Evidence map›Paper›PMID 28317276›Full record

ArticleHuman brain mapping2017

Important considerations in lesion-symptom mapping: Illustrations from studies of word comprehension.

Hinna Shahid, Rajani Sebastian, Tatiana T Schnur, Taylor Hanayik, Amy Wright, Donna C Tippett, Julius Fridriksson, Chris Rorden, Argye E Hillis

Abstract read
In one paragraph

Article in Human brain mapping, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Trial
  2. Computational Pipeline in Clinical Connectomics.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Neuroanatomy of complex social emotion dysregulation in adolescent offenders.Cognitive, affective & behavioral neuroscience · 2021
    Article
  11. Article
  12. Article
  13. Towards metabolic disconnection - symptom mapping.Brain : a journal of neurology · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. The role of left insula in executive set-switching: Lesion evidence from an acute stroke cohort.Cortex; a journal devoted to the study of the nervous system and behavior · 2018
    Article
  18. Article
  19. Review
  20. 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

9 authors.

Hinna ShahidDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, 21287.
Rajani SebastianDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, 21287.
Tatiana T SchnurDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, 77030.
Taylor HanayikUniversity of South Carolina, Columbia, South Carolina, 29208.
Amy WrightDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, 21287.
Donna C TippettDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, 21287.
Julius FridrikssonUniversity of South Carolina, Columbia, South Carolina, 29208.
Chris RordenUniversity of South Carolina, Columbia, South Carolina, 29208.
Argye E HillisDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, 21287.ORCID 0000-0002-5192-1171

Funding

Telerehab for Aphasia (TERRA)P50DC014664 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HICKOK, GREGORY · 2016 to 2025
$25.0M
Neural Basis of Lexical Deficits in Hyperacute StrokeR01DC005375 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI Argye E. Hillis · 2002 to 2026
$11.8M
Language and neural recovery from stroke: Role of selection and working memoryR01DC014976 · NIDCD · BAYLOR COLLEGE OF MEDICINE · PI SCHNUR, TATIANA TAMARA · 2016 to 2020
$2.6M
NIDCD NIH HHS P50 DC014664NIDCD NIH HHS R01 DC005375NIDCD NIH HHS R01 DC014976
6 · The paper itself

Abstract

Lesion-symptom mapping is an important method of identifying networks of brain regions critical for functions. However, results might be influenced substantially by the imaging modality and timing of assessment. We tested the hypothesis that brain regions found to be associated with acute language deficits depend on (1) timing of behavioral measurement, (2) imaging sequences utilized to define the "lesion" (structural abnormality only or structural plus perfusion abnormality), and (3) power of the study. We studied 191 individuals with acute left hemisphere stroke with MRI and language testing to identify areas critical for spoken word comprehension. We use the data from this study to examine the potential impact of these three variables on lesion-symptom mapping. We found that only the combination of structural and perfusion imaging within 48 h of onset identified areas where more abnormal voxels was associated with more severe acute deficits, after controlling for lesion volume and multiple comparisons. The critical area identified with this methodology was the left posterior superior temporal gyrus, consistent with other methods that have identified an important role of this area in spoken word comprehension. Results have implications for interpretation of other lesion-symptom mapping studies, as well as for understanding areas critical for auditory word comprehension in the healthy brain. We propose that lesion-symptom mapping at the acute stage of stroke addresses a different sort of question about brain-behavior relationships than lesion-symptom mapping at the chronic stage, but that timing of behavioral measurement and imaging modalities should be considered in either case. Hum Brain Mapp 38:2990-3000, 2017. © 2017 Wiley Periodicals, Inc.

Indexed as

Brain MappingVocabularyAcoustic StimulationAdultAgedAphasiaAuditory PathwaysBrainComprehensionFemaleFunctional LateralityHumansImage Processing, Computer-AssistedLanguage TestsMagnetic Resonance ImagingMaleaphasiabrain mappingischemic strokelanguage comprehensionlesion studies

Identifiers

PMID28317276
PMCPMC5426992

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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.