Research papers that support the present guideline recommendations:

Babcock, L., Yuan, W., Leach, J., Nash, T., & Wade, S. (2015). White matter alterations in youth with acute mild traumatic brain injury. Journal of Pediatric Rehabilitation Medicine, 8(4), 285–296. https://doi.org/10.3233/PRM-150347

Beauchamp, M. H., Beare, R., Ditchfield, M., Coleman, L., Babl, F. E., Kean, M., … Anderson, V. (2013). Susceptibility weighted imaging and its relationship to outcome after pediatric traumatic brain injury. Cortex, 49(2), 591–598. https://doi.org/10.1016/j.cortex.2012.08.015

Bonow, R. H., Friedman, S. D., Perez, F. A., Ellenbogen, R. G., Browd, S. R., Mac Donald, C. L., … Rivara, F. P. (2017). Prevalence of Abnormal Magnetic Resonance Imaging Findings in Children with Persistent Symptoms after Pediatric Sports-Related Concussion. Journal of Neurotrauma, 34(19), 2706–2712. https://doi.org/10.1089/neu.2017.4970

Chamard, E., & Lichtenstein, J. D. (2018). A systematic review of neuroimaging findings in children and adolescents with sports-related concussion. Brain Injury, 32(7), 816–831. https://doi.org/10.1080/02699052.2018.1463106

Dona, O., Noseworthy, M. D., DeMatteo, C., & Connolly, J. F. (2017). Fractal analysis of brain blood oxygenation level dependent (BOLD) signals from children with mild traumatic brain injury (mTBI). PLoS ONE, 12(1). https://doi.org/10.1371/journal.pone.0169647

Ellis, M. J., Leiter, J., Hall, T., McDonald, P. J., Sawyer, S., Silver, N., … Essig, M. (2015). Neuroimaging findings in pediatric sports-related concussion. Journal of Neurosurgery: Pediatrics, 16(3), 241–247. https://doi.org/10.3171/2015.1.PEDS14510

Fakhran, S., Yaeger, K., Collins, M., & Alhilali, L. (2014). Sex Differences in White Matter Abnormalities after Mild Traumatic Brain Injury: Localization and Correlation with Outcome. Radiology, 272(3), 815–823. https://doi.org/10.1148/radiol.14132512

Faris, G., Byczkowski, T., Ho, M., & Babcock, L. (2016). Prediction of Persistent Postconcussion Symptoms in Youth Using a Neuroimaging Decision Rule. Academic Pediatrics, 16(4), 336–342. https://doi.org/10.1016/j.acap.2015.10.007

Genc, S., Anderson, V., Ryan, N. P., Malpas, C. B., Catroppa, C., Beauchamp, M. H., & Silk, T. J. (2017). Recovery of White Matter following Pediatric Traumatic Brain Injury Depends on Injury Severity. Journal of Neurotrauma, 34(4), 798–806. https://doi.org/10.1089/neu.2016.4584

Iyer, K. K., Barlow, K. M., Brooks, B., Ofoghi, Z., Zalesky, A., & Cocchi, L. (2019). Relating brain connectivity with persistent symptoms in pediatric concussion. Annals of Clinical and Translational Neurology, 6(5), 954–961. https://doi.org/10.1002/acn3.764

Keightley, M. L., Singh Saluja, R., Chen, J.-K., Gagnon, I., Leonard, G., Petrides, M., & Ptito, A. (2014). A Functional Magnetic Resonance Imaging Study of Working Memory in Youth after Sports-Related Concussion: Is It Still Working? Journal of Neurotrauma, 31(5), 437–451. https://doi.org/10.1089/neu.2013.3052

King, R., Grohs, M. N., Kirton, A., Lebel, C., Esser, M. J., & Barlow, K. M. (2019). Microstructural neuroimaging of white matter tracts in persistent post-concussion syndrome: A prospective controlled cohort study. NeuroImage: Clinical, 23(April), 101842. https://doi.org/10.1016/j.nicl.2019.101842

King, R., Kirton, A., Zewdie, E., Seeger, T. A., Ciechanski, P., & Barlow, K. M. (2019). Longitudinal assessment of cortical excitability in children and adolescents with mild traumatic brain injury and persistent post-concussive symptoms. Frontiers in Neurology, 10(MAY), 8–18. https://doi.org/10.3389/fneur.2019.00451

