MR Imaging Study of TBI in Children

Study Overview
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Brief Summary
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This project will combine the data collected from structural and functional MRI scans and neuropsychology performance post-TBI in children. Patients will be followed for a year, in order to examine the brain and cognitive recovery post head injury.

Detailed Description
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Traumatic brain injury in childhood has an cumulative effect that leads to impairments in cognitive functions such as deficits in memory, executive functions and attention. The cognitive impairment is the main cause of disabilities in the injured population, and has a different effect depending on the type and severity of the injury. Imaging after brain trauma serves as a useful diagnostic tool in identifying the head trauma's results. Therefore, in recent years, using imaging methods, studies have tried to find measures which will be able to predict the functional outcome after brain injury in children, and assist in developing a personalized rehabilitation program. The combination of advanced imaging techniques with neuropsychological assessment within the early stage of the injury and during a year of followup, will allow us to establish the relationship between those measures and the functional recovery result of the children. This multi-analysis will enable us to have a deeper understanding of the neuroplasticity process and the functional recovery after brain injury in the developing young brain.

Official Title
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Classifying Neuro-imaging Measures Predicting Rehabilitation Outcome Following Pediatric Closed Head Injuries.

Conditions
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TBI (Traumatic Brain Injury)

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients 9-18 years old, which are/were hospitalized in the Pediatric Rehabilitation Department, Sheba Medical Center Glasgow coma scale score of 3-15. Hebrew as mother-tongue Exclusion Criteria: History of neurological disorders, mental retardation or a previous head injury. Current diagnosis or history of psychiatric disorders. Cardiovascular instability. Metabolic instability (water, electrolytes, sugar). Fever or evidence of microbiological pollutant. Uncontrolled seizures. 7 . Hydrocephalus. 8. Deafness or blindness. 9. Renal failure.

Ages Eligible for Study
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Minimum Age: 9 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional MRI | fMRI brain activation to a cognitive tasks | 12 months | 
| Structural MRI | MRI Structural changes using different methods | 12 months | 
| neuropsychological tests | Cognitive scores on neuropsychological testing | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Associations between the cognitive performance and the imaging methods |  | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Traumatic Brain Injury, Children, Pediatric, MRI, fMRI, Cognition, DTI, Longitudinal, Connectivity, DAI, Neuropsychology, Rehabilitation