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2. Flortaucipir tau PET findings from former professional and college American football players in the DIAGNOSE CTE research project.

Author

Su, Yi, Protas, Hillary, Luo, Ji, Chen, Kewei, Alosco, Michael, Adler, Charles, Balcer, Laura, Bernick, Charles, Au, Rhoda, Banks, Sarah, Barr, William, Coleman, Michael, Dodick, David, Katz, Douglas, Marek, Kenneth, McClean, Michael, McKee, Ann, Mez, Jesse, Daneshvar, Daniel, Palmisano, Joseph, Peskind, Elaine, Turner, Robert, Wethe, Jennifer, Johnson, Keith, Tripodis, Yorghos, Cummings, Jeffrey, Shenton, Martha, Stern, Robert, Reiman, Eric, and Rabinovici, Gil

Subjects
CTE, PET, Tau, flortaucipir, football, Male, Humans, Middle Aged, Chronic Traumatic Encephalopathy, Football, tau Proteins, Positron-Emission Tomography, Brain Injuries, Traumatic, Carbolines
Abstract

INTRODUCTION: Tau is a key pathology in chronic traumatic encephalopathy (CTE). Here, we report our findings in tau positron emission tomography (PET) measurements from the DIAGNOSE CTE Research Project. METHOD: We compare flortaucipir PET measures from 104 former professional players (PRO), 58 former college football players (COL), and 56 same-age men without exposure to repetitive head impacts (RHI) or traumatic brain injury (unexposed [UE]); characterize their associations with RHI exposure; and compare players who did or did not meet diagnostic criteria for traumatic encephalopathy syndrome (TES). RESULTS: Significantly elevated flortaucipir uptake was observed in former football players (PRO+COL) in prespecified regions (p

Published
2024

4. Inflammatory biomarkers for neurobehavioral dysregulation in former American football players: findings from the DIAGNOSE CTE Research Project

Author

van Amerongen, Suzan, Pulukuri, Surya V., Tuz-Zahra, Fatima, Tripodis, Yorghos, Cherry, Jonathan D., Bernick, Charles, Geda, Yonas E., Wethe, Jennifer V., Katz, Douglas I., Alosco, Michael L., Adler, Charles H., Balcer, Laura J., Ashton, Nicholas J., Blennow, Kaj, Zetterberg, Henrik, Daneshvar, Daniel H., Colasurdo, Elizabeth A., Iliff, Jeffrey J., Li, Gail, Peskind, Elaine R., Shenton, Martha E., Reiman, Eric M., Cummings, Jeffrey L., and Stern, Robert A.

Published
2024
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5. Cognitive, functional, and neuropsychiatric correlates of regional tau pathology in autopsy-confirmed chronic traumatic encephalopathy

Author

Alosco, Michael L., White, Micaela, Bell, Carter, Faheem, Farwa, Tripodis, Yorghos, Yhang, Eukyung, Baucom, Zachary, Martin, Brett, Palmisano, Joseph, Dams-O’Connor, Kristen, Crary, John F., Goldstein, Lee E., Katz, Douglas I., Dwyer, Brigid, Daneshvar, Daniel H., Nowinski, Christopher, Cantu, Robert C., Kowall, Neil W., Stern, Robert A., Alvarez, Victor E., Huber, Bertrand Russell, Stein, Thor D., McKee, Ann C., and Mez, Jesse

Published
2024
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6. Cortical-sparing chronic traumatic encephalopathy (CSCTE): a distinct subtype of CTE

Author

Alexander, Abigail, Alvarez, Victor E., Huber, Bertrand R., Alosco, Michael L., Mez, Jesse, Tripodis, Yorghos, Nicks, Raymond, Katz, Douglas I., Dwyer, Brigid, Daneshvar, Daniel H., Martin, Brett, Palmisano, Joseph, Goldstein, Lee E., Crary, John F., Nowinski, Christopher, Cantu, Robert C., Kowall, Neil W., Stern, Robert A., Delalle, Ivana, McKee, Ann C., and Stein, Thor D.

