Evidence map›Paper›PMID 26448912›Full record

ArticleNeuroImage. Clinical2015

Thalamocortical relationship in epileptic patients with generalized spike and wave discharges--A multimodal neuroimaging study.

Clara Huishi Zhang, Zhiyi Sha, John Mundahl, Sa Liu, Yunfeng Lu, Thomas R Henry, Bin He

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 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
1.6field-weighted citation impact, top 17% 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, 44 citations in OpenAlex.

  1. Review
  2. Article
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  4. Article
  5. Prevalence of clinical electroencephalography findings in stroke patients with delirium.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Article
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  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Unilateral thalamic lesion mimicking genetic generalized epilepsy.Epileptic disorders : international epilepsy journal with videotape · 2020
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

7 authors at 1 institution in 2 countries.

Clara Huishi ZhangDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, MN 55455, USA.
Zhiyi ShaDepartment of Neurology, University of Minnesota, Minneapolis, MN 55455, USA.
John MundahlDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, MN 55455, USA.
Sa LiuDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, MN 55455, USA ; School of Biomedical Engineering, Shanghai Jiao Tong University, China.
Yunfeng LuDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, MN 55455, USA.
Thomas R HenryDepartment of Neurology, University of Minnesota, Minneapolis, MN 55455, USA.
Bin HeDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, MN 55455, USA ; Institute for Engineering in Medicine, University of Minnesota, Minneapolis, MN 55455, USA.
University of Minnesota · US

Funding

Multimodal Imaging of Brain Activity and ConnectivityR01EB006433 · NIBIB · UNIVERSITY OF MINNESOTA · PI HE, BIN · 2009 to 2012
$1.3M
NIBIB NIH HHS EB006433NIBIB NIH HHS R01 EB006433
6 · The paper itself

Abstract

Unlike focal or partial epilepsy, which has a confined range of influence, idiopathic generalized epilepsy (IGE) often affects the whole or a larger portion of the brain without obvious, known cause. It is important to understand the underlying network which generates epileptic activity and through which epileptic activity propagates. The aim of the present study was to investigate the thalamocortical relationship using non-invasive imaging modalities in a group of IGE patients. We specifically investigated the roles of the mediodorsal nuclei in the thalami and the medial frontal cortex in generating and spreading IGE activities. We hypothesized that the connectivity between these two structures is key in understanding the generation and propagation of epileptic activity in brains affected by IGE. Using three imaging techniques of EEG, fMRI and EEG-informed fMRI, we identified important players in generation and propagation of generalized spike-and-wave discharges (GSWDs). EEG-informed fMRI suggested multiple regions including the medial frontal area near to the anterior cingulate cortex, mediodorsal nuclei of the thalamus, caudate nucleus among others that related to the GSWDs. The subsequent seed-based fMRI analysis revealed a reciprocal cortical and bi-thalamic functional connection. Through EEG-based Granger Causality analysis using (DTF) and adaptive DTF, within the reciprocal thalamocortical circuitry, thalamus seems to serve as a stronger source in driving cortical activity from initiation to the propagation of a GSWD. Such connectivity change starts before the GSWDs and continues till the end of the slow wave discharge. Thalamus, especially the mediodorsal nuclei, may serve as potential targets for deep brain stimulation to provide more effective treatment options for patients with drug-resistant generalized epilepsy.

Indexed as

AdultBrain MappingElectroencephalographyEpilepsy, GeneralizedFemaleFrontal LobeHumansMagnetic Resonance ImagingMaleMediodorsal Thalamic NucleusMiddle AgedMultimodal ImagingNeural PathwaysYoung AdultAdaptive directed transfer function (ADTF)Directed transfer function (DTF)EEGfMRIFunctional connectivityGeneralized spike-wave dischargeGranger CausalityIdiopathic generalized epilepsyIndependent component analysis

Identifiers

PMID26448912
PMCPMC4552814
OpenAlexW2214205497

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.