Advanced Neuroimaging and Mild Traumatic Brain Injury Litigation, Revisited

[摘要] traumatic brain injuryforensic psychiatryneuroradiologyOver a decade has now passed since publishing our brief series addressing advanced neuroimaging in the context of mild TBI litigation.1,2 That being the case, it seems like an appropriate interval to revisit these matters and consider the present landscape, to include appropriate uses and ethical reporting of advanced neuroimaging, as well as the ongoing potential for idiosyncratic applications, if not abuses. Much has changed in the intervening decade in terms of various publications, guidelines, and position statements on the subject of neuroimaging in TBI, including its clinical and forensic applications. At the same time, implementation of these publications, guidelines, and position statements is lagging, and misapplications and misinterpretations continue to feature regularly in medicolegal matters involving claims of highly atypical, and medically improbable, negative outcomes after mild TBI. I offer here an update on advanced neuroimaging and the best evidence for its use as informed by findings from the fields of neuroradiology, brain injury medicine, and neuropsychiatry. I also explore the increasingly apparent need for greater involvement of forensically-trained physicians (i.e., forensic neuropsychiatrists) to serve as experts in such matters.

[学科分类] 儿科学

[关键词] traumatic brain injury;forensic psychiatry;neuroradiology