--- title: Diagnosing Concussion with functional NeuroCognitive Imaging | Cognitive FX description: It would be nice to know exactly what is happening in the brain after a concussion to provide the best overall treatment and a new imaging technology can do that. functional Neurocognitive Imaging is an imaging technique used to diagnose concussion and recognizes changes in the brain in real time. image: https://www.cognitivefxusa.com/hubfs/Diagnosing%20Concussion%20with%20functional%20NeuroCognitive%20Imaging.png --- ![Light-Mode-Sun-Icon-SVG](https://www.cognitivefxusa.com/hubfs/Sun.svg) ![Dark-Mode-Moon-Icon-SVG](https://www.cognitivefxusa.com/hubfs/moon.svg) ###### 280 W River Park Drive Suite 110 Provo, UT ###### [+1 385 446-4161](tel:+13854464161) ###### [hello@cognitivefxusa.com](mailto:hello@cognitivefxusa.com) [![Main_Logo_500px 1](https://www.cognitivefxusa.com/hubfs/Main_Logo_500px%201.svg) ](https://www.cognitivefxusa.com/) [**Get Started** ](https://cta-redirect.hubspot.com/cta/redirect/2921058/881eced2-ed9a-4b23-a8ba-b17b0921e4b3) - [Brain Injury Treatments](https://www.cognitivefxusa.com/treatment) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### Your Treatment ###### [Post-Concussion Syndrome Treatment Our intensive EPIC program helps patients recover from symptoms that haven't responded to traditional care.](https://www.cognitivefxusa.com/treatment) ###### [POTS Treatment POTS treatment clinic using neurological retraining, vestibular recalibration & CO₂ therapy. 5-day intensive program in Utah.](https://www.cognitivefxusa.com/pots-treatment) ###### [Viral Brain Injury Treatment Long Covid-19, Post-Treatment Lyme, Encephalitis. 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Diagnosing Concussion with functional NeuroCognitive Imaging # Diagnosing Concussion with functional NeuroCognitive Imaging ![Image of Cognitive FX Team](https://www.cognitivefxusa.com/hubfs/Rounded-C-R.jpg) Cognitive FX Team • Updated on 21 January, 2023 • Medically Reviewed by [Dr. Alina Fong](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) [mailto:?subject=Check%20out%20https://www.cognitivefxusa.com/blog/diagnosing-concussion-with-functional-neurocognitive-imaging%20&body=Check%20out%20https://www.cognitivefxusa.com/blog/diagnosing-concussion-with-functional-neurocognitive-imaging&media=https://info.cognitivefxusa.com/hubfs/Diagnosing%20Concussion%20with%20functional%20NeuroCognitive%20Imaging.png](mailto:?subject=Check%20out%20https://www.cognitivefxusa.com/blog/diagnosing-concussion-with-functional-neurocognitive-imaging%20&body=Check%20out%20https://www.cognitivefxusa.com/blog/diagnosing-concussion-with-functional-neurocognitive-imaging&media=https://info.cognitivefxusa.com/hubfs/Diagnosing%20Concussion%20with%20functional%20NeuroCognitive%20Imaging.png) ### What imaging is used to diagnose a brain injury? After a concussion or any hit to the head, you go to the doctor, and they tell you might have a concussion, but that it is no big deal because your symptoms will just go away with some rest right? Sometimes, but not usually. It would be nice to know exactly how you are feeling to provide the best overall treatment and a new imaging technology can do that. A Functional Magnetic Resonance Image (fMRI) is an imaging technique used to diagnose concussion and recognizes changes in the brain while you are asked to engage in cognitive tasks. Most people have heard of an MRI and but fewer have heard of a functional MRI (fMRI). So what are they and what is the difference between them? MRI produces static images of the anatomy of the brain and a functional MRI produces images of what is going on inside the brain as it is working.   [Functional NeuroCognitive Imaging](https://www.cognitivefxusa.com/fnci) (fNCI) fNCI is a unique form of a fMRI that uses specific tests to measure how the brain is functioning. fNCI is over 98% accurate at diagnosing concussions. In the past, concussions have been subjectively diagnosed by either giving the individual a post-concussion symptom scale (PCSS) to rate the severity of their symptoms or by asking the patient if they went unconscious after getting hit.  