Evidence map›Paper›PMID 27312605›Full record

ArticleHuman brain mapping2016

Postoperative axonal changes in the contralateral hemisphere in children with medically refractory epilepsy: A longitudinal diffusion tensor imaging connectome analysis.

Jeong-Won Jeong, Eishi Asano, Csaba Juhász, Michael E Behen, Harry T Chugani

Open access · greenAbstract read
In one paragraph

Article in Human brain mapping, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

16 citing papers in PubMed, 21 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

5 authors at 2 institutions in 1 country.

Jeong-Won JeongDepartments of Pediatrics and Neurology, School of Medicine, Wayne State University, Detroit, Michigan. jeongwon@pet.wayne.edu.
Eishi AsanoDepartments of Pediatrics and Neurology, School of Medicine, Wayne State University, Detroit, Michigan.ORCID 0000-0001-8391-4067
Csaba JuhászDepartments of Pediatrics and Neurology, School of Medicine, Wayne State University, Detroit, Michigan.
Michael E BehenDepartments of Pediatrics and Neurology, School of Medicine, Wayne State University, Detroit, Michigan.
Harry T ChuganiDepartment of Neurology, Nemours DuPont Hospital for Children, Wilmington, Delaware.
Wayne State University · USDuPont (United States) · US

Funding

Novel DWI Methods to Minimize Postoperative Deficits in Pediatric Epilepsy Surgery.R01NS089659 · NINDS · WAYNE STATE UNIVERSITY · PI JEONG, JEONG-WON · 2015 to 2025
$3.7M
NINDS NIH HHS R01 NS089659
6 · The paper itself

Abstract

To determine brain plasticity changes due to resective epilepsy surgery in children, we performed a longitudinal connectome analysis on the pattern of axonal connectivity in the contralateral hemisphere. Pre- and postoperative diffusion tensor imaging (DTI) data were acquired from 35 children with intractable focal epilepsy. A total of 54 brain regions of interest (ROIs) were generated in the hemisphere contralateral to the resection. Within a 54 × 54 connectivity matrix, a pairwise connectivity score was calculated for each connection between two ROIs, based on the DTI fiber streamline number in each connection. A permuted Spearman's ρ-rank analysis was used to identify specific inter-regional connections showing a significant association between the postoperative change of connectivity score and clinical variables. Nineteen connections in the contralateral hemisphere showed postoperative increases in the strength of connectivity. Postoperative increase in connectivity between insular-inferior frontal operculum regions as well as that between superior frontal orbital and mid frontal orbital regions were both significantly associated with a larger surgical resection volume (ρ > +0.40) and a younger patient age (ρ > -0.34). These increases were more robust in patients with frontal resection and in those achieving seizure freedom. Neuropsychological evaluation on subsets of patients revealed that such increases in connectivity were associated with preserved or improved cognitive functions such as visual memory and planning. Resective epilepsy surgery may lead to increased contralateral axonal connectivity in children with focal epilepsy. Our data lead to a hypothesis that such increased connectivity may be an imaging marker of postoperative brain plasticity to compensate for cognitive function. Hum Brain Mapp 37:3946-3956, 2016. © 2016 Wiley Periodicals, Inc.

Indexed as

AdolescentAxonsBrainChildChild, PreschoolConnectomeDiffusion Tensor ImagingDrug Resistant EpilepsyEpilepsies, PartialFemaleFunctional LateralityHumansInfantMagnetic Resonance ImagingMaleNeural Pathwaysaxonal plasticitycontralateral reorganizationdiffusion tensor imagingepilepsy surgery

Identifiers

PMID27312605
PMCPMC5053859
OpenAlexW2444610280

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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.