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In order to identify clinically relevant imaging and behavioral biomarkers associated concussion, a closed\u2010head mTBI was induced in adolescent pigs. Twelve (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20094 male and\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098 female), 16\u2010week old Yucatan pigs were tested;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20096 received mTBI and\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20096 received a sham procedure. T1\u2010weighted imaging was used to assess volumetric alterations in different regions of the brain and diffusion tensor imaging (DTI) to examine microstructural damage in white matter. The pigs were imaged at 1\u2010 and 3\u2010month post\u2010injury. Neuropsychological screening for executive function and anxiety were performed before and in the months after the injury. The volumetric analysis showed significant longitudinal changes in pigs with mTBI compared with sham, which may be attributed to swelling and neuroinflammation. Fractional anisotropy (FA) values derived from DTI images demonstrated a 21% increase in corpus callosum from 1 to 3\u2009months in mTBI pigs, which is significantly higher than in sham pigs (4.8%). Additionally, comparisons of the left and right internal capsules revealed a decrease in FA in the right internal capsule for mTBI pigs, which may indicate demyelination. The neuroimaging results suggest that the injury had disrupted the maturation of white and gray matter in the developing brain. Behavioral testing showed that compare to sham pigs, mTBI pigs exhibited 23% increased activity in open field tests, 35% incraesed escape attempts, along with a 65% decrease in interaction with the novel object, suggesting possible memory impairments and cognitive deficits. The correlation analysis showed an associations between volumetric features and behavioral metrics. Furthermore, a machine learning model, which integrated FA, volumetric features and behavioral test metrics, achieved 67% accuracy, indicating its potential to differentiate the two groups. Thus, the imaging biomarkers were indicative of long\u2010term behavioral impairments and could be crucial to the clinical management of concussion in youth.\n                  <\/jats:p>","DOI":"10.1002\/nbm.70074","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T01:41:32Z","timestamp":1749519692000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Volumetric and Diffusion Tensor Imaging Abnormalities Are Associated With Behavioral Changes Post\u2010Concussion in a Youth Pig Model of Mild Traumatic Brain Injury"],"prefix":"10.1002","volume":"38","author":[{"given":"Islam","family":"Sanjida","sequence":"first","affiliation":[{"name":"Mechanical Engineering Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Netzley","family":"Alesa","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Chenyang","sequence":"additional","affiliation":[{"name":"Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology New York University Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Jiangyang","sequence":"additional","affiliation":[{"name":"Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology New York University Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e1vila\u2010Montero","family":"Bianca","sequence":"additional","affiliation":[{"name":"Mechanical Engineering Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vazquez","family":"Ana","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics Michigan State University  East Lansing Michigan USA"},{"name":"Institute of Quantitative Health, Science and Engineering Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subbaiah","family":"Shaun","sequence":"additional","affiliation":[{"name":"Mechanical Engineering Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meoded","family":"Avner","sequence":"additional","affiliation":[{"name":"Department of Radiology, Children's Mercy Hospital  Kansas City Missouri USA"},{"name":"Department of Radiology University of Missouri\u2013Kansas City School of Medicine  Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munoz","family":"Kirk","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences, College of Veterinary Medicine Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colbath","family":"Aimee","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4096-5128","authenticated-orcid":false,"given":"Huang","family":"Jie","sequence":"additional","affiliation":[{"name":"Department of Radiology Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mejia\u2010Alvarez","family":"Ricardo","sequence":"additional","affiliation":[{"name":"Mechanical Engineering Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manfredi","family":"Jane","sequence":"additional","affiliation":[{"name":"Department of Large Animal Clinical Sciences Michigan State University College of Veterinary Medicine  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pelled","family":"Galit","sequence":"additional","affiliation":[{"name":"Mechanical Engineering Michigan State University  East Lansing Michigan USA"},{"name":"Department of Radiology Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.ra.2016\u20100191"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/arclin\/acp006"},{"issue":"39","key":"e_1_2_8_4_1","first-page":"1337","article-title":"Nonfatal Traumatic Brain Injuries Related to Sports and Recreation Activities Among Persons Aged \u226419 Years\u2014United States, 2001\u20132009","volume":"60","author":"Centers for Disease Control and Prevention","year":"2011","journal-title":"MMWR. 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