Now, fNCI provides an [objective measure](https://www.cognitivefxusa.com/objective-and-subjective-measurements-in-our-research) to target treatment on specific cognitive areas to, in turn, accelerate recovery. Rather than you telling a doctor what you think is going on, the doctor can see exactly what is happening in regards to your brain functioning. What does fNCI measure and how does it diagnose a concussion? The fNCI measures the amount of blood sent to the brain and where it goes while the individual is thinking. From looking at an fNCI of a patient, it is easy to see what part of the brain has too little (hypoactivation) or too much (hyperactivation) blood flowing to each brain region that is tested in the scan. When the region is hypoactivated, the brain is not receiving enough oxygen to function in that specific area, which means the person will have a difficult time completing tasks using that part of the brain. When the region is hyperactivated, it has so much blood that it the brain spends more energy than it needs to complete a task, resulting in fatigue and often headaches. The fNCI is effective in diagnosing concussion because these changes in blood flow contribute heavily to concussion etiology. | ![LIFG_Normal](https://www.cognitivefxusa.com/hs-fs/hubfs/LIFG_Normal.jpg?width=243&height=192&name=LIFG_Normal.jpg) Normal Activation Measured with fNCI | ![LIFG_Impaired](https://www.cognitivefxusa.com/hs-fs/hubfs/LIFG_Impaired.jpg?width=243&height=192&name=LIFG_Impaired.jpg) Impaired Activation Measured with fNCI | | --- | --- | ### How is the fNCI Administered? A trained fMRI technician has the patient lay down in a magnetic resonance imaging scanner and gives them instructions on how to complete six cognitive tests. They communicate with the patient through a microphone when needed. While the patient is completing the tests, real-time data pulls up on the technician’s screen as well as activation images of the patient’s brain. The images show the amount of blood that is being sent to the brain during each portion of the test. An fNCI takes around 45 minutes to complete. After completion of the fNCI, a doctor analyzes the results and compares them to results from those without concussions. The doctor uses this comparison to give a Severity Index Score (SIS) that quantifies the severity of the concussion. ### How does fNCI add value to understanding brain injury? fNCI utilizes 6 testing batteries that have all been developed and researched with publications to back up their findings and applications. These testing batteries essentially make up the technology that makes fNCI unique and provides the basis for the Severity Index Score (SIS). The testing batteries also provide [biomarkers](https://www.omicsonline.org/open-access/discovery-of-therapytargeting-biomarkers-for-postconcussionsyndrome-using-functional-neurocognitive-imaging-2168-975X-1000243.pdf) that verify it is a concussion, and not another neurological disorder or disease. Because fNCI was developed to create a new standard of care, the SIS score is a comparison to our healthy group of patients that are in our normative database. We can accurately compare you to a large group of healthy patients to accurately evaluate where the [brain is dysfunctioning](https://www.cognitivefxusa.com/connection-between-concussion-symptoms-and-brain-function). Many [patients share how this scan](https://www.cognitivefxusa.com/the-value-of-objective-concussion-diagnosis-and-assessment) has empowered them to see and better understand their injury, and what to do to get better. Overall, fNCI is what makes how Cognitive FX approaches understanding the brain after an injury unique which then, in turn, makes our treatment approach unique. To learn more about our research go to our [Resources & Publications](https://www.cognitivefxusa.com/technical-reports/) page.   [![Check Our Our Interactive Brain >](https://no-cache.hubspot.com/cta/default/2921058/a99758c2-70bf-4629-b7bc-5227e413c1d8.png)](https://cta-redirect.hubspot.com/cta/redirect/2921058/a99758c2-70bf-4629-b7bc-5227e413c1d8) --- ![Image of Cognitive FX Team](https://www.cognitivefxusa.com/hs-fs/hubfs/Rounded-C-R.jpg?height=150&name=Rounded-C-R.jpg) ### About the author [Cognitive FX Team](https://www.cognitivefxusa.com/blog/author/cognitive-fx-team) The "Cognitive FX Team" is a collaborative ensemble of distinguished doctors, therapists, and practitioners. Our experts are pioneers in the field of neuroimaging and concussion treatment. With extensive experience and a strong commitment to patient care, our team excels in utilizing cutting-edge technologies, such as functional MRI (fMRI), to provide personalized diagnostic and treatment strategies. Our renowned professionals have published groundbreaking research, developed innovative neuroimaging biomarkers, and conducted thousands of individualized patient assessments. We take pride in our holistic approach to patient care, focusing on physical, cognitive, and emotional aspects of recovery. As leaders in the industry, the Cognitive FX Team is dedicated to advancing the science of concussion diagnosis and treatment to provide our patients with the highest level of care and support. [Follow me on Facebook ](https://www.facebook.com/cognitivefx) ## Related Posts ![Amen Clinics vs Cognitive FX for Concussion and TBI Treatment](https://www.cognitivefxusa.com/hs-fs/hubfs/amen-clinics-vs-cfx.jpg?height=175&name=amen-clinics-vs-cfx.jpg) ### Amen Clinics vs Cognitive FX for Concussion and TBI Treatment ![Image of Dr. Mark Allen, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Mark_150px.webp?height=70&name=Mark_150px.webp) [Dr. Mark Allen, Ph.D.](https://www.cognitivefxusa.com/blog/author/cognitive-fx-team) Very few clinics offer specialized treatment for[post concussion syndrome (PCS)](https://www.cognitivefxusa.com/blog/post-concussion-syndrome-and-post-concussion-symptoms-pcs). Cognitive FX specializes exclusively in treating the root causes of lingering post-concussion symptoms (as well as... [Read the full article ](https://www.cognitivefxusa.com/blog/amen-clinic-concussion-tbi-supplements) ![Post-Concussion Syndrome Care at Mayo Clinic vs. Cognitive FX](https://www.cognitivefxusa.com/hs-fs/hubfs/mayo-clinic-post-concussion-syndrome-care.jpg?height=175&name=mayo-clinic-post-concussion-syndrome-care.jpg) ### Post-Concussion Syndrome Care at Mayo Clinic vs. Cognitive FX ![Image of Dr. Mark Allen, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Mark_150px.webp?height=70&name=Mark_150px.webp) [Dr. Mark Allen, Ph.D.](https://www.cognitivefxusa.com/blog/author/cognitive-fx-team) If you have [post-concussion syndrome](https://www.cognitivefxusa.com/blog/post-concussion-syndrome-and-post-concussion-symptoms-pcs), you might think that the Mayo Clinic would be a serious contender as your treatment provider. After all, the Mayo Clinic is a world-renowned medical and research... [Read the full article ](https://www.cognitivefxusa.com/blog/mayo-clinic-post-concussion-syndrome-care) ![Imaging Technologies Used to Diagnose a Concussion](https://www.cognitivefxusa.com/hs-fs/hubfs/Imaging%20Technologies%20Used%20to%20Diagnose%20a%20Concussion.png?height=175&name=Imaging%20Technologies%20Used%20to%20Diagnose%20a%20Concussion.png) ### Imaging Technologies Used to Diagnose a Concussion ![Image of Cognitive FX Team](https://www.cognitivefxusa.com/hs-fs/hubfs/Rounded-C-R.jpg?height=70&name=Rounded-C-R.jpg) [Cognitive FX Team](https://www.cognitivefxusa.com/blog/author/cognitive-fx-team) There are a variety of imaging technologies that can be used to look at a brain injury or a concussion, and are used in unique ways to address and review specific concerns with a head injury. These... [Read the full article ](https://www.cognitivefxusa.com/blog/different-scans-to-diagnose-concussion) ![What Makes Cognitive FX Unique](https://www.cognitivefxusa.com/hs-fs/hubfs/What%20Makes%20Cognitive%20FX%20Unique.png?height=175&name=What%20Makes%20Cognitive%20FX%20Unique.png) ### What Makes Cognitive FX Unique? | Cognitive FX ![Image of Cognitive FX Team](https://www.cognitivefxusa.com/hs-fs/hubfs/Rounded-C-R.jpg?height=70&name=Rounded-C-R.jpg) [Cognitive