Evidence map›Paper›PMID 26657566›Full record

Trial reportPLoS computational biology2015

Predicting Surgery Targets in Temporal Lobe Epilepsy through Structural Connectome Based Simulations.

Frances Hutchings, Cheol E Han, Simon S Keller, Bernd Weber, Peter N Taylor, Marcus Kaiser

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PLoS computational biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Bifurcations and bursting in the Epileptor.PLoS computational biology · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Towards network-guided neuromodulation for epilepsy.Brain : a journal of neurology · 2022
    Review
  14. 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

6 authors at 4 institutions in 3 countries.

Frances HutchingsInterdisciplinary Computing and Complex BioSystems, School of Computing Science, Newcastle University, Newcastle upon Tyne, United Kingdom.
Cheol E HanDepartment of Biomedical Engineering, Korea University, Seoul, Republic of Korea.
Simon S KellerDepartment of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Bernd WeberCenter for Economics and Neuroscience, University of Bonn, Bonn, Germany.
Peter N TaylorInterdisciplinary Computing and Complex BioSystems, School of Computing Science, Newcastle University, Newcastle upon Tyne, United Kingdom.
Marcus KaiserInterdisciplinary Computing and Complex BioSystems, School of Computing Science, Newcastle University, Newcastle upon Tyne, United Kingdom.
Newcastle University · GBKorea University · KRUniversity of Bonn · DEUniversity of Liverpool · GB

Funding

Medical Research Council MR/K023152/1
6 · The paper itself

Abstract

Temporal lobe epilepsy (TLE) is a prevalent neurological disorder resulting in disruptive seizures. In the case of drug resistant epilepsy resective surgery is often considered. This is a procedure hampered by unpredictable success rates, with many patients continuing to have seizures even after surgery. In this study we apply a computational model of epilepsy to patient specific structural connectivity derived from diffusion tensor imaging (DTI) of 22 individuals with left TLE and 39 healthy controls. We validate the model by examining patient-control differences in simulated seizure onset time and network location. We then investigate the potential of the model for surgery prediction by performing in silico surgical resections, removing nodes from patient networks and comparing seizure likelihood post-surgery to pre-surgery simulations. We find that, first, patients tend to transit from non-epileptic to epileptic states more often than controls in the model. Second, regions in the left hemisphere (particularly within temporal and subcortical regions) that are known to be involved in TLE are the most frequent starting points for seizures in patients in the model. In addition, our analysis also implicates regions in the contralateral and frontal locations which may play a role in seizure spreading or surgery resistance. Finally, the model predicts that patient-specific surgery (resection areas chosen on an individual, model-prompted, basis and not following a predefined procedure) may lead to better outcomes than the currently used routine clinical procedure. Taken together this work provides a first step towards patient specific computational modelling of epilepsy surgery in order to inform treatment strategies in individuals.

Indexed as

Patient-Specific ModelingAdultAgedComputer SimulationConnectomeDiffusion Tensor ImagingEpilepsy, Temporal LobeFemaleHippocampusHumansMaleMiddle AgedModels, AnatomicModels, NeurologicalMonitoring, IntraoperativeNeurophysiological Monitoring

Identifiers

PMID26657566
PMCPMC4675531
OpenAlexW2195355925

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.