What traditional neuropsychological assessment got wrong about mild traumatic brain injury. IV: clinical applications and future directions.

Abstract

Primary objective: Part IV concludes this four-part review of 'What Traditional Neuropsychological Assessment Got Wrong About Mild Traumatic Brain Injury,' with a focus on clinical applications and future directions.

Methods and procedures: These reviews have highlighted the limitations of traditional neuropsychological assessment methods, particularly in the evaluation of the patient with mild traumatic brain injury (mTBI), and especially within the context of all of the 21^st Century advances in neuroimaging, quantification and network neuroscience.

Main outcome and results: How advanced neuroimaging technology and contemporary network neuroscience can be applied to assessing the mTBI patient at this time along with neuroimaging of the future are reviewed. The current status of computerized neuropsychological test (CNT) development is reviewed as it applies to mTBI assessment. Likewise, how the future of various types of virtual reality (VR), artificial intelligence (AI), wearable sensors, and markerless gaming technology could enhance the mTBI CNT assessment tool box of the future is reviewed.

Conclusions: The review concludes with some aspirational statements about how improvements along with novel CNT methods could be developed and integrated with advanced neuroimaging technologies in the future to be tailored to meet the needs of the mTBI patient.