Evidence map›Paper›PMID 31491826›Full record

ArticleNeuroImage. Clinical2019

Acquisition of sensorimotor fMRI under general anaesthesia: Assessment of feasibility, the BOLD response and clinical utility.

Adam Kenji Yamamoto, Joerg Magerkurth, Laura Mancini, Mark J White, Anna Miserocchi, Andrew W McEvoy, Ian Appleby, Caroline Micallef, John S Thornton, Cathy J Price and 2 more

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

12 authors at 4 institutions in 2 countries.

Adam Kenji YamamotoNeuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom; Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address: a.yamamoto@ucl.ac.uk.
Joerg MagerkurthUCL Psychology and Language Sciences, Birkbeck-UCL Centre for Neuroimaging, London, United Kingdom. Electronic address: j.magerkurth@ucl.ac.uk.
Laura ManciniNeuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom; Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address: lmancini@nhs.net.
Mark J WhiteNeuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom; Medical Physics and Biomedical Engineering, University College London Hospital, London, United Kingdom. Electronic address: mark.white4@nhs.net.
Anna MiserocchiDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address: anna.miserocchi@nhs.net.
Andrew W McEvoyDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address: a.mcevoy@ucl.ac.uk.
Ian ApplebyDepartment of Neuroanaesthesia, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address: ian.appleby@nhs.net.
Caroline MicallefLysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address: caroline.micallef@nhs.net.
John S ThorntonNeuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom; Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address: john.thornton@ucl.ac.uk.
Cathy J PriceWellcome Centre for Human Neuroimaging, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom. Electronic address: c.j.price@ucl.ac.uk.
Nikolaus WeiskopfWellcome Centre for Human Neuroimaging, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom; Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany. Electronic address: weiskopf@cbs.mpg.de.
Tarek A YousryNeuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom; Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom. Electronic address: t.yousry@ucl.ac.uk.
National Hospital for Neurology and Neurosurgery · GBWellcome Centre for Human Neuroimaging · GBUniversity College Hospital · GBUniversity College London · GB

Funding

Medical Research Council MR/M009106/1Medical Research Council MR/M023672/1Wellcome Trust 205103/Z/16/Z
6 · The paper itself

Abstract

We evaluated whether task-related fMRI (functional magnetic resonance imaging) BOLD (blood oxygenation level dependent) activation could be acquired under conventional anaesthesia at a depth enabling neurosurgery in five patients with supratentorial gliomas. Within a 1.5 T MRI operating room immediately prior to neurosurgery, a passive finger flexion sensorimotor paradigm was performed on each hand with the patients awake, and then immediately after the induction and maintenance of combined sevoflurane and propofol general anaesthesia. The depth of surgical anaesthesia was measured and confirmed with an EEG-derived technique, the Bispectral Index (BIS). The magnitude of the task-related BOLD response and BOLD sensitivity under anaesthesia were determined. The fMRI data were assessed by three fMRI expert observers who rated each activation map for somatotopy and usefulness for radiological neurosurgical guidance. The mean magnitudes of the task-related BOLD response under a BIS measured depth of surgical general anaesthesia were 25% (tumour affected hemisphere) and 22% (tumour free hemisphere) of the respective awake values. BOLD sensitivity under anaesthesia ranged from 7% to 83% compared to the awake state. Despite these reductions, somatotopic BOLD activation was observed in the sensorimotor cortex in all ten data acquisitions surpassing statistical thresholds of at least p < 0.001

Indexed as

Anesthesia, GeneralBrain MappingNeurophysiological MonitoringNeurosurgical ProceduresAdultBrain NeoplasmsElectroencephalographyFeasibility StudiesFemaleHumansIntraoperative Neurophysiological MonitoringMagnetic Resonance ImagingMaleMotor ActivityProspective StudiesSensorimotor CortexAnaesthesiaBrain tumourfMRIIntra-operativeNeurosurgery

Identifiers

PMID31491826
PMCPMC6699415
OpenAlexW2954423227

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.