Published
2024
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8. Decreased myelin proteins in brain donors exposed to football-related repetitive head impacts

Author

Alosco, Michael L, Ly, Monica, Mosaheb, Sydney, Saltiel, Nicole, Uretsky, Madeline, Tripodis, Yorghos, Martin, Brett, Palmisano, Joseph, Delano-Wood, Lisa, Bondi, Mark W, Meng, Gaoyuan, Xia, Weiming, Daley, Sarah, Goldstein, Lee E, Katz, Douglas I, Dwyer, Brigid, Daneshvar, Daniel H, Nowinski, Christopher, Cantu, Robert C, Kowall, Neil W, Stern, Robert A, Alvarez, Victor E, Mez, Jesse, Huber, Bertrand Russell, McKee, Ann C, and Stein, Thor D

Subjects
Biological Psychology, Psychology, Acquired Cognitive Impairment, Brain Disorders, Neurodegenerative, Neurosciences, Neurological, Good Health and Well Being, myelin, cerebrovascular disease, chronic traumatic encephalopathy, repetitive head impacts, white matter, Clinical sciences, Biological psychology
Abstract

American football players and other individuals exposed to repetitive head impacts can exhibit a constellation of later-life cognitive and neuropsychiatric symptoms. While tau-based diseases such as chronic traumatic encephalopathy can underpin certain symptoms, contributions from non-tau pathologies from repetitive head impacts are increasingly recognized. We examined cross-sectional associations between myelin integrity using immunoassays for myelin-associated glycoprotein and proteolipid protein 1 with risk factors and clinical outcomes in brain donors exposed to repetitive head impacts from American football. Immunoassays for myelin-associated glycoprotein and proteolipid protein 1 were conducted on dorsolateral frontal white matter tissue samples of 205 male brain donors. Proxies of exposure to repetitive head impacts included years of exposure and age of first exposure to American football play. Informants completed the Functional Activities Questionnaire, Behavior Rating Inventory of Executive Function-Adult Version (Behavioral Regulation Index), and Barratt Impulsiveness Scale-11. Associations between myelin-associated glycoprotein and proteolipid protein 1 with exposure proxies and clinical scales were tested. Of the 205 male brain donors who played amateur and professional football, the mean age was 67.17 (SD = 16.78), and 75.9% (n = 126) were reported by informants to be functionally impaired prior to death. Myelin-associated glycoprotein and proteolipid protein 1 correlated with the ischaemic injury scale score, a global indicator of cerebrovascular disease (r = -0.23 and -0.20, respectively, Ps < 0.01). Chronic traumatic encephalopathy was the most common neurodegenerative disease (n = 151, 73.7%). Myelin-associated glycoprotein and proteolipid protein 1 were not associated with chronic traumatic encephalopathy status, but lower proteolipid protein 1 was associated with more severe chronic traumatic encephalopathy (P = 0.03). Myelin-associated glycoprotein and proteolipid protein 1 were not associated with other neurodegenerative disease pathologies. More years of football play was associated with lower proteolipid protein 1 [beta = -2.45, 95% confidence interval (CI) [-4.52, -0.38]] and compared with those who played

Published
2023

9. All ahead flank for LCS (Littoral Combat Ship)

Author

Mustin, Henry C., VADM, Ret and Katz, Douglas J., VADM, Ret

Subjects
WARSHIPS - United States, SEA CONTROL SHIPS, NAVY - United States - Equipment, LITTORAL OPERATIONS, PROCUREMENT - Navy - United States
Abstract

illus

Published
2003

13. Leveraging football accelerometer data to quantify associations between repetitive head impacts and chronic traumatic encephalopathy in males

Author

Daneshvar, Daniel H., Nair, Evan S., Baucom, Zachary H., Rasch, Abigail, Abdolmohammadi, Bobak, Uretsky, Madeline, Saltiel, Nicole, Shah, Arsal, Jarnagin, Johnny, Baugh, Christine M., Martin, Brett M., Palmisano, Joseph N., Cherry, Jonathan D., Alvarez, Victor E., Huber, Bertrand R., Weuve, Jennifer, Nowinski, Christopher J., Cantu, Robert C., Zafonte, Ross D., Dwyer, Brigid, Crary, John F., Goldstein, Lee E., Kowall, Neil W., Katz, Douglas I., Stern, Robert A., Tripodis, Yorghos, Stein, Thor D., McClean, Michael D., Alosco, Michael L., McKee, Ann C., and Mez, Jesse

Published
2023
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15. Examination of parkinsonism in former elite American football players

Author

Alosco, Michael L., Adler, Charles H., Dodick, David W., Tripodis, Yorghos, Balcer, Laura J., Bernick, Charles, Banks, Sarah J., Barr, William B., Wethe, Jennifer V., Palmisano, Joseph N., Martin, Brett, Hartlage, Kaitlin, Cantu, Robert C., Geda, Yonas E., Katz, Douglas I., Mez, Jesse, Cummings, Jeffery L., Shenton, Martha E., Reiman, Eric M., and Stern, Robert A.

