Normal scan, but the patient still has a brain injury?

TBioScan® is a blood test that measures biomarkers associated with traumatic brain injury — providing objective laboratory evidence even when CT or MRI may look normal. Built for personal injury attorneys and treating clinicians who need documentation that holds up.

CAP-Accredited Lab CLIA-Certified High-Complexity Processed exclusively by BioCentra®
TBioScan · Case #48A-221
Health score
Moderate
Trending up · 7d
2 biomarkers flagged
GFAP
128 pg/mL
Ref < 90 pg/mL
Biomarker trajectory · 24h
GFAP UCH-L1
Report ready
Signed · 2 min ago
Built on the regulatory and scientific foundations attorneys and clinicians can stand behind.
How it works

Simple. Fast. Clinic-friendly.

Four steps from blood draw to a signed report your team — and the patient's case file — can rely on.

01

Draw blood in clinic

Routine venous draw by your existing staff. No specialty equipment. Standard tubes provided in the kit.

02

Ship to BioCentra®

Pre-arranged logistics, prepaid shipping, and chain-of-custody tracking included. Same-day pickup available in major Texas markets.

03

Advanced biomarker analysis

Performed in our CAP-accredited, CLIA-certified high-complexity molecular laboratory. Quantified panel of TBI-associated biomarkers.

04

Receive TBioScan® report

Signed PDF with biomarker findings, plain-English interpretation, and supporting documentation — formatted for clinical and legal review.

Why use TBioScan®

Objective evidence. Better care. Stronger cases.

Three things every TBioScan® report delivers, on every case — whether the next reader is a treating physician or opposing counsel.

Objective laboratory evidence

Quantified biomarker measurements with published reference ranges — moves the conversation beyond subjective symptom reports.

Documentation that holds up

Signed by a board-certified medical director. Chain-of-custody preserved. Reference ranges and methodology cited in every report.

Fits your existing workflow

Standard blood draw at the clinic. Pre-arranged logistics. Reports delivered as signed PDFs and HL7 messages — ready for your EHR or case file.

Who we work with

Built for the people who carry the case.

Personal injury attorneys and treating clinicians have different jobs to do. TBioScan® gives each what they need from the same blood draw.

Personal injury attorneys · Primary

Objective evidence, on the record.

Replace ambiguity with quantified biomarker findings your medical expert can stand behind in briefs, depositions, and trial. Especially valuable when imaging is normal but symptoms persist.

  • Signed report with chain-of-custody documentation
  • Plain-language interpretation a paralegal can read
  • Published reference ranges and methodology cited
  • Optional serial sampling for longitudinal documentation
Treating clinicians · Companion

Support clinical assessment with biomarker data.

An additional, objective layer of documentation alongside neurological exam and imaging — supporting concussion management, neurology referrals, and treatment continuation decisions.

  • Concussion management documentation
  • Specialist referral support
  • Treatment continuation rationale
  • EHR-ready signed PDF + HL7 export
Hospital systems and diagnostic vendors: Multi-site deployments, co-branded reporting, and HL7/FHIR integrations are on our 2027 roadmap. Talk to us early to shape what we build.
Ideal for

Patients with persistent symptoms after these incidents.

When imaging looks normal but the patient still reports headaches, dizziness, memory issues, or mood changes — TBioScan® adds objective biomarker data to the record.

Motor vehicle accidents
Slip & fall injuries
Workplace head trauma
Assault / blunt force injury
Sports-related concussion
Persistent post-concussion symptoms
What we measure

Four biomarker categories. Plain-English meaning.

TBioScan® quantifies blood biomarkers associated with four distinct injury processes in the brain. Together, they provide an objective signal even when imaging is unremarkable.

Markers: UCH-L1, NfL

Neuronal injury

Indicates damage to the neurons themselves — the cells that send and process signals throughout the brain.

Why it matters: Elevated levels are consistent with direct injury to brain cells, often present even when CT or MRI appears normal — particularly in mild TBI.

Marker: GFAP

Glial injury

Indicates damage to astrocytes — the support cells that maintain the brain's structure and respond to injury.

Why it matters: GFAP elevation is the most well-established blood biomarker for TBI — the FDA-cleared GFAP/UCH-L1 category since 2018.

Indirect markers

Blood-brain barrier disruption

Indicates that the protective barrier separating blood from brain tissue has been compromised by the injury.

Why it matters: A disrupted barrier explains why brain-specific proteins appear in blood at all — and why their presence is meaningful evidence of injury, not background noise.

Inflammatory profile

Neuroinflammation response

Indicates the brain's ongoing inflammatory reaction to the initial injury — a process that can persist long after the impact.

