• Ivan I Kirov, Christopher T Whitlow, and Carlos Zamora.
• Department of Radiology, New York University School of Medicine, Center for Advanced Imaging Innovation and Research (CAI2R), Bernard and Irene Schwartz Center for Biomedical Imaging, 660 First Avenue, 421, New York, NY 10016, USA.
• Neuroimaging Clin. N. Am. 2018 Feb 1; 28 (1): 91-105.

AbstractAlthough susceptibility-weighted imaging (SWI) studies have suggested an increased number of microhemorrhages in concussion, most show no significant differences compared with controls. There have been mixed results on using SWI to predict neurologic outcomes. Drawbacks include inability to time microhemorrhages and difficulty in attributing them to the concussion. Magnetic resonance spectroscopy (MRS) in concussion can identify metabolic abnormalities, with many studies showing correlations with clinical outcome. Applications in individual patients are impeded by conflicting data and lack of consensus on an optimal protocol. Therefore, currently MRS has most utility in group-level comparisons designed to reveal the pathophysiology of concussion.Copyright © 2017 Elsevier Inc. All rights reserved.

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