Published
2024
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27. A comparison between tau and amyloid-β cerebrospinal fluid biomarkers in chronic traumatic encephalopathy and Alzheimer disease

Author

Turk, Katherine W., Geada, Alexandra, Alvarez, Victor E., Xia, Weiming, Cherry, Jonathan D., Nicks, Raymond, Meng, Gaoyuan, Daley, Sarah, Tripodis, Yorghos, Huber, Bertrand R., Budson, Andrew E., Dwyer, Brigid, Kowall, Neil W., Cantu, Robert C., Goldstein, Lee E., Katz, Douglas I., Stern, Robert A., Alosco, Michael L., Mez, Jesse, McKee, Ann C., and Stein, Thor D.

Published
2022
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28. Clinical and Neuropathological Correlates of Substance Use in American Football Players.

Author

Walsh, Michael, Uretsky, Madeline, Tripodis, Yorghos, Nowinski, Christopher J., Rasch, Abigail, Bruce, Hannah, Ryder, Megan, Martin, Brett M., Palmisano, Joseph N., Katz, Douglas I., Dwyer, Brigid, Daneshvar, Daniel H., Walley, Alexander Y., Kim, Theresa W., Goldstein, Lee E., Stern, Robert A., Alvarez, Victor E., Huber, Bertrand Russell, McKee, Ann C., and Stein, Thor D.

Subjects
CHRONIC traumatic encephalopathy, ALZHEIMER'S disease, SUBSTANCE abuse, BRAIN injuries, HEAD injuries
Abstract

Background: Chronic traumatic encephalopathy (CTE) is a neurodegenerative tauopathy more frequently found in deceased former football players. CTE has heterogeneous clinical presentations with multifactorial causes. Previous literature has shown substance use (alcohol/drug) can contribute to Alzheimer's disease and related tauopathies pathologically and clinically. Objective: To examine the association between substance use and clinical and neuropathological endpoints of CTE. Methods: Our sample included 429 deceased male football players. CTE was neuropathologically diagnosed. Informant interviews assessed features of substance use and history of treatment for substance use to define indicators: history of substance use treatment (yes vs no, primary variable), alcohol severity, and drug severity. Outcomes included scales that were completed by informants to assess cognition (Cognitive Difficulties Scale, BRIEF-A Metacognition Index), mood (Geriatric Depression Scale-15), behavioral regulation (BRIEF-A Behavioral Regulation Index, Barratt Impulsiveness Scale-11), functional ability (Functional Activities Questionnaire), as well as CTE status and cumulative p-tau burden. Regression models tested associations between substance use indicators and outcomes. Results: Of the 429 football players (mean age = 62.07), 313 (73%) had autopsy confirmed CTE and 100 (23%) had substance use treatment history. Substance use treatment and alcohol/drug severity were associated with measures of behavioral regulation (FDR-p-values<0.05, ΔR2 = 0.04–0.18) and depression (FDR-p-values<0.05, ΔR2 = 0.02–0.05). Substance use indicators had minimal associations with cognitive scales, whereas p-tau burden was associated with all cognitive scales (p-values <0.05). Substance use treatment had no associations with neuropathological endpoints (FDR-p-values>0.05). Conclusions: Among deceased football players, substance use was common and associated with clinical symptoms. [ABSTRACT FROM AUTHOR]

Published
2024
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30. Lack of Association of Informant-Reported Traumatic Brain Injury and Chronic Traumatic Encephalopathy

