Overview of Imaging for TBI from Current Standards to Advanced Techniques

Feb. 20, 2013; 1-2:30 p.m. (ET)


Traumatic brain Injury (TBI) can cause long-term deficits and disabilities in a wide spectrum of people, even those who are otherwise healthy. Despite the well-characterized clinical symptoms, it is unclear during the early evaluation of a TBI what the outcome will be for a particular patient and whether that patient would benefit from more intensive therapy. Clinicians need more sensitive, objective tools to be developed and validated to make these determinations.

In the past few years, promising results have emerged in the use of imaging and serum markers of neuronal injury, the so-called biomarkers of TBI. Much remains unanswered on how these biomarkers effect patient outcome; however, standard imaging techniques can be used to assess anatomic site of injury, the need for neurosurgical intervention, and changes in injury effects over time. 

We will review the standards for using imaging tools, including computed tomography (CT), magnetic resonance imaging (MRI), Transcranial Doppler (TCD) and nuclear medicine. In addition, we will review and discuss applications of more advanced imaging techniques, such as volumetrics, diffusion tensor imaging, perfusion imaging and positron emission tomography (PET).


LTC Gerald York, M.D.
Director of Research, Radiology Co-site Director, DVBIC San Antonio Military Medical Center Dr. York is a staff radiologist with a Certificate for Added Qualifications in neuroradiology at Brooke Army Medical Center at Fort Sam Houston, Texas. He also is the director of research for the radiology department and the co-site director for DVBIC SAMMC. Dr. York has expertise in the interpretation of MRI of the brain, spinal cord and head-neck disorders. He reads about 12,000 neuroradiology cases per year, including many acute, subacute and chronic TBI cases. His research focuses on imaging of changes in cognitive rehabilitation in TBI patients and chronic changes in brain function and structure. He also oversees projects involving MRI and PET imaging in TBI. He has lectured nationally on combat-related TBI and neuroimaging, most recently at the American Society of Emergency Radiology and at grand rounds for Brigham and Women's Hospital and Massachusetts General Hospital. He participates on imaging working groups with the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury, as well with the National Intrepid Center of Excellence. He also works with the Polytrauma Center at the Audie L. Murphy VA Hospital, South Texas Veterans Health Care System, to study chronic sequelae of TBI in veterans of Operation Iraqi Freedom, Operation Enduring Freedom and Operation New Dawn.


Helen C. Coronel, MSN, BC
Family Nurse Practitioner Division of Clinical Affairs DVBIC Helen C. Coronel earned her Bachelor of Science in Nursing from the University of Mary Hardin-Baylor in Belton, Texas. She earned a Master of Science in Nursing from Vanderbilt University in Nashville, Tenn., and is expecting to complete her doctoral degree there in summer 2013. As the wife of an Army officer, she has a passion for caring for our nation's military. Coronel began her career as a neonatal nurse at Scott & White Memorial Hospital in Temple, Texas, before moving toward the prevention side of nursing. She was a staff nurse in several primary care clinics at Fort Hood, Texas, and Virginia Mason Clinic in Seattle. Coronel continued to work as a primary care provider at Fort Campbell, Ky.; Fort Hood; Fort Belvoir, Va.; and Redstone Arsenal in Huntsville, Ala. In 2007 Coronel joined DVBIC to work directly with service members and veterans with head injuries sustained during Operation Iraqi Freedom and Operation Enduring Freedom. In her position as a neuroscience clinician and subject matter expert with the Division of Clinical Affairs, she has helped develop clinical practice guidelines and participated in the creation of screening tools, such as the Military Acute Concussion Evaluation (MACE). Coronel also has spoken frequently about mild TBI in the military for the Red Cross, Centers for Deployment Psychology and Walter Reed Army Institute of Research.

Continuing Education

This webinar has been approved for the following:

1.5 AMA PRA Category 1 Credits™
1.5 Credits by the American Psychological Association
1.5 Nursing contact hours as a co-provider with the American Nurses Credentialing Center
1.75 CE Contact hours for Physical Therapist and Assistant approved by the State of Illinois
1.75 CE Contact hours for Occupational Therapist and Assistant approved by the State of Illinois
1.5 CEHs for Social Work approved by the Missouri Division of Professional Registration Committee for Social Work

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