Early Preconfiguration Failure: A Novel Predictor of the Repetitive Subconcussion

Original Abstract

Early diagnosis and assessment of repetitive subconcussive (rSC) brain injuries are crucial for early clinical intervention. Conventional methods, largely relying on slow fMRI, fail to capture millisecond-level early cortical dynamics, particularly spatiotemporal features associated with pre-configuration dynamics. This study introduces a novel approach integrating dynamic hierarchical spatial features and cortical early behavioral time-domain sensitivity, utilizing EEG and visual attention tasks. We analyzed cortical early behaviors in 24 healthy controls (HC), 21 rSC patients,and a validation cohort of 25 cTBI patients from public datasets. Results reveal distinct temporal patterns in HC: elevated integration at 0-100 ms, rebound dynamics at 100-200ms, and visual perception integration peaks at 200-600 ms. In contrast, rSC patients exhibited significantly impaired dynamic features, with reduced integration levels indicating a decline in pre-configuration dynamics. Signed center distance (SCD) analysis of separation-integration trajectories showed significantly lower early SCD values in rSC patients compared to HC, while cTBI patients displayed negative SCD values, reflecting irreversible damage. Machine learning classification achieved optimal performance in distinguishing between HC, rSC, and cTBI groups using early cortical features, highlighting the critical role of millisecond-level cortical dynamics in rSC diagnosis.