Evidence map›Paper›PMID 26994344›Full record

ArticleCortex; a journal devoted to the study of the nervous system and behavior2016

Canceled connections: Lesion-derived network mapping helps explain differences in performance on a complex decision-making task.

Matthew J Sutterer, Joel Bruss, Aaron D Boes, Michelle W Voss, Antoine Bechara, Daniel Tranel

Abstract read
In one paragraph

Article in Cortex; a journal devoted to the study of the nervous system and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Brain network localization of anhedonia.Translational psychiatry · 2026
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  5. Review
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  7. Synthetic surprise as the foundation of the psychedelic experience.Neuroscience and biobehavioral reviews · 2024
    Review
  8. Article
  9. Article
  10. Lesion network mapping: where do we go from here?Brain : a journal of neurology · 2021
    Article
  11. Article
  12. Mapping mania symptoms based on focal brain damage.The Journal of clinical investigation · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Lesion network localization of free will.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  17. Article
  18. Localizing parkinsonism based on focal brain lesions.Brain : a journal of neurology · 2018
    Article
  19. Review
  20. Searching for the neural causes of criminal behavior.Proceedings of the National Academy of Sciences of the United States of America · 2018
    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.

Matthew J SuttererDepartment of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA. Electronic address: matthew-sutterer@uiowa.edu.
Joel BrussDepartment of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Aaron D BoesBerenson-Allen Center for Noninvasive Brain Stimulation, Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, MA, USA.
Michelle W VossDepartment of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USA.
Antoine BecharaDepartment of Psychology, University of Southern California, Los Angeles, CA, USA.
Daniel TranelDepartment of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA; Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USA.

Funding

Neuroscience Resident Research ProgramR25NS065743 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S, WILLIAMS, ZIV · 2009 to 2023
$11.8M
Investigating neural plasticity and recovery with a pre- and post-lesion approachF31NS086254 · NINDS · UNIVERSITY OF IOWA · PI SUTTERER, MATTHEW · 2013 to 2015
$55k
NINDS NIH HHS F31 NS086254
6 · The paper itself

Abstract

Studies of patients with brain damage have highlighted a broad neural network of limbic and prefrontal areas as important for adaptive decision-making. However, some patients with damage outside these regions have impaired decision-making behavior, and the behavioral impairments observed in these cases are often attributed to the general variability in behavior following brain damage, rather than a deficit in a specific brain-behavior relationship. A novel approach, lesion-derived network mapping, uses healthy subject resting-state functional connectivity (RSFC) data to infer the areas that would be connected with each patient's lesion area in healthy adults. Here, we used this approach to investigate whether there was a systematic pattern of connectivity associated with decision-making performance in patients with focal damage in areas not classically associated with decision-making. These patients were categorized a priori into "impaired" or "unimpaired" groups based on their performance on the Iowa Gambling Task (IGT). Lesion-derived network maps based on the impaired patients showed overlap in somatosensory, motor and insula cortices, to a greater extent than patients who showed unimpaired IGT performance. Akin to the classic concept of "diaschisis" (von Monakow, 1914), this focus on the remote effects that focal damage can have on large-scale distributed brain networks has the potential to inform not only differences in decision-making behavior, but also other cognitive functions or neurological syndromes where a distinct phenotype has eluded neuroanatomical classification and brain-behavior relationships appear highly heterogeneous.

Indexed as

Task Performance and AnalysisAdultAgedBrainBrain InjuriesBrain MappingCognitionDecision MakingFemaleGamblingHumansMaleMiddle AgedNeuropsychological TestsDecision-makingFunctional connectivityLesion-derived network mapping

Identifiers

PMID26994344
PMCPMC4854765

What OpenQuestion holds

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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.