Evidence map›Paper›PMID 25445239›Full record

ArticleEpilepsy research2014

Passive fMRI mapping of language function for pediatric epilepsy surgical planning: validation using Wada, ECS, and FMAER.

Ralph O Suarez, Vahid Taimouri, Katrina Boyer, Clemente Vega, Alexander Rotenberg, Joseph R Madsen, Tobias Loddenkemper, Frank H Duffy, Sanjay P Prabhu, Simon K Warfield

Open access · greenAbstract readValidation Study
In one paragraph

Article in Epilepsy research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
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  12. Electrical Stimulation Mapping of the Brain: Basic Principles and Emerging Alternatives.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2018
    Article
  13. Review
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  15. Advanced MR imaging in hemispheric low-grade gliomas before surgery; the indications and limits in the pediatric age.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Ralph O SuarezDepartment of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: Ralph.Suarez@childrens.harvard.edu.
Vahid TaimouriDepartment of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Katrina BoyerDepartment of Psychology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA; Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Clemente VegaDepartment of Psychology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA; Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Alexander RotenbergDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Joseph R MadsenDepartment of Neurosurgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Tobias LoddenkemperDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Frank H DuffyDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Sanjay P PrabhuDepartment of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Simon K WarfieldDepartment of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Boston Children's Hospital · USHarvard University · US

Funding

MRI Biomarkers of Patients with Tuberous Sclerosis Complex and AutismR01NS079788 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2013 to 2017
$3.6M
Prospective/Retrospective Motion Correction System for Motion Robust Pediatric MRR42MH086984 · NIMH · ROBIN MEDICAL, INC. · PI NEVO, EREZ, WARFIELD, SIMON K · 2012 to 2014
$1.8M
Informatics Algorithms for Neural Circuitry UltrastructureR01LM010033 · NLM · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2010 to 2012
$1.3M
NIMH NIH HHS R42 MH086984NINDS NIH HHS R01 NS079788NLM NIH HHS R01 LM010033
6 · The paper itself

Abstract

In this study we validate passive language fMRI protocols designed for clinical application in pediatric epilepsy surgical planning as they do not require overt participation from patients. We introduced a set of quality checks that assess reliability of noninvasive fMRI mappings utilized for clinical purposes. We initially compared two fMRI language mapping paradigms, one active in nature (requiring participation from the patient) and the other passive in nature (requiring no participation from the patient). Group-level analysis in a healthy control cohort demonstrated similar activation of the putative language centers of the brain in the inferior frontal (IFG) and temporoparietal (TPG) regions. Additionally, we showed that passive language fMRI produced more left-lateralized activation in TPG (LI=+0.45) compared to the active task; with similarly robust left-lateralized IFG (LI=+0.24) activations using the passive task. We validated our recommended fMRI mapping protocols in a cohort of 15 pediatric epilepsy patients by direct comparison against the invasive clinical gold-standards. We found that language-specific TPG activation by fMRI agreed to within 9.2mm to subdural localizations by invasive functional mapping in the same patients, and language dominance by fMRI agreed with Wada test results at 80% congruency in TPG and 73% congruency in IFG. Lastly, we tested the recommended passive language fMRI protocols in a cohort of very young patients and confirmed reliable language-specific activation patterns in that challenging cohort. We concluded that language activation maps can be reliably achieved using the passive language fMRI protocols we proposed even in very young (average 7.5 years old) or sedated pediatric epilepsy patients.

Indexed as

LanguageAdolescentAuditory PerceptionBrainBrain MappingChildCohort StudiesElectric StimulationEpilepsyEvoked PotentialsFemaleFunctional LateralityHumansImaging, Three-DimensionalLanguage TestsMagnetic Resonance ImagingFunctional mappingFunctional MRILanguagePediatric epilepsyPre-surgical planning

Identifiers

PMID25445239
PMCPMC4254568
OpenAlexW2084822602

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.