Author(s)

Yang Zhang^1*, Qiushui Wang^1*, Yan Zhao¹, Zongying He¹, Fen Lv², Hongzhong Zhang¹, Zhenghu Lei¹, Shaokun Lv¹, Xia Gao^1#, Xiaona He^1#

¹Rehabilitation Medicine, Qujing No. 1 Hospital, Qujing, China.
²Rehabilitation Medicine, Qujing Multi-Rehabilitation Hospital, Qujing, China.

Objective: To explore the clinical application of multimodal magnetic resonance imaging in evaluating the effects of rTMS combined with cognitive training on the rehabilitation of cognitive impairment in patients with TBI. Methods: A prospective selection of 166 patients with cognitive dysfunction after traumatic brain injury who were in our hospital from January 2018 to January 2020 were divided into observation group and control group according to the principle of randomization, with 83 cases in each group; the former was rTMS + cognitive training, control group cognitive training, observe and compare the changes of GCS score, MRSI examination Cho/Cr, NAA/Cr ratio, cognitive dysfunction score, cognitive impairment grading scale and modified Barthel index. Results: The GCS score, Cho/Cr and NAA/Cr ratios of the observation group were significantly lower than those of the control group, while the cognitive dysfunction score, cognitive impairment rating scale and modified Barthel index were better than those of the control group (P < 0.05). Conclusion: rTMS can improve the rehabilitation effect of patients with cognitive dysfunction after brain trauma, and multimodal magnetic resonance imaging can play a good role in evaluation.

Cognitive Dysfunction after Traumatic Brain Injury, rTMS, Cognitive Training, Observation of Clinical Indicators, Accurate Evaluation

Zhang, Y. , Wang, Q. , Zhao, Y. , He, Z. , Lv, F. , Zhang, H. , Lei, Z. , Lv, S. , Gao, X. and He, X. (2025) Application Value of Multimodal Magnetic Resonance Imaging in Evaluating the Rehabilitation Effect of rTMS Combined with Cognitive Training on Cognitive Impairment in Patients with TBI. Open Journal of Medical Imaging, 15, 89-99. doi: 10.4236/ojmi.2025.152008.