Evidence map›Paper›PMID 31819108›Full record

ArticleScientific reports2019

Lesion Network Localization of Seizure Freedom following MR-guided  Laser Interstitial Thermal Ablation.

Karim Mithani, Alexandre Boutet, Jurgen Germann, Gavin J B Elias, Alexander G Weil, Ashish Shah, Magno Guillen, Byron Bernal, Justin K Achua, John Ragheb and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Therapeutic approaches targeting seizure networks.Frontiers in network physiology · 2024
    Review
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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

14 authors at 5 institutions in 2 countries.

Karim MithaniFaculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-8094-3070
Alexandre BoutetUniversity Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-6942-5195
Jurgen GermannUniversity Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-0995-8226
Gavin J B EliasUniversity Health Network, Toronto, ON, Canada.
Alexander G WeilDivision of Neurosurgery, CHU-Ste Justine, Université de Montréal, Montréal, Canada.
Ashish ShahDivision of Neurosurgery, Brain Institute, Nicklaus Children's Hospital, Miami, USA.
Magno GuillenDepartment of Radiology, Nicklaus Children's Hospital, Miami, USA.ORCID http://orcid.org/0000-0001-9649-8429
Byron BernalDepartment of Radiology, Nicklaus Children's Hospital, Miami, USA.
Justin K AchuaDivision of Neurosurgery, Brain Institute, Nicklaus Children's Hospital, Miami, USA.ORCID http://orcid.org/0000-0002-4159-439X
John RaghebDivision of Neurosurgery, Brain Institute, Nicklaus Children's Hospital, Miami, USA.
Elizabeth DonnerDivision of Neurology, Hospital for Sick Children, Toronto, Canada.
Andres M LozanoDivision of Neurosurgery, Department of Surgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
Elysa WidjajaDepartment of Diagnostic Imaging, Hospital for Sick Children, Toronto, Canada.
George M IbrahimInstitute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Canada. george.ibrahim@sickkids.ca.ORCID http://orcid.org/0000-0001-9068-8184
Miami Children's Hospital · USUniversity Health Network · CAUniversity of Toronto · CAHospital for Sick Children · CAUniversité de Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment-resistant epilepsy is a common and debilitating neurological condition, for which neurosurgical cure is possible. Despite undergoing nearly identical ablation procedures however, individuals with treatment-resistant epilepsy frequently exhibit heterogeneous outcomes. We hypothesized that treatment response may be related to the brain regions to which MR-guided laser ablation volumes are functionally connected. To test this, we mapped the resting-state functional connectivity of surgical ablations that either resulted in seizure freedom (N = 11) or did not result in seizure freedom (N = 16) in over 1,000 normative connectomes. There was no difference seizure outcome with respect to the anatomical location of the ablations, and very little overlap between ablation areas was identified using the Dice Index. Ablations that did not result in seizure-freedom were preferentially connected to a number of cortical and subcortical regions, as well as multiple canonical resting-state networks. In contrast, ablations that led to seizure-freedom were more functionally connected to prefrontal cortices. Here, we demonstrate that underlying normative neural circuitry may in part explain heterogenous outcomes following ablation procedures in different brain regions. These findings may ultimately inform target selection for ablative epilepsy surgery based on normative intrinsic connectivity of the targeted volume.

Indexed as

Laser TherapyMagnetic Resonance ImagingNeurosurgical ProceduresAdultBrainBrain MappingDrug Resistant EpilepsyFemaleHealthy VolunteersHumansMaleMiddle AgedRetrospective StudiesSeizuresTreatment Outcome

Identifiers

PMID31819108
PMCPMC6901556
OpenAlexW2992910907

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.