Lancaster, M. A., Olson, D. V., McCrea, M. A., Nelson, L. D., LaRoche, A. A., & Muftuler, L. T. (2016). Acute white matter changes following sport-related concussion: A serial diffusion tensor and diffusion kurtosis tensor imaging study. Human Brain Mapping, 37(11), 3821–3834. https://doi.org/10.1002/hbm.23278

Mac Donald, C. L., Barber, J., Wright, J., Coppel, D., De Lacy, N., Ottinger, S., … Temkin, N. (2019). Longitudinal Clinical and Neuroimaging Evaluation of Symptomatic Concussion in 10-to 14-year-old Youth Athletes. Journal of Neurotrauma, 36(2), 264–274. https://doi.org/10.1089/neu.2018.5629

Manning, K. Y., Schranz, A., Bartha, R., Dekaban, G. A., Barreira, C., Brown, A., … Menon, R. S. (2017). Multiparametric MRI changes persist beyond recovery in concussed adolescent hockey players. Neurology, 89(21), 2157–2166. https://doi.org/10.1212/WNL.0000000000004669

Mayer, A. R., Hanlon, F. M., & Ling, J. M. (2015). Gray Matter Abnormalities in Pediatric Mild Traumatic Brain Injury. Journal of Neurotrauma, 32(10), 723–730. https://doi.org/10.1089/neu.2014.3534

Morgan, C. D., Zuckerman, S. L., King, L. E., Beaird, S. E., Sills, A. K., & Solomon, G. S. (2015). Post-concussion syndrome (PCS) in a youth population: defining the diagnostic value and cost-utility of brain imaging. Child’s Nervous System, 31(12), 2305–2309. https://doi.org/10.1007/s00381-015-2916-y

Murdaugh, D. L., King, T. Z., Sun, B., Jones, R. A., Ono, K. E., Reisner, A., & Burns, T. G. (2018). Longitudinal Changes in Resting State Connectivity and White Matter Integrity in Adolescents with Sports-Related Concussion. Journal of the International Neuropsychological Society, 24(8), 781–792. https://doi.org/10.1017/S1355617718000413

Mutch, W. A. C., Ellis, M. J., Ryner, L. N., McDonald, P. J., Morissette, M. P., Pries, P., … Fisher, J. A. (2018). Patient-specific alterations in CO2 cerebrovascular responsiveness in acute and sub-acute sports-related concussion. Frontiers in Neurology, 9(JAN), 1–11. https://doi.org/10.3389/fneur.2018.00023

Mutch, W. A. C., Ellis, M. J., Ryner, L. N., Morissette, M. P., Pries, P. J., Dufault, B., … Fisher, J. A. (2016). Longitudinal Brain Magnetic Resonance Imaging CO2 Stress Testing in Individual Adolescent Sports-Related Concussion Patients: A Pilot Study. Frontiers in Neurology, 7(July), 1–8. https://doi.org/10.3389/fneur.2016.00107

Mutch, W. Alan C. Ellis, Michael J. Ryner, Lawrence N. Graham, Ruth. Dufault, Brenden. Gregson, Brian. Hall, Thomas. Bunge, Martin. Essig, M. (2015). Brain magnetic resonance imaging CO2 stress testing in adolescent post-concussion syndrome: pCASL findings. Journal of Neurosurgery, 125(September), 1–13. https://doi.org/10.3171/2015.6.JNS15972.

Newsome, M. R., Li, X., Lin, X., Wilde, E. A., Ott, S., Biekman, B., … Levin, H. S. (2016). Functional connectivity is altered in concussed adolescent athletes despite medical clearance to return to play: A preliminary report. Frontiers in Neurology, 7(JUL), 1–9. https://doi.org/10.3389/fneur.2016.00116

Orr, C. A., Albaugh, M. D., Watts, R., Garavan, H., Andrews, T., Nickerson, J. P., … Hudziak, J. J. (2016). Neuroimaging Biomarkers of a History of Concussion Observed in Asymptomatic Young Athletes. Journal of Neurotrauma, 33(9), 803–810. https://doi.org/10.1089/neu.2014.3721

Rose, S. C., Schaffer, C. E., Young, J. A., McNally, K. A., Fischer, A. N., & Heyer, G. L. (2017). Utilization of conventional neuroimaging following youth concussion. Brain Injury, 31(2), 260–266. https://doi.org/10.1080/02699052.2016.1235285

