Evidence map›Paper›PMID 27193934›Full record

ArticleEuropean radiology2017

Presurgical motor, somatosensory and language fMRI: Technical feasibility and limitations in 491 patients over 13 years.

Anthony J Tyndall, Julia Reinhardt, Volker Tronnier, Luigi Mariani, Christoph Stippich

Abstract readEvaluation StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

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  18. Clinical application of advanced MR methods in children: points to consider.Annals of clinical and translational neurology · 2018
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  19. Functional MRI for Surgery of Gliomas.Current treatment options in neurology · 2017
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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

5 authors.

Anthony J TyndallDivision of Diagnostic and Interventional Neuroradiology, University Hospital Basel, Basel, Switzerland.
Julia ReinhardtDivision of Diagnostic and Interventional Neuroradiology, University Hospital Basel, Basel, Switzerland.
Volker TronnierDepartment of Neurosurgery, University Hospital Schleswig-Holstein, Luebeck Campus, Luebeck, Germany.
Luigi MarianiDepartment of Neurosurgery, University Hospitals Basel, Basel, Switzerland.
Christoph StippichDivision of Diagnostic and Interventional Neuroradiology, University Hospital Basel, Basel, Switzerland. Christoph.Stippich@usb.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the long-term feasibility and limitations of presurgical fMRI in a cohort of tumour and epilepsy patients with different MR-scanners at 1.5 and 3.0 T.

methodsFour hundred and ninety-one consecutive patients undergoing presurgical fMRI between 2000 and 2012 on five different MR-scanners using established paradigms and semi-automated data processing were included. Success rates of task performance and BOLD-activation were determined for motor and somatosensory somatotopic mapping and language localisation. Procedural success, failures and imaging artifacts were analysed. MR-field strengths were compared.

resultsTwo thousand three hundred fifteen of 2348 (98.6 %) attempted paradigms (1033 motor, 1220 speech, 95 somatosensory) were successfully performed. 100 paradigms (4.3 %) were repetition runs. 23 speech, 6 motor and 2 sensory paradigms failed for non-compliance and technical issues. Most language paradigm failures were noted in overt sentence generation. Average significant BOLD-activation was higher for motor than language paradigms (95.8 vs. 81.6 %). Most language paradigms showed significantly higher activation rates at 3 T compared to 1.5 T, whereas no significant difference was found for motor paradigms.

conclusionsfMRI proved very robust for the presurgical localisation of the different motor and somatosensory body representations, as well as Broca's and Wernicke's language areas across different MR-scanners at 1.5 and 3.0 T over 13 years. KEY POINTS: • Standardised presurgical motor and language fMRI is robust across various MRI platforms. • Motor fMRI is less dependent on field strength than language fMRI. • fMRI task failures are relatively low and are reduced by paradigm repetition.

Indexed as

LanguageAdolescentAdultArtifactsBrain MappingBrain NeoplasmsEpilepsyFeasibility StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMotor ActivityPreoperative CareRetrospective StudiesBrain tumourFunctional MRILanguageMotorSomatosensory

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Registered trials

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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.