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 The research, presented at an American Academy of Neurology
meeting that began in Vancouver on Monday, is one of the first to
provide "objective evidence" of traumatic brain injury in a large
sample of National Football League veterans while they are living,
said Dr. Francis X. Conidi, one of the study's authors.
Conidi, a neurologist at the Florida Center for Headache and Sports
Neurology and a faculty member at the Florida State University
College of Medicine, said traumatic brain injury was often a
"precursor" to CTE, a degenerative brain disease.
"What we do know is that players with traumatic brain injury have a
high incidence of going on to develop neurological degenerative
disease later on in life," Conidi told Reuters.
CTE, or chronic traumatic encephalopathy, has been found in dozens
of the NFL's top players after they died. At present, a CTE
diagnosis is only possible after death.
 The brain tissue of 59 or 62 deceased former NFL players examined by
Boston University's CTE Center have tested positive for CTE,
according to its website. The disease, which can lead to aggression
and dementia, may have led to the suicides of several NFL athletes,
including Hall of Famer Junior Seau.
In the new study, the largest of its kind, 40 living former players
were given sensitive brain scans, known as diffusion tensor imaging
(DTI), as well as thinking and memory tests.
"No one has ever looked at this number of (living) players before,"
Conidi said.
The DTI scans, which measure water flow between parts of the brain,
revealed damage in 17 of the men, or 43 percent. That percentage was
about three times higher than among the general population, Conidi
said. Traditional MRI scans showed signs of damage in 12 ex-players,
or 30 percent.
The longer a player was in the league, the greater the likelihood
the advanced scan would reveal signs of brain damage, the
neurologist said, a correlation that did not show up with
traditional scans. With both types of scanning, there was no
relationship between the number of diagnosed concussions suffered by
a player and signs of brain damage.
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That finding suggests the constant banging that players experience
during games and practices, especially those playing offensive and
defensive line positions, puts them more at risk than the big hits
that cause concussions, Conidi told Reuters.
One way of reducing the danger is by eliminating tackling during
practices, Conidi said, a step that some Ivy League football
programs have already taken.
Conidi said his study was "one piece of the puzzle" in understanding
the link between brain damage and football, the most popular
American sport and one that generates billions of dollars in revenue
for its players, coaches and owners.
The issue has become the subject of a national conversation in
recent years, thanks in part to the 2015 movie "Concussion,"
starring Will Smith. The film tells the true story of Dr. Bennet
Omalu, a Nigerian pathologist who challenged the NFL with his
research into CTE suffered by players.
After Omalu published his research, some 5,000 former players sued
the NFL over brain injuries, claiming the league concealed the
dangers of repeated head trauma. The players agreed to a settlement
that could cost the NFL $1 billion, but the deal remains tied up in
the courts.
(Reporting By Frank McGurty in New York; Editing by Jonathan Oatis)
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