Evidence map›Paper›PMID 27568515›Full record

ArticleNeuron2016

Virtual Cortical Resection Reveals Push-Pull Network Control Preceding Seizure Evolution.

Ankit N Khambhati, Kathryn A Davis, Timothy H Lucas, Brian Litt, Danielle S Bassett

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Neuron, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04649008 (Optimized Intracranial EEG Targeting in Focal Epilepsy Based Upon Neuroimaging Connectomics), which is not on this map. Cited by 113 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 1 pooled it
17.8field-weighted citation impact, top 1% 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.

NCT04649008 early_phase1recruitingnot on this mapstarted 2021, after this paper: background citation

Optimized Intracranial EEG Targeting in Focal Epilepsy Based Upon Neuroimaging Connectomics

TypeinterventionalSponsorUniversity of PennsylvaniaRan2021 to 2027Enrolled290ConditionsEpilepsy, Epilepsy Intractable, Epilepsy, Temporal LobeArms3T Magnetic Resonance Imaging, Intracranial electroencephalography recordings, 7T Magnetic Resonance Imaging
3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 1 synthesis or guideline pooled it, 238 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Thalamocortical network dynamics in focal epilepsy: SEEG investigation.bioRxiv : the preprint server for biology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Can electrical stimulation replace spontaneous seizures in epilepsy surgery?medRxiv : the preprint server for health sciences · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ankit N KhambhatiDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, USA; Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, PA 19104, USA.
Kathryn A DavisCenter for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, PA 19104, USA; Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Timothy H LucasCenter for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, PA 19104, USA; Department of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Brian LittDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, USA; Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, PA 19104, USA; Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Danielle S BassettDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, USA; Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, PA 19104, USA; Department of Electrical and Systems Engineering, University of Pennsylvania, Philadelphia, PA 19104, USA. Electronic address: dsb@seas.upenn.edu.
University of Pennsylvania · USHospital of the University of Pennsylvania · US

Funding

The International epilepsy electrophysiology databaseU24NS063930 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI LITT, BRIAN · 2010 to 2014
$5.6M
Microseizures, Ultra-slow & High Frequency Oscillations: Biomarkers of epilepsyR01NS063039 · NINDS · MAYO CLINIC ROCHESTER · PI WORRELL, GREGORY A · 2009 to 2013
$1.5M
Evolution of the Linked Architecture of Network Control and Executive Function in AdolescenceR21MH106799 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BASSETT, DANIELLE SMITH, SATTERTHWAITE, THEODORE · 2016 to 2017
$515k
CRCNS: US-France Modeling & Predicting BCI Learning from Dynamic NetworksR01HD086888 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI BASSETT, DANIELLE SMITH · 2015 to 2018
$506k
NICHD NIH HHS R01 HD086888NIMH NIH HHS R21 MH106799NINDS NIH HHS R01 NS063039NINDS NIH HHS U24 NS063930
6 · The paper itself

Abstract

In ∼20 million people with drug-resistant epilepsy, focal seizures originating in dysfunctional brain networks will often evolve and spread to surrounding tissue, disrupting function in otherwise normal brain regions. To identify network control mechanisms that regulate seizure spread, we developed a novel tool for pinpointing brain regions that facilitate synchronization in the epileptic network. Our method measures the impact of virtually resecting putative control regions on synchronization in a validated model of the human epileptic network. By applying our technique to time-varying functional networks, we identified brain regions whose topological role is to synchronize or desynchronize the epileptic network. Our results suggest that greater antagonistic push-pull interaction between synchronizing and desynchronizing brain regions better constrains seizure spread. These methods, while applied here to epilepsy, are generalizable to other brain networks and have wide applicability in isolating and mapping functional drivers of brain dynamics in health and disease.

Indexed as

AdolescentAdultAge of OnsetBrainChildChild, PreschoolComputer SimulationFemaleHumansMaleMiddle AgedNeural PathwaysSeizuresYoung Adultepileptic networknetwork neurosciencepush-pull controlseizure spreadsynchronizability

Identifiers

PMID27568515
PMCPMC5017915
OpenAlexW2474305826

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.