Why it matters: Persistent inflammation provides an objective explanation for why symptoms continue weeks or months after a "normal" scan was taken.
Regulatory note: TBioScan® is a Laboratory-Developed Test (LDT) developed and validated by BioCentra®, a CAP-accredited, CLIA-certified high-complexity laboratory. This test has not been cleared or approved by the U.S. Food and Drug Administration. Results are intended to support, not replace, clinical judgment.
Test Report Focus

What every TBioScan® report looks like.

Patient context, biomarker panel, plain-English interpretation, and recommended next steps — formatted so a clinician, paralegal, or expert witness can read it the same way.

Case · 48A-221
M · 42 · Post-incident 6h

The injured brain

Six regions. Different injuries, different signals.

Hover any region to see how TBI affects it — the symptoms to watch for, and why biomarker patterns vary by which part of the brain is hit.

Region

Begin your exploration

Move your cursor over any area of the brain to see what this region does and what changes when it's injured.

Hover any region to explore
Interactive TBI brain anatomy

Understanding traumatic brain injury

Context that frames what this assessment is looking for

Traumatic Brain Injury (TBI) results from external mechanical forces causing structural or functional brain damage. Cases span mild concussions to severe injuries with prolonged unconsciousness or amnesia — and even "mild" concussions can have lasting neurological consequences, especially with repeated injuries.

Critical fact — Many TBI symptoms appear hours to days after injury as secondary damage cascades unfold. Biomarker testing can detect this ongoing process even when imaging appears normal.

Why region matters

The biomarker pattern reflects which parts of the brain are injured

Injuries to different brain regions produce different symptoms — and different biomarker signatures. GFAP rises when astrocytes are damaged. UCH-L1 and NfL rise when neurons and axons tear. A multi-marker panel reads the pattern across regions rather than testing a single signal in isolation.

Diagnostic biomarkers for brain injury

Reference library · markers tracked in this case are tagged In panel
S100B Protein In panel

Calcium-binding protein released from damaged astrocytes. Rapidly elevated after brain injury.

Clinical use: Early screening tool in emergency departments. High negative predictive value can help rule out the need for CT in mild TBI.

GFAP In panel

Glial Fibrillary Acidic Protein — structural protein from astrocytes. FDA-cleared biomarker for identifying intracranial lesions on CT.

Clinical use: Highly specific for brain injury. Used to determine CT scan necessity in acute TBI assessment.

UCH-L1 In panel

Ubiquitin C-Terminal Hydrolase-L1 — neuronal protein abundantly expressed in the brain.

Clinical use: FDA-cleared in combination with GFAP for TBI evaluation. Indicates neuronal damage severity.

NfL In panel

Neurofilament Light — structural component of the neuronal cytoskeleton. Indicates axonal damage and neurodegeneration.

Clinical use: Prognostic marker for long-term outcomes. Elevated in the chronic phase indicates ongoing neurodegeneration.

Tau

Microtubule-associated protein. Phosphorylated tau (p-tau) indicates neuronal injury and potential for chronic neurodegeneration.

Clinical use: Predicts risk of CTE and post-traumatic dementia in repeated concussion cases.

NSE

Neuron-Specific Enolase — glycolytic enzyme from neurons. Elevated in moderate-to-severe TBI.

Clinical use: Prognostic indicator for neurological outcome and mortality in severe TBI.

Why TBioScan®

Built specifically for TBI — not a generic add-on.

Most diagnostics generalize across hundreds of conditions. TBioScan® is purpose-built for the biomarkers, workflows, and stakeholders unique to brain injury cases.

Capability TBioScan General lab platform Imaging-only workflow
TBI-specific biomarker panel Purpose-built Partial Not included
Legal-ready documentation Signed, audited Manual export Image files only
Multi-audience reporting Clinician + legal + ops Clinician only Radiologist only
EHR / LIS integration HL7 & FHIR Varies Image-oriented
Longitudinal trend tracking Built-in Add-on Not supported
“We can now triage suspected TBI with a level of confidence and speed our ED workflow simply didn't support before.”
RM
Neuro Physician
Medical Director, TBI NeuroCare
“Biomarker trajectories gave our medical expert something objective to anchor testimony to. It changed how the case was framed.”
JT
Jordan Tavares
Partner, Aegis Legal Group

Bring objective brain injury science into every accident case.

Partner with TBioScan® to add measurable biomarker evidence to your TBI workflow. Whether you're a personal injury firm building stronger cases or a clinic raising the standard of care for accident patients — start here.

Refer a case Become a partner clinic View Test Report