{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:59:51Z","timestamp":1790233191846,"version":"4.1.0"},"reference-count":25,"publisher":"American Medical Association (AMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA"],"published-print":{"date-parts":[[2019,7,23]]},"DOI":"10.1001\/jama.2019.9269","type":"journal-article","created":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T13:31:19Z","timestamp":1564666279000},"page":"336","source":"Crossref","is-referenced-by-count":37,"title":["Neuroimaging Findings in US Government Personnel With Possible Exposure to Directional Phenomena in Havana, Cuba"],"prefix":"10.1001","volume":"322","author":[{"given":"Ragini","family":"Verma","sequence":"first","affiliation":[{"name":"DiCIPHR (Diffusion and Connectomics in Precision Healthcare Research) Lab, Philadelphia, Pennsylvania"},{"name":"Department of Radiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Department of Neurosurgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia"},{"name":"Center for Brain Injury and Repair, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randel L.","family":"Swanson","sequence":"additional","affiliation":[{"name":"Center for Brain Injury and Repair, University of Pennsylvania, Philadelphia"},{"name":"Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Neurotrauma, Neurodegeneration, and Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania"},{"name":"Rehabilitation Medicine Service, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drew","family":"Parker","sequence":"additional","affiliation":[{"name":"DiCIPHR (Diffusion and Connectomics in Precision Healthcare Research) Lab, Philadelphia, Pennsylvania"},{"name":"Department of Radiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdol Aziz","family":"Ould Ismail","sequence":"additional","affiliation":[{"name":"DiCIPHR (Diffusion and Connectomics in Precision Healthcare Research) Lab, Philadelphia, Pennsylvania"},{"name":"Department of Radiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell T.","family":"Shinohara","sequence":"additional","affiliation":[{"name":"Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Perelman School of Medicine, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob A.","family":"Alappatt","sequence":"additional","affiliation":[{"name":"DiCIPHR (Diffusion and Connectomics in Precision Healthcare Research) Lab, Philadelphia, Pennsylvania"},{"name":"Department of Radiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jimit","family":"Doshi","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia"},{"name":"Section for Biomedical Image Analysis, Department of Radiology, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos","family":"Davatzikos","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia"},{"name":"Section for Biomedical Image Analysis, Department of Radiology, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Gallaway","sequence":"additional","affiliation":[{"name":"Department of Optometry, Salus University, Elkins Park, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Duda","sequence":"additional","affiliation":[{"name":"Good Shepherd Penn Partners, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Isaac","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Neurotrauma, Neurodegeneration, and Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junghoon J.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Molecular, Cellular, and Biomedical Sciences, CUNY School of Medicine, City College of New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben C.","family":"Gur","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pennsylvania, Perelman School of Medicine, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald L.","family":"Wolf","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Brain Injury and Repair, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Sean","family":"Grady","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Brain Injury and Repair, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Hampton","sequence":"additional","affiliation":[{"name":"Center for Brain Injury and Repair, University of Pennsylvania, Philadelphia"},{"name":"Department of Physical Medicine and Rehabilitation, University of Pennsylvania, Perelman School of Medicine, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon","family":"Diaz-Arrastia","sequence":"additional","affiliation":[{"name":"Center for Brain Injury and Repair, University of Pennsylvania, Philadelphia"},{"name":"Department of Neurology, University of Pennsylvania, Perelman School of Medicine, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas H.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia"},{"name":"Center for Brain Injury and Repair, University of Pennsylvania, Philadelphia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"issue":"11","key":"joi190071r2","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1001\/jama.2018.1742","article-title":"Neurological manifestations among US government personnel reporting directional audible and sensory phenomena in Havana, Cuba.","volume":"319","author":"Swanson","year":"2018","journal-title":"JAMA"},{"issue":"3","key":"joi190071r3","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1006\/jmrb.1994.1037","article-title":"Estimation of the effective self-diffusion tensor from the NMR spin echo.","volume":"103","author":"Basser","year":"1994","journal-title":"J Magn Reson B"},{"key":"joi190071r5","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.neuroimage.2017.08.047","article-title":"Harmonization of multi-site diffusion tensor imaging data.","volume":"161","author":"Fortin","year":"2017","journal-title":"Neuroimage"},{"issue":"6","key":"joi190071r6","doi-asserted-by":"publisher","first-page":"1361","DOI":"10.1006\/nimg.2001.0937","article-title":"Voxel-based morphometry using the RAVENS maps: methods and validation using simulated longitudinal