Diffusion Tensor Imaging (DTI) and Shearing Injuries After Concussion in Kansas City
Concussions and traumatic brain injuries (TBI) often cause subtle but serious damage to the brain’s white matter, which can be difficult to detect with standard imaging techniques. These injuries frequently involve shearing of axons, the long fibers connecting neurons. Even mild concussions can disrupt neural pathways, leading to cognitive, emotional, and physical symptoms that affect work, school, and daily life. At Keystone Medical Group, we use Diffusion Tensor Imaging (DTI) to detect these microstructural injuries and create personalized recovery plans for patients throughout Kansas City, Overland Park, Lee’s Summit, North Kansas City, Liberty, Raytown, Independence, Blue Springs, Shawnee, Leawood, Gladstone, and surrounding communities.
David Buechner, MD - Medical Director
David Buechner, MD, is a highly skilled radiologist and neurointerventional specialist who leads the medical team at Keystone Medical Group. He provides expert interpretation of advanced imaging, including MRI Diffusion Tensor Imaging (DTI), to identify subtle brain changes in patients with traumatic brain injuries, concussions, and other complex injuries.
In addition to his imaging expertise, Dr. Buechner leads a research program using a novel regenerative medicine therapy for TBI, developing targeted treatments to improve recovery and enhance patient outcomes. He oversees all aspects of patient care, ensuring that diagnostic precision, innovative therapies, and coordinated rehabilitation work together to support both cognitive and physical healing.
Dr. Buechner’s guidance allows clinicians to create individualized treatment plans while providing patients and their families with clear insights into recovery progress. Patients throughout Kansas City and surrounding areas trust his expertise to guide their care, achieve optimal outcomes, and regain confidence in their daily lives.
Understanding Shearing Injuries
During a concussion, rapid movement of the head causes the brain to shift inside the skull. This movement can stretch and tear axons, a condition known as diffuse axonal injury (DAI). Shearing injuries interfere with communication between neurons and can result in:
Cognitive impairments such as memory loss, difficulty concentrating, and slowed processing
Emotional changes including irritability, anxiety, and depression
Motor challenges including poor coordination, dizziness, and balance issues
Persistent headaches, fatigue, and sensitivity to light or sound
These injuries are microscopic and often do not appear on traditional CT or MRI scans, which makes DTI imaging essential for accurate diagnosis and treatment planning.
What is Diffusion Tensor Imaging (DTI)?
Diffusion Tensor Imaging is an advanced MRI technique that measures the movement of water molecules along the brain’s white matter tracts. Healthy axons allow water to flow smoothly, while shearing injuries disrupt this flow. DTI provides a detailed map of neural connectivity, revealing injuries that other imaging methods may miss.
How DTI Helps in Concussion Care
DTI imaging offers multiple benefits for patients recovering from concussion:
Accurate Diagnosis: Detects subtle white matter injuries that explain ongoing symptoms even when standard MRI appears normal
Targeted Treatment Planning: Guides rehabilitation strategies including cognitive therapy, vestibular therapy, and physical therapy
Objective Documentation: Supports personal injury claims, workers’ compensation, and insurance cases with precise imaging data
Monitoring Recovery: Tracks changes in white matter integrity over time to adjust therapy as recovery progresses
Why Choose Keystone Medical Group for DTI Imaging
At Keystone Medical Group, we combine advanced imaging technology with expert clinical care. Our medical team, including neurologists, radiologists, and rehabilitation specialists, interprets DTI scans and integrates findings into individualized recovery programs. We focus on helping patients across the Kansas City metro area detect injuries early, guide treatment, and support safe return to daily life, work, and sports.
We provide:
Advanced DTI imaging for subtle white matter and shearing injuries
Comprehensive concussion evaluation including cognitive, balance, and vestibular testing
Individualized therapy plans addressing physical, cognitive, and emotional recovery
Support for personal injury and workers’ compensation claims
Coordinated care with medical, physical therapy, and mental health providers
Schedule a DTI Evaluation
If you or a loved one are experiencing persistent symptoms after a concussion, Diffusion Tensor Imaging (DTI) can uncover hidden brain injuries and guide effective therapy. Early evaluation is critical for improving recovery and functional outcomes. Learn more about our DTI and concussion imaging services here: Keystone Medical Group – DTI Imaging
We are Experts in Accident Care
Car Accidents
We specialize in treating a range of injuries caused by car accidents, including whiplash, head injuries, lower back pain, shoulder injuries, and spinal injuries resulting from motor vehicle collisions.
Motorcycle Accidents
We offer a specialized network comprising imaging centers, orthopedic surgeons, and other specialists, particularly for cases involving more severe injuries.
Truck Accidents
In the event of truck accidents where insurance coverage falls short for medical expenses, we can connect you with appropriate legal representation tailored to your specific circumstances.
Work Accidents
Our established treatment protocol for injuries is designed to expedite your recovery, ensuring you return to full capacity as soon as possible, minimizing any work disruptions.
Slip and Fall
Slip and fall cases can be complex, especially when disputes arise concerning liability and coverage. Rest assured, we are well-versed in navigating these intricacies to ensure your case is handled with expertise and diligence.
