Evidence map›Paper›PMID 28135902›Full record

ArticleNeurorehabilitation and neural repair2017

Mapping Common Aphasia Assessments to Underlying Cognitive Processes and Their Neural Substrates.

Elizabeth H Lacey, Laura M Skipper-Kallal, Shihui Xing, Mackenzie E Fama, Peter E Turkeltaub

Open access · bronzeAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. A Rapid fMRI Paradigm for Localisation of the Language Network.The European journal of neuroscience · 2026
    Article
  5. Article
  6. Article
  7. Using unsupervised dimensionality reduction to identify lesion patterns predictive of post-stroke aphasia severity.Cortex; a journal devoted to the study of the nervous system and behavior · 2025
    Article
  8. Article
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  14. Defining aphasia: Content analysis of six aphasia diagnostic batteries.Cortex; a journal devoted to the study of the nervous system and behavior · 2023
    Article
  15. Three-Dimensional Speech Profiles in Stroke Aphasia and Apraxia of Speech.American journal of speech-language pathology · 2023
    Article
  16. Benefit of visual speech information for word comprehension in post-stroke aphasia.Cortex; a journal devoted to the study of the nervous system and behavior · 2023
    Article
  17. Article
  18. Shared and distinct routes in speech and gesture imitation: Evidence from stroke.Cortex; a journal devoted to the study of the nervous system and behavior · 2023
    Article
  19. Article
  20. Review

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

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 2 countries.

Elizabeth H Lacey1 Georgetown University Medical Center, Washington, DC, USA.
Laura M Skipper-Kallal1 Georgetown University Medical Center, Washington, DC, USA.
Shihui Xing1 Georgetown University Medical Center, Washington, DC, USA.
Mackenzie E Fama1 Georgetown University Medical Center, Washington, DC, USA.
Peter E Turkeltaub1 Georgetown University Medical Center, Washington, DC, USA.
Georgetown University Medical Center · USGeorgetown University · US

Funding

Predoctoral Training in Intergrative NeuroscienceT32NS041231 · NINDS · GEORGETOWN UNIVERSITY · PI Ludise Malkova, Ashley S VanMeter · 2001 to 2026
$6.8M
Georgetown-Howard Universities Center for Clinical and Translational Science (GHUKL2TR000102 · NCATS · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2012 to 2014
$1.7M
NCATS NIH HHS KL2 TR000102NINDS NIH HHS T32 NS041231
6 · The paper itself

Abstract

backgroundUnderstanding the relationships between clinical tests, the processes they measure, and the brain networks underlying them, is critical in order for clinicians to move beyond aphasia syndrome classification toward specification of individual language process impairments.

objectiveTo understand the cognitive, language, and neuroanatomical factors underlying scores of commonly used aphasia tests.

methodsTwenty-five behavioral tests were administered to a group of 38 chronic left hemisphere stroke survivors and a high-resolution magnetic resonance image was obtained. Test scores were entered into a principal components analysis to extract the latent variables (factors) measured by the tests. Multivariate lesion-symptom mapping was used to localize lesions associated with the factor scores.

resultsThe principal components analysis yielded 4 dissociable factors, which we labeled Word Finding/Fluency, Comprehension, Phonology/Working Memory Capacity, and Executive Function. While many tests loaded onto the factors in predictable ways, some relied heavily on factors not commonly associated with the tests. Lesion symptom mapping demonstrated discrete brain structures associated with each factor, including frontal, temporal, and parietal areas extending beyond the classical language network. Specific functions mapped onto brain anatomy largely in correspondence with modern neural models of language processing.

conclusionsAn extensive clinical aphasia assessment identifies 4 independent language functions, relying on discrete parts of the left middle cerebral artery territory. A better understanding of the processes underlying cognitive tests and the link between lesion and behavior may lead to improved aphasia diagnosis, and may yield treatments better targeted to an individual's specific pattern of deficits and preserved abilities.

Indexed as

Brain MappingAdultAgedAphasiaCognitionExecutive FunctionFactor Analysis, StatisticalFemaleFunctional LateralityHumansImaging, Three-DimensionalLearningMagnetic Resonance ImagingMaleMemory, Short-TermMiddle Agedaphasiaexecutive functionlanguageMRIneuropsychological assessment

Identifiers

PMID28135902
PMCPMC5393922
OpenAlexW2584768589

What OpenQuestion holds

Textmetadata
LicenceTDM
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.