Author

Culhane, Julia E., primary, Jackson, Colleen E., additional, Tripodis, Yorghos, additional, Nowinski, Christopher J., additional, Dams-O'Connor, Kristen, additional, Pettway, Erika, additional, Uretsky, Madeline, additional, Abdolmohammadi, Bobak, additional, Nair, Evan, additional, Martin, Brett, additional, Palmisano, Joseph, additional, Katz, Douglas I., additional, Dwyer, Brigid, additional, Daneshvar, Daniel H., additional, Goldstein, Lee E., additional, Kowall, Neil W., additional, Cantu, Robert C., additional, Stern, Robert A., additional, Huber, Bertrand Russell, additional, Crary, John F., additional, Mez, Jesse, additional, Stein, Thor D., additional, McKee, Ann C., additional, and Alosco, Michael L., additional

Published
2024
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31. Feasibility and Validity of the Coma Recovery Scale-Revised For Accelerated Standardized Testing (CRSR-FAST): A Practical Assessment Scale for Detecting Consciousness in the Intensive Care Unit

Author

Bodien, Yelena, primary, Vora, Isha, additional, Barra, Alice, additional, Chiang, Kevin, additional, Chatelle, Camille, additional, Goostrey, Kelsey, additional, Martens, Geraldine, additional, Mello, Jennifer, additional, Parlman, Kristin, additional, Ranford, Jessica, additional, Sterling, Ally, additional, Waters, Abigail, additional, Hirschberg, Ronald, additional, Katz, Douglas, additional, Mazwi, Nicole, additional, Ni, Pengsheng, additional, Velmahos, George, additional, Waak, Karen, additional, Edlow, Brian, additional, and Giacino, Joseph, additional

Published
2024
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36. Substantia Nigra Pathology, Contact Sports Play, and Parkinsonism in Chronic Traumatic Encephalopathy

Author

Adams, Jason W., Kirsch, Daniel, Calderazzo, Samantha M., Tuz-Zahra, Fatima, Tripodis, Yorghos, Mez, Jesse, Alosco, Michael L., Alvarez, Victor E., Huber, Bertrand R., Kubilus, Caroline, Cormier, Kerry A., Nicks, Raymond, Uretsky, Madeline, Nair, Evan, Kuzyk, Eva, Aytan, Nurgul, Cherry, Jonathan D., Crary, John F., Daneshvar, Daniel H., Nowinski, Christopher J., Goldstein, Lee E., Dwyer, Brigid, Katz, Douglas I., Cantu, Robert C., Stern, Robert A., McKee, Ann C., and Stein, Thor D.

Abstract

IMPORTANCE: Parkinsonism is associated with traumatic brain injury and chronic traumatic encephalopathy (CTE), a neurodegenerative disease associated with repetitive head impact (RHI) exposure, but the neuropathologic substrates that underlie parkinsonism in individuals with CTE are yet to be defined. OBJECTIVE: To evaluate the frequency of parkinsonism in individuals with CTE and the association of RHI and neuropathologic substrates with parkinsonism in these individuals. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study included brain donors with neuropathologically diagnosed CTE without other significant neurodegenerative disease and with information on parkinsonism from the Understanding Neurologic Injury and Traumatic Encephalopathy brain bank between July 2015 and May 2022. EXPOSURE: Years of contact sports participation as a proxy for RHI. MAIN OUTCOMES AND MEASURES: The main outcomes were frequency of parkinsonism in individuals with CTE and associations between (1) RHI with substantia nigra (SN) Lewy bodies (LBs) and neurofibrillary tangles (NFTs); (2) LBs, NFTs, and arteriolosclerosis with SN neuronal loss; and (3) SN neuronal loss, LBs, NFTs, and arteriolosclerosis with parkinsonism, tested by age-adjusted logistic regressions. RESULTS: Of 481 male brain donors with neuropathologically diagnosed CTE, parkinsonism occurred frequently in individuals with CTE (119 [24.7%]; 362 [75.3%] did not have parkinsonism). Participants with parkinsonism had a higher mean (SD) age at death (71.5 [13.0] years) than participants without parkinsonism (54.1 [19.3] years) (P &lt; .001) and higher rates of dementia (104 [87.4%] vs 105 [29.0%]), visual hallucinations (45 [37.8%] vs 51 [14.1%]), and probable rapid eye movement sleep behavior disorder (52 [43.7%] vs 58 [16.0%]) (P &lt; .001 for all). Participants with parkinsonism had a more severe CTE stage (eg, stage IV: 35 [29.4%] vs 39 [10.8%]) and nigral pathology than those without parkinsonism (NFTs: 50 of 117 [42.7%] vs 103 of 344 [29.9%]; P = .01; neuronal loss: 61 of 117 [52.1%] vs 59 of 344 [17.1%]; P &lt; .001; and LBs: 28 of 116 [24.1%] vs 20 of 342 [5.8%]; P &lt; .001). Years of contact sports participation were associated with SN NFTs (adjusted odds ratio [AOR], 1.04; 95% CI, 1.00-1.07; P = .03) and neuronal loss (AOR, 1.05; 95% CI, 1.01-1.08; P = .02). Nigral neuronal loss (AOR, 2.61; 95% CI, 1.52-4.47; P &lt; .001) and LBs (AOR, 2.29; 95% CI, 1.15-4.57; P = .02) were associated with parkinsonism. However, SN neuronal loss was associated with SN LBs (AOR, 4.48; 95% CI, 2.25-8.92; P &lt; .001), SN NFTs (AOR, 2.51; 95% CI, 1.52-4.15; P &lt; .001), and arteriolosclerosis (AOR, 2.27; 95% CI, 1.33-3.85; P = .002). In American football players, regression analysis demonstrated that SN NFTs and neuronal loss mediated the association between years of play and parkinsonism in the context of CTE (β, 0.012; 95% CI, 0.001-0.038). CONCLUSIONS AND RELEVANCE: In this cross-sectional study of contact sports athletes with CTE, years of contact sports participation were associated with SN tau pathology and neuronal loss, and these pathologies were associated with parkinsonism. Repetitive head impacts may incite neuropathologic processes that lead to symptoms of parkinsonism in individuals with CTE.

