Evidence map›Paper›PMID 28510905›Full record

ArticleBrain topography2017

Zoomed MRI Guided by Combined EEG/MEG Source Analysis: A Multimodal Approach for Optimizing Presurgical Epilepsy Work-up and its Application in a Multi-focal Epilepsy Patient Case Study.

Ü Aydin, S Rampp, A Wollbrink, H Kugel, J -H Cho, T R Knösche, C Grova, J Wellmer, C H Wolters

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Brain topography, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Group optimization methods for dose planning in tES.Journal of neural engineering · 2025
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  5. Bioelectromagnetism in Human Brain Research: New Applications, New Questions.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Parallel Transmission for Ultrahigh Field MRI.Topics in magnetic resonance imaging : TMRI · 2019
    Review
  15. Review
  16. Article
  17. Article
  18. 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 at 6 institutions in 2 countries.

Ü AydinInstitute for Biomagnetism und Biosignalanalysis, University of Münster, Malmedyweg 15, 48149, Münster, Germany. umit.aydin@uni-muenster.de.
S RamppDepartment of Neurosurgery, University Hospital Erlangen, Erlangen, Germany.
A WollbrinkInstitute for Biomagnetism und Biosignalanalysis, University of Münster, Malmedyweg 15, 48149, Münster, Germany.
H KugelDepartment of Clinical Radiology, University Hospital Münster, Münster, Germany.
J -H ChoMax Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
T R KnöscheMax Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
C GrovaMultimodal Functional Imaging Lab, Department of Physics and PERFORM Centre, Concordia University, Montreal, Quebec, Canada.
J WellmerRuhr-Epileptology, Department of Neurology, University Hospital Knappschaftskrankenhaus Bochum, Bochum, Germany.
C H WoltersInstitute for Biomagnetism und Biosignalanalysis, University of Münster, Malmedyweg 15, 48149, Münster, Germany.
University of Münster · DEMax Planck Institute for Human Cognitive and Brain Sciences · DEConcordia University · CAUniversitätsklinikum Erlangen · DEUniversitätsklinikum Knappschaftskrankenhaus Bochum · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, the use of source analysis based on electroencephalography (EEG) and magnetoencephalography (MEG) has gained considerable attention in presurgical epilepsy diagnosis. However, in many cases the source analysis alone is not used to tailor surgery unless the findings are confirmed by lesions, such as, e.g., cortical malformations in MRI. For many patients, the histology of tissue resected from MRI negative epilepsy shows small lesions, which indicates the need for more sensitive MR sequences. In this paper, we describe a technique to maximize the synergy between combined EEG/MEG (EMEG) source analysis and high resolution MRI. The procedure has three main steps: (1) construction of a detailed and calibrated finite element head model that considers the variation of individual skull conductivities and white matter anisotropy, (2) EMEG source analysis performed on averaged interictal epileptic discharges (IED), (3) high resolution (0.5 mm) zoomed MR imaging, limited to small areas centered at the EMEG source locations. The proposed new diagnosis procedure was then applied in a particularly challenging case of an epilepsy patient: EMEG analysis at the peak of the IED coincided with a right frontal focal cortical dysplasia (FCD), which had been detected at standard 1 mm resolution MRI. Of higher interest, zoomed MR imaging (applying parallel transmission, 'ZOOMit') guided by EMEG at the spike onset revealed a second, fairly subtle, FCD in the left fronto-central region. The evaluation revealed that this second FCD, which had not been detectable with standard 1 mm resolution, was the trigger of the seizures.

Indexed as

AnisotropyBrainDiffusion Tensor ImagingElectroencephalographyEpilepsies, PartialFemaleFinite Element AnalysisHeadHumansMagnetic Resonance ImagingMagnetoencephalographyMalformations of Cortical DevelopmentMiddle AgedMultimodal ImagingPreoperative CareSeizuresCombined EEG/MEGEpileptic activityFocal cortical dysplasia type IIbRealistic finite element head modelSkull conductivity calibrationSource reconstructionZoomed MRI

Identifiers

PMID28510905
PMCPMC5495874
OpenAlexW2614122704

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.