Evidence map›Paper›PMID 26448031›Full record

Observational studyMedicine2015

Connectome Reorganization Associated With Surgical Outcome in Temporal Lobe Epilepsy.

Gong-Jun Ji, Zhiqiang Zhang, Qiang Xu, Wei Wei, Jue Wang, Zhengge Wang, Fang Yang, Kangjian Sun, Qing Jiao, Wei Liao and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 40 citations in OpenAlex.

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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

11 authors at 1 institution in 1 country.

Gong-Jun JiFrom the Laboratory of Cognitive Neuropsychology, Department of Medical Psychology, Anhui Medical University, Hefei (G-JJ); Center for Cognition and Brain Disorders and the Affiliated Hospital, Hangzhou Normal University (G-JJ, JW, WL); Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments, Hangzhou (G-JJ, JW, WL); Department of Medical Imaging, Jinling Hospital, Nanjing University School of Medicine (ZZ, QX, WW, GL); Department of Medical Imaging, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School (ZW); Department of Neurology, Jinling Hospital (FY); Department of Neurosurgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing (KS); Department of Radiology, Taishan Medical University, Tai'an (QJ); and Key Laboratory for Neuroinformation of Ministry of Education, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China (WL).
Zhiqiang Zhang
Qiang Xu
Wei Wei
Jue Wang
Zhengge Wang
Fang Yang
Kangjian Sun
Qing Jiao
Wei Liao
Guangming Lu
Affiliated Hospital of Hangzhou Normal University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To identify the distinct pattern of anatomical network reorganization in surgically refractory mesial temporal lobe epilepsy (MTLE) patients using a longitudinal design. We collected longitudinal diffusion-weighted images of 19 MTLE patients before and after anterior temporal lobectomy. Patients were classified as seizure-free (SF) or nonseizure-free (NSF) at least 1 year after surgery. We constructed whole-brain anatomical networks derived from white matter tractography and evaluated network connectivity measures by graph theoretical analysis. The reorganization trajectories of network measures in SF and NSF patients were investigated by two-way mixed analysis of variance, with factors "group" (SF vs NSF) and "treatment" (presurgery vs postsurgery). Widespread brain structures showed opposite reorganization trajectories in FS and NSF groups (interaction effect). Most of them showed group difference before surgery and then converge after surgery, suggesting that surgery remodeled these structures into a similar status. Conversly, contralateral amygdala-planum-temporale and thalamic-parietal tracts showed higher connectivity strength in NSF than in SF patients after surgery, indicating maladaptive neuroplastic responses to surgery in NSF patients. Our findings suggest that surgical outcomes are associated not only with the preoperative pattern of anatomical connectivity, but also with connectome reconfiguration following surgery. The reorganization of contralateral temporal lobe and corticothalamic tracts may be particularly important for seizure control in MTLE.

Indexed as

AdultAmygdalaAnterior Temporal LobectomyBrainDiffusion Magnetic Resonance ImagingEpilepsy, Temporal LobeFemaleHumansLongitudinal StudiesMaleParietal LobeThalamus

Identifiers

PMID26448031
PMCPMC4616737
OpenAlexW2328294875

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.