amateur Players.

Bluyé DeMessie, Walter F Stewart, Richard B Lipton, Mimi Kim, Kenny Ye, Molly E Zimmerman, Thomas W Kaminski, Roman Fleysher, Michael L Lipton

Abstract read
In one paragraph

Article in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

9 authors.

Bluyé DeMessieDepartment of Neuroscience, Albert Einstein College of Medicine, Bronx, NY.ORCID 0000-0001-9456-8630
Walter F StewartMedcurio, Inc., Oakland, CA.
Richard B LiptonThe Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY.ORCID 0000-0003-2652-2897
Mimi KimDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY.
Kenny YeDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY.
Molly E ZimmermanDepartment of Psychology, Fordham University, Bronx, NY.
Thomas W KaminskiDepartment of Kinesiology & Applied Physiology, University of Delaware, Newark.
Roman FleysherDepartment of Radiology, Columbia University Irving Medical Center, New York, NY; and.
Michael L LiptonDepartment of Radiology, Columbia University Irving Medical Center, New York, NY; and.ORCID 0000-0001-5421-8441

Funding

Heading and Soccer: Understanding Cognitive Risks, Benefits, and the Potential Mediating Role of White MatterR01NS123374 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Michael Lawrence Lipton · 2022 to 2026
$3.6M
Brain injury due to soccer heading and opportunities for its mitigationR01NS082432 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI LIPTON, MICHAEL LAWRENCE · 2013 to 2017
$3.5M
Identifying Biomarkers that Modify Outcomes in Soccer HeadingF31NS098799 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI HUNTER, LIANE ELIZABETH · 2017 to 2019
$135k
NINDS NIH HHS F31 NS098799NINDS NIH HHS R01 NS082432NINDS NIH HHS R01 NS123374
6 · The paper itself

Abstract

BACKGROUND AND

objectivesRepetitive head impacts (RHIs) in sports are associated with adverse clinical and neuropathologic outcomes, but there is limited evidence from in vivo human imaging studies to inform risk assessment, exposure standards, and interventions. We tested the association of RHI with in vivo microstructural disruption at the depths of cerebral sulci, a region vulnerable to trauma.

methodsWe examined the relationship between soccer-related RHI exposure over 12 months and imaging measures. Participants included amateur soccer players and noncollision sport athletes aged 18-55 years from the Greater New York City area. We analyzed diffusion MRI measures specifically within the juxtacortical white matter at the depths of cortical sulci and crests of gyri, as well as within deep white matter. Cognitive function was assessed using components of the CogState computerized battery, focusing on verbal learning and memory performance.

resultsA total of 352 soccer players (mean [SD] age, 25.6 [7.5] years; 245 men [70%]) and 77 controls (22.8 [5.1] years; 30 men [39%]) were included. In multivariable regression, greater RHI was associated with lower fractional anisotropy (FA) (standardized β = -0.234; DISCUSSION: Higher RHI exposure was associated with MRI measures of microstructural disruption at the depths of sulci in an exposure-dependent manner. By contrast, deep white matter regions were relatively insensitive to RHI effects. Diffusion MRI at the depths of sulci may serve as a more specific marker of RHI-related brain injury.

Indexed as

Athletic InjuriesCerebral CortexSoccerWhite MatterAdolescentAdultAthletesBrain ConcussionDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingFemaleHumansMaleMiddle AgedNeuropsychological TestsYoung Adult

Identifiers

PMID40961419
PMCPMC12443223

What Socratic holds

Textmetadata
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.