Published
2024
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38. The practice of emergency radiology throughout Europe: a survey from the European Society of Emergency Radiology on volume, staffing, equipment, and scheduling

Author

Scaglione, Mariano, Basilico, Raffaella, Delli Pizzi, Andrea, Iacobellis, Francesca, Dick, Elizabeth, Wirth, Stefan, Linsenmaier, Ulrich, Calli, Cem, Berger, Ferco H., Nieboer, Koenraad H., Barrio, Ana Blanco, Dumba, Maureen, Grassi, Roberto, Katulska, Katarzyna, Schueller, Gerd, Patlas, Michael N., Laghi, Andrea, Muto, Mario, Nicola, Refky, Zins, Marc, Miele, Vittorio, Hartley, Richard, Katz, Douglas S, and Derchi, Lorenzo

Published
2021
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43. Characterizing Cerebrovascular Pathologies in Brain Donors Exposed to Repetitive Head Impacts

Author

Emrani, Sheina, primary, Koutures, Anne, additional, Tripodis, Yorghos, additional, Uretsky, Madeline, additional, Abdolmohammadi, Bobak, additional, Nowinski, Christopher, additional, Daneshvar, Daniel H, additional, Katz, Douglas I, additional, Goldstein, Lee E, additional, Martin, Brett M, additional, Palmisano, Joseph N, additional, Dams‐O'Connor, Kristen, additional, Crary, John F., additional, Mez, Jesse B., additional, Alvarez, Victor E., additional, Huber, Bertrand R., additional, McKee, Ann C., additional, Stein, Thor D., additional, and Alosco, Michael L, additional

Published
2023
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44. Association of Traumatic Brain Injury, Mild Cognitive Impairment and Dementia in the Framingham Heart Study

Author

Durape, Shruti, primary, Joshi, Prajakta S., additional, Burton, Rebecca, additional, Chien‐Young, Kurtis, additional, Price, Eden, additional, Yhang, Eukyung, additional, Liu, Yulin, additional, Ang, Ting Fang Alvin, additional, Devine, Sherral A., additional, Gurnani, Ashita S, additional, Katz, Douglas I, additional, Tripodis, Yorghos, additional, Alosco, Michael L, additional, Dams‐O'Connor, Kristen, additional, Au, Rhoda, additional, and Mez, Jesse B., additional

Published
2023
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45. Fluid Biomarkers for Neurobehavioral Dysregulation in Former American Football Players

