Article

Diffusion Tensor Imaging and Mild Traumatic Brain Injury in Soldiers: Abnormal Findings, Uncertain Implications

American Journal of Psychiatry (Impact Factor: 13.56). 12/2012; 169(12):1230-2. DOI: 10.1176/appi.ajp.2012.12091230
Source: PubMed
0 Followers
 · 
94 Views
  • Source
    International Journal of Clinical Practice 11/2014; 68(11). DOI:10.1111/ijcp.12517 · 2.54 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Traumatic brain injury (TBI) is a prominent public health problem in both civilian and military settings. This article discusses similarities and differences in the assessment and treatment of TBI and the attendant forensic implications. Acute care and management of moderate/severe TBI tend to be similar across environments, as is the recognition of disability status in affected individuals. By contrast, an increased focus on mild TBI in recent years has resulted in a reliance on self-report and screening measures to validate the occurrence of events leading to injury. This has complicated assessment, treatment and subsequent medicolegal proceedings. The neuropsychological literature has provided significant guidance on these difficult issues, although the complexity of disability adjudication for active duty members of the military and veterans continues to pose challenges for clinicians in evaluative and treatment contexts. Copyright © 2013 John Wiley & Sons, Ltd.
    Behavioral Sciences & the Law 11/2013; 31(6). DOI:10.1002/bsl.2091 · 0.96 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This article discusses the nature and value of diffusion tensor imaging (DTI) in medicolegal settings. Although the technology and theory that supports DTI is provocative and exciting, we argue that expert testimony that confidently relies on DTI is highly problematic. In this article, we discuss the current limitations inherent in acquiring and analyzing DTI data; list problems especially with specificity that limit DTI's appropriateness in single-subject instances; and provide a brief history of the misuse and abuse of neuroimaging in mental illness and brain injury. We conclude with a plea for healthy skepticism regarding the value of these latest modalities in medicolegal settings, especially given the nature of their frequently visually spectacular impact on judges and jurors.
    AJOB Neuroscience 03/2014; 5(2). DOI:10.1080/21507740.2014.880088