atrophy.","volume":"14","author":"Davatzikos","year":"2001","journal-title":"Neuroimage"},{"issue":"1","key":"joi190071r8","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1016\/S0006-3495(94)80775-1","article-title":"MR diffusion tensor spectroscopy and imaging.","volume":"66","author":"Basser","year":"1994","journal-title":"Biophys J"},{"issue":"pt 3","key":"joi190071r10","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1016\/j.expneurol.2015.02.011","article-title":"White matter involvement after TBI: clues to axon and myelin repair capacity.","volume":"275","author":"Armstrong","year":"2016","journal-title":"Exp Neurol"},{"issue":"5","key":"joi190071r11","doi-asserted-by":"publisher","first-page":"427","DOI":"10.2217\/iim.13.49","article-title":"Diffusion tensor MRI as a biomarker in axonal and myelin damage.","volume":"5","author":"Aung","year":"2013","journal-title":"Imaging Med"},{"issue":"2","key":"joi190071r12","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1016\/j.neuroimage.2009.01.002","article-title":"Atlas-based whole brain white matter analysis using large deformation diffeomorphic metric mapping: application to normal elderly and Alzheimer\u2019s disease participants.","volume":"46","author":"Oishi","year":"2009","journal-title":"Neuroimage"},{"issue":"1","key":"joi190071r13","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1093\/cercor\/bhr099","article-title":"Decoding subject-driven cognitive states with whole-brain connectivity patterns.","volume":"22","author":"Shirer","year":"2012","journal-title":"Cereb Cortex"},{"issue":"1","key":"joi190071r14","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/j.apmr.2013.09.011","article-title":"Estimating postural control with the balance rehabilitation unit: measurement consistency, accuracy, validity, and comparison with dynamic posturography.","volume":"95","author":"Alahmari","year":"2014","journal-title":"Arch Phys Med Rehabil"},{"issue":"1","key":"joi190071r15","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1097\/OPX.0000000000000935","article-title":"Vision therapy for post-concussion vision disorders.","volume":"94","author":"Gallaway","year":"2017","journal-title":"Optom Vis Sci"},{"issue":"2","key":"joi190071r17","first-page":"124","article-title":"A new visual-verbal saccade test: the Development Eye Movement test (DEM).","volume":"61","author":"Garzia","year":"1990","journal-title":"J Am Optom Assoc"},{"issue":"3","key":"joi190071r18","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1152\/jn.00338.2011","article-title":"The organization of the human cerebral cortex estimated by intrinsic functional connectivity.","volume":"106","author":"Yeo","year":"2011","journal-title":"J Neurophysiol"},{"issue":"3","key":"joi190071r20","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1006\/cbmr.1996.0014","article-title":"AFNI: software for analysis and visualization of functional magnetic resonance neuroimages.","volume":"29","author":"Cox","year":"1996","journal-title":"Comput Biomed Res"},{"issue":"2","key":"joi190071r21","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/S0733-8619(18)30359-1","article-title":"Dynamic posturography in the diagnosis and management of dizziness and balance disorders.","volume":"8","author":"Nashner","year":"1990","journal-title":"Neurol Clin"},{"issue":"6","key":"joi190071r22","doi-asserted-by":"publisher","first-page":"1607","DOI":"10.1007\/s11682-018-9823-2","article-title":"Diffusion tensor imaging changes following mild, moderate and severe adult traumatic brain injury: a meta-analysis.","volume":"12","author":"Wallace","year":"2018","journal-title":"Brain Imaging Behav"},{"issue":"2","key":"joi190071r23","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1007\/s11682-012-9156-5","article-title":"A review of magnetic resonance imaging and diffusion tensor imaging findings in mild traumatic brain injury.","volume":"6","author":"Shenton","year":"2012","journal-title":"Brain Imaging Behav"},{"key":"joi190071r24","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1016\/j.expneurol.2012.01.013","article-title":"Axonal pathology in traumatic brain injury.","volume":"246","author":"Johnson","year":"2013","journal-title":"Exp Neurol"},{"issue":"5","key":"joi190071r25","doi-asserted-by":"publisher","first-page":"1401","DOI":"10.1096\/fj.09-142844","article-title":"Mechanical breaking of microtubules in axons during dynamic stretch injury underlies delayed elasticity, microtubule disassembly, and axon degeneration.","volume":"24","author":"Tang-Schomer","year":"2010","journal-title":"FASEB J"},{"key":"joi190071r4","author":"Tuch","year":"2002"},{"key":"joi190071r9","first-page":"123","author":"Ould Ismail","year":"2019"},{"key":"joi190071r16","volume-title":"Clinical Management of Binocular Vision: Heterophoric, Accommodative and Eye Movement Disorders","author":"Scheiman","year":"2014","edition":"4th ed"},{"key":"joi190071r1","unstructured":"US Senate Committee on Foreign Relations. Subcommittee hearing: attacks on US diplomats in Cuba. January 9, 2018. https:\/\/www.foreign.senate.gov\/hearings\/attacks-on-us-diplomats-in-cuba-response-and-oversight-010918. Accessed January 10, 2018."},{"key":"joi190071r7","unstructured":"Neuromorphometrics Inc. Multi subject atlas using brain color labeling protocol. https:\/\/scalablebrainatlas.incf.org\/human\/NMM1103. Accessed March 7, 2019."},{"key":"joi190071r19","unstructured":"OishiK, FariaAV, MoriS. JHU-MNI-ss atlas. https:\/\/github.com\/Jfortin1\/EveTemplate. Accessed June 28, 2019."}],"container-title":["JAMA"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jama\/article-pdf\/322\/4\/336\/17730620\/jama_verma_2019_oi_190071.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T13:31:28Z","timestamp":1564666288000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2738552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,23]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,7,23]]}},"URL":"https:\/\/doi.org\/10.1001\/jama.2019.9269","relation":{},"ISSN":["0098-7484"],"issn-type":[{"value":"0098-7484","type":"print"}],"subject":[],"published":{"date-parts":[[2019,7,23]]}}}