FX Team](https://www.cognitivefxusa.com/blog/author/cognitive-fx-team) Quite often we are asked what makes Cognitive FX unique in relation to clinics that have a background in functional neurology, including Brain Plasticity Centers. Here we review 8 key ways we are... [Read the full article ](https://www.cognitivefxusa.com/blog/what-makes-cognitive-fx-unique) ![Connection Between Concussion Symptoms and Brain Function](https://www.cognitivefxusa.com/hs-fs/hubfs/Connection%20Between%20Concussion%20Symptoms%20and%20Brain%20Function.png?height=175&name=Connection%20Between%20Concussion%20Symptoms%20and%20Brain%20Function.png) ### Connection Between Concussion Symptoms & Brain Function | Cognitive FX ![Image of Cognitive FX Team](https://www.cognitivefxusa.com/hs-fs/hubfs/Rounded-C-R.jpg?height=70&name=Rounded-C-R.jpg) [Cognitive FX Team](https://www.cognitivefxusa.com/blog/author/cognitive-fx-team) The brain loves taking the path of least resistance. This is true for [blood flow and also for sending the communication signals](https://www.cognitivefxusa.com/what-is-neurovascular-coupling) in the brain when neurons are firing. Even a simple task requires... [Read the full article ](https://www.cognitivefxusa.com/blog/connection-between-concussion-symptoms-and-brain-function) ![What Causes Headaches-1](https://www.cognitivefxusa.com/hs-fs/hubfs/What%20Causes%20Headaches-1.png?height=175&name=What%20Causes%20Headaches-1.png) ### What Causes Headaches? ![Image of Cognitive FX Team](https://www.cognitivefxusa.com/hs-fs/hubfs/Rounded-C-R.jpg?height=70&name=Rounded-C-R.jpg) [Cognitive FX Team](https://www.cognitivefxusa.com/blog/author/cognitive-fx-team) Headaches can be a tricky symptom to address. They are often one of several symptoms that may present itself after a concussion or traumatic brain injury (TBI). On another hand, headaches are not a... [Read the full article ](https://www.cognitivefxusa.com/blog/what-causes-headaches) #### Proven Results Improvement in 77% of Participants Published peer-reviewed research shows that Cognitive FX treatment leads to meaningful symptom reduction in post-concussion symptoms for 77% of study participants. Cognitive FX is the only PCS clinic with third-party validated treatment outcomes. 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All Rights Reserved. | [Privacy Policy](https://www.cognitivefxusa.com/blog/diagnosing-concussion-with-functional-neurocognitive-imaging#) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Cognitive FX Team", "url" : "https://www.cognitivefxusa.com/blog/author/cognitive-fx-team" }, "dateModified" : "2023-01-21T09:36:26.195Z", "datePublished" : "2018-09-11T16:27:00.000Z", "headline" : "Diagnosing Concussion with functional NeuroCognitive Imaging | Cognitive FX", "image" : [ "https://www.cognitivefxusa.com/hubfs/Diagnosing%20Concussion%20with%20functional%20NeuroCognitive%20Imaging.png" ], "mainEntityOfPage" : { "@id" : "https://www.cognitivefxusa.com/blog/diagnosing-concussion-with-functional-neurocognitive-imaging", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://www.cognitivefxusa.com/hubfs/Cognitive-Final-Logo-BlBlk-Med.png" }, "name" : "Cognitive FX" } } ``` ```json { "@context" : "https://schema.org", "@type" : "Article", "about" : { "@type" : "MedicalCondition", "name" : "" }, "audience" : { "@type" : "Audience", "audienceType" : [ "patient", "caregiver" ] }, "author" : { "@type" : "Person", "affiliation" : { "@type" : "MedicalOrganization", "name" : "Cognitive FX", "url" : "https://www.cognitivefxusa.com" }, "name" : "Cognitive FX Team" }, "dateModified" : "21 January, 2023", "datePublished" : "2018-09-11 16:27:00", "description" : "It would be nice to know exactly what is happening in the brain after a concussion to provide the best overall treatment and a new imaging technology can do that. functional Neurocognitive Imaging is an imaging technique used to diagnose concussion and recognizes changes in the brain in real time. 