MRI scans presented recently at the annual meeting of the Radiological Society of North America (RSNA) illustrate the brain changes among youth football players that can result from repetitive blows to the head.
There is rising concern that youth football players who experience these collisions in practices and games may be vulnerable to their effects.
“The years from age 9 to 12 are very important when it comes to brain development,” says study lead author Jeongchul Kim, PhD, from Wake Forest School of Medicine in Winston-Salem, NC, in a media release.
“The functional regions of the brain are starting to integrate with one another, and players exposed to repetitive brain injuries, even if the amount of impact is small, could be at risk.”
In their study, Kim and colleagues studied the results of these collisions on youth football players using a novel MRI method that looks at the strain evident on white matter tracts—the bundles of nerve fibers that carry information between different areas of the brain.
“The focus here was on deformations of these fiber bundles,” Kim explains. “Changes from collisions might cause elongation or contraction of these bundles.”
Twenty-six male youth football players, average age 12, underwent MRI studies before and approximately 3 months after the season was over. For comparison, 22 similarly aged boys who did not participate in contact sports had MRIs on the same schedule.
The MRI results showed that the football players developed changes in the corpus callosum, a critically important band of nerve fibers that connects the two halves of the brain. The primary role of the corpus callosum is to integrate cognitive, motor, and sensory functions between the two sides of the brain, explains the release, from the Radiological Society of North America.
There were signs of greater axial strain (contraction) in some parts of the corpus callosum, and indications of radial strain (expansion) in other parts.
“The body of the corpus callosum is a unique structure that’s somewhat like a bridge connecting the left and right hemispheres of brain,” Kim continues. “When it’s subjected to external forces, some areas will contract and others will expand, just like when a bridge is twisting in the wind.”
The results suggest that repetitive subconcussive head impacts associated with participation in youth contact sports could lead to changes in the shape of the corpus callosum during this critical time of brain development. Kim cautions, however, that more evidence is needed to confirm the findings. His group intends to continue studying the players, when possible, to see if any additional deformation occurs.
The ultimate goal of the research, Kim concludes, is to provide guidelines for safe football play. MRI may have a role in that process by helping to determine if and when an athlete is able to return to play after a head injury. Positron emission tomography, an imaging technique that can detect signs of inflammation in the brain, is also potentially useful in this regard, according to Kim.
“It’s best to detect changes at the earliest possible time,” he says.
[Source(s): Radiological Society of North America, Science Daily]