Evidence map›Paper›PMID 28616382›Full record

ArticleNeuroImage. Clinical2017

Improving language mapping in clinical fMRI through assessment of grammar.

Monika Połczyńska, Kevin Japardi, Susan Curtiss, Teena Moody, Christopher Benjamin, Andrew Cho, Celia Vigil, Taylor Kuhn, Michael Jones, Susan Bookheimer

Abstract read
In one paragraph

Article in NeuroImage. Clinical, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Monika PołczyńskaUCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA; Faculty of English, Adam Mickiewicz University, Poznań, Poland. Electronic address: plmonik@wa.amu.edu.pl.
Kevin JapardiUCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA.
Susan CurtissUCLA Department of Linguistics, Los Angeles, USA. Electronic address: scurtiss@ucla.edu.
Teena MoodyUCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA. Electronic address: tmoody@g.ucla.edu.
Christopher BenjaminDepts. of Neurology & Neurosurgery, Yale, USA. Electronic address: christopher.benjamin@yale.edu.
Andrew ChoUCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA.
Celia VigilUCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA.
Taylor KuhnUCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA. Electronic address: tkuhn@mednet.ucla.edu.
Michael JonesUCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA.
Susan BookheimerUCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA. Electronic address: sbook@ucla.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBrain surgery in the language dominant hemisphere remains challenging due to unintended post-surgical language deficits, despite using pre-surgical functional magnetic resonance (fMRI) and intraoperative cortical stimulation. Moreover, patients are often recommended not to undergo surgery if the accompanying risk to language appears to be too high. While standard fMRI language mapping protocols may have relatively good predictive value at the group level, they remain sub-optimal on an individual level. The standard tests used typically assess lexico-semantic aspects of language, and they do not accurately reflect the complexity of language either in comprehension or production at the sentence level. Among patients who had left hemisphere language dominance we assessed which tests are best at activating language areas in the brain.

methodWe compared grammar tests (items testing word order in actives and passives,

resultsThe grammar tests generated more volume of activation in the left hemisphere (left/right angular gyrus, right anterior/posterior superior temporal gyrus) and identified additional language regions not shown by the standard tests (e.g., left anterior/posterior supramarginal gyrus). The standard tests produced more activation in left BA 47. Ten participants had more robust activations in the left hemisphere in the grammar tests and two in the standard tests. The grammar tests also elicited substantial activations in the right hemisphere and thus turned out to be superior at identifying both right and left hemisphere contribution to language processing.

conclusionThe grammar tests may be an important addition to the standard pre-operative fMRI testing.

Indexed as

LanguageAdultBrain MappingBrain NeoplasmsCerebral CortexEpilepsyFemaleHumansLanguage DisordersLinguisticsMagnetic Resonance ImagingMaleMiddle AgedNeurosurgical ProceduresPostoperative ComplicationsYoung AdultBrain mappingCYCLE-N, Curtiss-Yamada Comprehensive Language Evaluation: Neurological MeasuresEpilepsyfMRIfMRI, functional magnetic resonance imagingGrammarLanguageLH, left hemisphereRH, right hemisphereSurgeryTumor

Identifiers

PMID28616382
PMCPMC5458087

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LicenceCC BY-NC-ND
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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.