Saluja, R. S., Chen, J.-K., Gagnon, I. J., Keightley, M., & Ptito, A. (2015). Navigational Memory Functional Magnetic Resonance Imaging: A Test for Concussion in Children. Journal of Neurotrauma, 32(10), 712–722. https://doi.org/10.1089/neu.2014.3470

Schmidt, J., Hayward, K. S., Brown, K. E., Zwicker, J. G., Ponsford, J., Van Donkelaar, P., … Boyd, L. A. (2018). Imaging in pediatric concussion: A systematic review. Pediatrics, 141(5). https://doi.org/10.1542/peds.2017-3406

Sinopoli, K. J., Chen, J.-K., Wells, G., Fait, P., Ptito, A., Taha, T., & Keightley, M. (2014). Imaging “Brain Strain” in Youth Athletes with Mild Traumatic Brain Injury during Dual-Task Performance. Journal of Neurotrauma, 31(22), 1843–1859. https://doi.org/10.1089/neu.2014.3326

Stephens, J. A., Liu, P., Lu, H., & Suskauer, S. J. (2018). Cerebral Blood Flow after Mild Traumatic Brain Injury: Associations between Symptoms and Post-Injury Perfusion. Journal of Neurotrauma, 35(2), 241–248. https://doi.org/10.1089/neu.2017.5237

Urban, K. J., Barlow, K. M., Jimenez, J. J., Goodyear, B. G., & Dunn, J. F. (2015). Functional Near-Infrared Spectroscopy Reveals Reduced Interhemispheric Cortical Communication after Pediatric Concussion. Journal of Neurotrauma, 32(11), 833–840. https://doi.org/10.1089/neu.2014.3577

Urban, K. J., Riggs, L., Wells, G. D., Keightley, M., Chen, J.-K., Ptito, A., … Sinopoli, K. J. (2017). Cortical Thickness Changes and Their Relationship to Dual-Task Performance following Mild Traumatic Brain Injury in Youth. Journal of Neurotrauma, 34(4), 816–823. https://doi.org/10.1089/neu.2016.4502

Van Beek, L., Ghesquière, P., Lagae, L., & De Smedt, B. (2015). Mathematical Difficulties and White Matter Abnormalities in Subacute Pediatric Mild Traumatic Brain Injury. Journal of Neurotrauma, 32(20), 1567–1578. https://doi.org/10.1089/neu.2014.3809

Van Beek, L., Vanderauwera, J., Ghesquière, P., Lagae, L., & De Smedt, B. (2015). Longitudinal changes in mathematical abilities and white matter following paediatric mild traumatic brain injury. Brain Injury, 29(13–14), 1701–1710. https://doi.org/10.3109/02699052.2015.1075172

Wang, Y., Nelson, L. D., LaRoche, A. A., Pfaller, A. Y., Nencka, A. S., Koch, K. M., & McCrea, M. A. (2016). Cerebral Blood Flow Alterations in Acute Sport-Related Concussion. Journal of Neurotrauma, 33(13), 1227–1236. https://doi.org/10.1089/neu.2015.4072

Wang, Y., West, J. D., Bailey, J. N., Westfall, D. R., Xiao, H., Arnold, T. W., … McDonald, B. C. (2015). Decreased cerebral blood flow in chronic pediatric mild TBI: An MRI perfusion study. Developmental Neuropsychology, 40(1), 40–44. https://doi.org/10.1080/87565641.2014.979927

Westfall, D. R., West, J. D., Bailey, J. N., Arnold, T. W., Kersey, P. A., Saykin, A. J., & McDonald, B. C. (2015). Increased brain activation during working memory processing after pediatric mild traumatic brain injury (mTBI). Journal of Pediatric Rehabilitation Medicine, 8(4), 297–308. https://doi.org/10.3233/PRM-150348

Wu, T., Merkley, T. L., Wilde, E. A., Barnes, A., Li, X., Chu, Z. D., … Levin, H. S. (2017). A preliminary report of cerebral white matter microstructural changes associated with adolescent sports concussion acutely and subacutely using diffusion tensor imaging. Brain Imaging and Behavior, 1–12. https://doi.org/10.1007/s11682-017-9752-5

Last update: November 16, 2019