title: Head rotational acceleration characteristics influence behavioral and diffusion tensor imaging outcomes following concussion.
abstract: A majority of traumatic brain injuries (TBI) in motor vehicle crashes and sporting environments are mild and caused by high-rate acceleration of the head. For injuries caused by rotational acceleration, both magnitude and duration of the acceleration pulse were shown to influence injury outcomes. This study incorporated a unique rodent model of rotational acceleration-induced mild TBI (mTBI) to quantify independent effects of magnitude and duration on behavioral and neuroimaging outcomes. Ninety-two Sprague-Dawley rats were exposed to head rotational acceleration at peak magnitudes of 214 or 350 krad/s(2) and acceleration pulse durations of 1.6 or 3.4 ms in a full factorial design. Rats underwent a series of behavioral tests including the Composite Neuroscore (CN), Elevated Plus Maze (EPM), and Morris Water Maze (MWM). Ex vivo diffusion tensor imaging (DTI) of the fixed brains was conducted to assess the effects of rotational injury on brain microstructure as revealed by the parameter fractional anisotropy (FA). While the injury did not cause significant locomotor or cognitive deficits measured with the CN and MWM, respectively, a main effect of duration was consistently observed for the EPM. Increased duration caused significantly greater activity and exploratory behaviors measured as open arm time and number of arm changes. DTI demonstrated significant effects of both magnitude and duration, with the FA of the amygdala related to both the magnitude and duration. Increased duration also caused FA changes at the interface of gray and white matter. Collectively, the findings demonstrate that the consequences of rotational acceleration mTBI were more closely associated with duration of the rotational acceleration impulse, which is often neglected as an independent factor, and highlight the need for animal models of TBI with strong biomechanical foundations to associate behavioral outcomes with brain microstructure.
authors.affiliation: Department of Neurosurgery, Medical College of Wisconsin, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI, USA, bstemper@mcw.edu.
authors.forename: Brian D
authors.initials: BD
authors.lastname: Stemper
authors.forename: Alok S
authors.initials: AS
authors.lastname: Shah
authors.forename: Frank A
authors.initials: FA
authors.lastname: Pintar
authors.forename: Michael
authors.initials: M
authors.lastname: McCrea
authors.forename: Shekar N
authors.initials: SN
authors.lastname: Kurpad
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Glavaski-Joksimovic
authors.forename: Christopher
authors.initials: C
authors.lastname: Olsen
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Budde
mesh_terms: D000054:Acceleration; D000818:Animals; D001522:Behavior, Animal; D001924:Brain Concussion / Q000175:diagnosis / Q000503:physiopathology*; D056324:Diffusion Tensor Imaging; D005260:Female; D006257:Head / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D018782:Maze Learning; D009043:Motor Activity; D017207:Rats, Sprague-Dawley; D012399:Rotation