Table 4.
As diagnostic tools | As patient stratification tools in therapeutic clinical trials |
As disease prognosticator |
As monitor for chronic TBI |
|
---|---|---|---|---|
Setting | Acute (up to first 24 h post- injury |
Acute (within hours post- injury) |
Acute to subacute (hours to days) |
Weeks, months, years |
Clinical utilities | • To reduce usage of CT • To triage patients for hospitalization |
• To screen and enroll mild TBI subjects who are likely to have poor outcome or develop post-concussive syndrome • To screen and enroll subjects who are likely to respond to a certain therapy |
• To inform patient and/or family of likelihood of mid- and long-term prognosis |
• Monitor development of CTE, AD or PD • Monitor autoimmune response |
Examples | GFAP, UCH-L1, S100b or β, SBDP150/145/SNTF, T-Tau/P-Tau, pNF-H, NF-L |
GFAP, pNF-H | GFAP, P-Tau, S100B, NF-L |
T-Tau, P-Tau, Aβ peptides, AutoAb[GFAP] |