Author

van Amerongen, Suzan, primary, Pulukuri, Surya V, additional, Tripodis, Yorghos, additional, Bernick, Charles B., additional, Geda, Yonas E., additional, Wethe, Jennifer, additional, Katz, Douglas I, additional, Alosco, Michael L, additional, Mez, Jesse B., additional, Palmisano, Joseph N, additional, Tuz‐Zahra, Fatima, additional, Adler, Charles, additional, Balcer, Laura, additional, Ashton, Nicholas J., additional, Blennow, Kaj, additional, Iliff, Jeffrey J, additional, Li, Ge, additional, Zetterberg, Henrik, additional, Peskind, Elaine R, additional, Reiman, Eric M., additional, Shenton, Martha E, additional, Cummings, Jeffrey L., additional, and Stern, Robert A, additional

Published
2023
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46. Cognitive, functional, and neuropsychiatric correlates of regional tau in autopsy‐confirmed chronic traumatic encephalopathy

Author

Faheem, Farwa, primary, Alosco, Michael L, additional, White, Micaela, additional, Bell, Carter, additional, Tripodis, Yorghos, additional, Yhang, Eukyung, additional, Baucom, Zachary H., additional, Martin, Brett M, additional, Palmisano, Joseph N, additional, Goldstein, Lee E, additional, Katz, Douglas I, additional, Dwyer, Brigid, additional, Daneshvar, Daniel H, additional, Nowinski, Christopher, additional, Cantu, Robert, additional, Kowall, Neil W, additional, Stern, Robert A, additional, Alvarez, Victor E., additional, Huber, Bertrand R., additional, Stein, Thor D., additional, McKee, Ann C., additional, and Mez, Jesse B., additional

Published
2023
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47. Relative Contributions of Mixed Pathologies to Cognitive and Functional Symptoms in Brain Donors Exposed to Repetitive Head Impacts

Author

Saltiel, Nicole, primary, Tripodis, Yorghos, additional, Menzin, Talia, additional, Olaniyan, Aliyah, additional, Baucom, Zach, additional, Yhang, Eukyung, additional, Palmisano, Joseph N., additional, Martin, Brett, additional, Uretsky, Madeline, additional, Nair, Evan, additional, Abdolmohammadi, Bobak, additional, Shah, Arsal, additional, Nicks, Raymond, additional, Nowinski, Christopher, additional, Cantu, Robert C., additional, Daneshvar, Daniel H., additional, Dwyer, Brigid, additional, Katz, Douglas I., additional, Stern, Robert A., additional, Alvarez, Victor E., additional, Huber, Bertrand, additional, Boyle, Patricia A., additional, Schneider, Julie A., additional, Mez, Jesse, additional, McKee, Ann C., additional, Alosco, Michael L., additional, and Stein, Thor D., additional

Published
2023
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48. Examination of parkinsonism in former elite American football players

Author

Alosco, Michael L., primary, Adler, Charles H., additional, Dodick, David W., additional, Tripodis, Yorghos, additional, Balcer, Laura J., additional, Bernick, Charles, additional, Banks, Sarah J., additional, Barr, William B., additional, Wethe, Jennifer V., additional, Palmisano, Joseph N., additional, Martin, Brett, additional, Hartlage, Kaitlin, additional, Cantu, Robert C., additional, Geda, Yonas E., additional, Katz, Douglas I., additional, Mez, Jesse, additional, Cummings, Jeffery L., additional, Shenton, Martha E., additional, Reiman, Eric M., additional, and Stern, Robert A., additional

Published
2023
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49. Association of probable REM sleep behavior disorder with pathology and years of contact sports play in chronic traumatic encephalopathy

Author

Adams, Jason W., Alosco, Michael L., Mez, Jesse, Alvarez, Victor E., Huber, Bertrand R., Tripodis, Yorghos, Adler, Charles H., Kubilius, Carol, Cormier, Kerry A., Mathais, Rebecca, Nicks, Raymond, Kelley, Hunter J., Saltiel, Nicole, Uretsky, Madeline, Nair, Evan, Aytan, Nurgul, Cherry, Jonathan D., Nowinski, Christopher J., Kowall, Neil W., Goldstein, Lee E., Dwyer, Brigid, Katz, Douglas I., Cantu, Robert C., Stern, Robert A., McKee, Ann C., and Stein, Thor D.

Published
2020
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