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NCIRE-The Veterans Health Research Institute is the leading private nonprofit institute devoted to Veterans health research in the United States. Our mission is to advance Veterans health through research.

We support the work of some of the nation's foremost physicians and scientists at the San Francisco Veterans Affairs Medical Center, the premier biomedical research facility in the VA system. All have faculty appointments at the University of California, San Francisco, which has its own proud traditions of research and patient care. We also partner with the U.S. Department of Defense to support health research on behalf of our men and women in the Armed Forces.

Those who have served in uniform have given their best for their country. In return, we believe that they deserve nothing less than the best health care research we can provide.

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Grant E. Gauger, MD

Staff Physician, Surgical Service, SFVAHCS
Clinical Professor Emeritus of Neurological Surgery, UCSF

Email: grant.gauger@va.gov

Investigating Closed-Head Traumatic Brain Injury

Dr. Gauger has extensive expertise in the treatment of brain and spinal cord injury and neurological trauma. Currently, he is investigating the uses of MRI and diffusion tensor imaging (DTI) to measure changes in the brain in post-concussion. Blunt trauma of the human brain, which occurs in a wide variety of military operations, presents serious problems in assessment, treatment, and outcome prediction. Mild traumatic brain injury - concussion - is frequently followed by a clinical syndrome that is associated with serious disability, despite the absence of significant abnormalities on conventional radiologic imaging. Previous studies of concussion subjects using 1.5 Tesla magnetic resonance imaging have revealed evidence of widespread metabolic changes. In order to clarify the extent and significance of such changes, Dr. Gauger is studying concussion subjects using MRI and DTI data obtained with a higher-resolution 4 Tesla MRI system. This research is anticipated to lead to improved understanding of post-concussion syndrome, with early application to important decisions in the assessment and treatment of injured military personnel.

To see Dr. Gauger on Pub Med, click here.