Phenotyping the Spectrum of Traumatic Brain Injury: A Review and Pathway to Standardization.

Phenotyping the Spectrum of Traumatic Brain Injury: A Review and Pathway to Standardization.
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DOI:
10.1089/neu.2021.0059
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发表时间:
2021-12
影响因子:
4.2
通讯作者:
Lumba-Brown A
Lumba-Brown A
中科院分区:
医学2区
文献类型:
--
作者:
Pugh MJ;Kennedy E;Prager EM;Humpherys J;Dams-O'Connor K;Hack D;McCafferty MK;Wolfe J;Yaffe K;McCrea M;Ferguson AR;Lancashire L;Ghajar J;Lumba-Brown A

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人们普遍认为,创伤性脑损伤 (TBI) 的范围,从轻度到重度,包含不同的临床表现,分别称为亚型、表型和/或临床特征。作为脑外伤蓝图 TBI 科学状况的一部分,我们回顾了当前关于 TBI 表型分析的文献,重点是无监督的方法学方法,并描述了在报告中看起来相似的五种表型。然而,我们也发现文献中包含不同的分析策略、纳入标准、研究结果和术语的使用。此外,虽然一些研究描绘了特定严重程度的 TBI 内的表型,但其他研究则得出了整个严重程度范围内的表型。总之,这些事实混淆了研究结果的直接综合。为了克服这个问题,我们引入了 PhenoBench,这是一个免费的代码存储库,用于原始表型数据的标准化和评估。通过这次审查和工具集,我们提供了一条通往强大的、数据驱动的表型的途径,可以捕获 TBI 的异质性,从而实现可重复的见解和有针对性的护理。
It is widely appreciated that the spectrum of traumatic brain injury (TBI), mild through severe, contains distinct clinical presentations, variably referred to as subtypes, phenotypes, and/or clinical profiles. As part of the Brain Trauma Blueprint TBI State of the Science, we review the current literature on TBI phenotyping with an emphasis on unsupervised methodological approaches, and describe five phenotypes that appear similar across reports. However, we also find the literature contains divergent analysis strategies, inclusion criteria, findings, and use of terms. Further, whereas some studies delineate phenotypes within a specific severity of TBI, others derive phenotypes across the full spectrum of severity. Together, these facts confound direct synthesis of the findings. To overcome this, we introduce PhenoBench, a freely available code repository for the standardization and evaluation of raw phenotyping data. With this review and toolset, we provide a pathway toward robust, data-driven phenotypes that can capture the heterogeneity of TBI, enabling reproducible insights and targeted care.
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