Abstract:
Objective:To explore the relationship between abnormality on susceptibilityweighted imaging (SWI) and newlydeveloped depression after mild traumatic brain injury. Methods:Totally 200 brain injury patients with routine CT and MRI were examined. All patients underwent MRI including conventional MR sequences and SWI. The number and volume of microbleed lesions were semiautomatically outlined and manually counted. All patients were followed up with the Structured Clinical Interview for DSMⅣ Axis I Disorders (SCIDⅣ) within 1 year after TBI. Results:The difference in microbleed lesions on SWI was compared between the depressive and nondepressive groups. The depressive group had a higher rate of abnormality on SWI than which in the nondepressive group (P<0.001). Among patients that had exhibited microbleed lesions, the number and volume of lesions were greater in the depressive group than the nondepressive group (all P<0.001). These differences in numbers and volume of lesions were found only at the frontal, parietal, and temporal lobes (all P<0.001). Among patients that had exhibited microbleed lesions, the number and volume of lesions in other areas were not significantly different between the depressive and nondepressive groups (all P>0.05). Conclusions:SWI was useful to identify the microbleed lesions after mild TBI. The distribution range and location of microbleed lesions were correlated with depression after TBI.