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Sometimes, but not usually. It would be nice to know exactly how you are feeling to provide the best overall treatment and a new imaging technology can do that. A Functional Magnetic Resonance Image (fMRI) is an imaging technique used to diagnose concussion and recognizes changes in the brain while you are asked to engage in cognitive tasks. Most people have heard of an MRI and but fewer have heard of a functional MRI (fMRI). So what are they and what is the difference between them? MRI produces static images of the anatomy of the brain and a functional MRI produces images of what is going on inside the brain as it is working. Functional NeuroCognitive Imaging (fNCI) fNCI is a unique form of a fMRI that uses specific tests to measure how the brain is functioning. fNCI is over 98% accurate at diagnosing concussions. In the past, concussions have been subjectively diagnosed by either giving the individual a post-concussion symptom scale (PCSS) to rate the severity of their symptoms or by asking the patient if they went unconscious after getting hit. Now, fNCI provides an objective measure to target treatment on specific cognitive areas to, in turn, accelerate recovery. Rather than you telling a doctor what you think is going on, the doctor can see exactly what is happening in regards to your brain functioning. What does fNCI measure and how does it diagnose a concussion? The fNCI measures the amount of blood sent to the brain and where it goes while the individual is thinking. From looking at an fNCI of a patient, it is easy to see what part of the brain has too little (hypoactivation) or too much (hyperactivation) blood flowing to each brain region that is tested in the scan. When the region is hypoactivated, the brain is not receiving enough oxygen to function in that specific area, which means the person will have a difficult time completing tasks using that part of the brain. When the region is hyperactivated, it has so much blood that it the brain spends more energy than it needs to complete a task, resulting in fatigue and often headaches. The fNCI is effective in diagnosing concussion because these changes in blood flow contribute heavily to concussion etiology. LIFG_Normal Normal Activation Measured with fNCI LIFG_Impaired Impaired Activation Measured with fNCI How is the fNCI Administered? A trained fMRI technician has the patient lay down in a magnetic resonance imaging scanner and gives them instructions on how to complete six cognitive tests. They communicate with the patient through a microphone when needed. While the patient is completing the tests, real-time data pulls up on the technician’s screen as well as activation images of the patient’s brain. The images show the amount of blood that is being sent to the brain during each portion of the test. An fNCI takes around 45 minutes to complete. After completion of the fNCI, a doctor analyzes the results and compares them to results from those without concussions. The doctor uses this comparison to give a Severity Index Score (SIS) that quantifies the severity of the concussion. How does fNCI add value to understanding brain injury? fNCI utilizes 6 testing batteries that have all been developed and researched with publications to back up their findings and applications. These testing batteries essentially make up the technology that makes fNCI unique and provides the basis for the Severity Index Score (SIS). The testing batteries also provide biomarkers that verify it is a concussion, and not another neurological disorder or disease. Because fNCI was developed to create a new standard of care, the SIS score is a comparison to our healthy group of patients that are in our normative database. We can accurately compare you to a large group of healthy patients to accurately evaluate where the brain is dysfunctioning. Many patients share how this scan has empowered them to see and better understand their injury, and what to do to get better. Overall, fNCI is what makes how Cognitive FX approaches understanding the brain after an injury unique which then, in turn, makes our treatment approach unique. 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