Evidence map›Paper›PMID 32107555›Full record

ArticleNeuro-oncology2020

Resting-state fMRI detects alterations in whole brain connectivity related to tumor biology in glioma patients.

Veit M Stoecklein, Sophia Stoecklein, Franziska Galiè, Jianxun Ren, Michael Schmutzer, Marcus Unterrainer, Nathalie L Albert, Friedrich-W Kreth, Niklas Thon, Thomas Liebig and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 2 pooled it
7.6field-weighted citation impact, top 2% 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

86 citing papers in PubMed, 2 syntheses or guidelines pooled it, 127 citations in OpenAlex.

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26 more citing papers are in PubMed but not listed here.

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

13 authors at 4 institutions in 3 countries.

Veit M StoeckleinDepartment of Neurosurgery, Ludwig Maximilians University, Munich, Germany.
Sophia StoeckleinDepartment of Radiology, Ludwig Maximilians University Munich, Munich, Germany.
Franziska GalièDepartment of Radiology, Ludwig Maximilians University Munich, Munich, Germany.
Jianxun RenAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Michael SchmutzerDepartment of Neurosurgery, Ludwig Maximilians University, Munich, Germany.
Marcus UnterrainerDepartment of Nuclear Medicine, Ludwig Maximilians University, Munich, Germany.
Nathalie L AlbertDepartment of Nuclear Medicine, Ludwig Maximilians University, Munich, Germany.
Friedrich-W KrethDepartment of Neurosurgery, Ludwig Maximilians University, Munich, Germany.
Niklas ThonDepartment of Neurosurgery, Ludwig Maximilians University, Munich, Germany.
Thomas LiebigInstitute of Neuroradiology, Ludwig Maximilians University, Munich, Germany.
Birgit Ertl-WagnerDepartment of Radiology, Ludwig Maximilians University Munich, Munich, Germany.
Joerg-C TonnDepartment of Neurosurgery, Ludwig Maximilians University, Munich, Germany.
Hesheng LiuAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts, USA.
Ludwig-Maximilians-Universität München · DEGerman Cancer Research Center · DEHarvard University · USUniversity of Toronto · CA

Funding

COCA: Project 4. Neurocircuit Strategy to Decrease Cocaine Cue ReactivityP50DA046373 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HANLON, COLLEEN A · 2019 to 2023
$9.9M
Mapping the intrinsic functional organization of auditory cortex in individual subjects using 7T MRIR01DC017991 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI AHVENINEN, JYRKI · 2019 to 2023
$4.0M
Translating The Individualized Functional Connectome To Surgical PlanningR01NS091604 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LIU, HESHENG · 2015 to 2019
$2.1M
Cerebro-cerebellar circuitry in the pathophysiology of auditory hallucinations: dysmetria of auditory perceptual processing?R21MH121831 · NIMH · MCLEAN HOSPITAL · PI LIU, HESHENG, SHINN, ANN KYUNGAH · 2019 to 2020
$451k
NIDA NIH HHS P50 DA046373NIDCD NIH HHS R01 DC017991NIMH NIH HHS R21 MH121831NINDS NIH HHS R01 NS091604
6 · The paper itself

Abstract

backgroundSystemic infiltration of the brain by tumor cells is a hallmark of glioma pathogenesis which may cause disturbances in functional connectivity. We hypothesized that aggressive high-grade tumors cause more damage to functional connectivity than low-grade tumors.

methodsWe designed an imaging tool based on resting-state functional (f)MRI to individually quantify abnormality of functional connectivity and tested it in a prospective cohort of patients with newly diagnosed glioma.

resultsThirty-four patients were analyzed (World Health Organization [WHO] grade II, n = 13; grade III, n = 6; grade IV, n = 15; mean age, 48.7 y). Connectivity abnormality could be observed not only in the lesioned brain area but also in the contralateral hemisphere with a close correlation between connectivity abnormality and aggressiveness of the tumor as indicated by WHO grade. Isocitrate dehydrogenase 1 (IDH1) mutation status was also associated with abnormal connectivity, with more alterations in IDH1 wildtype tumors independent of tumor size. Finally, deficits in neuropsychological performance were correlated with connectivity abnormality.

conclusionHere, we suggested an individually applicable resting-state fMRI marker in glioma patients. Analysis of the functional connectome using this marker revealed that abnormalities of functional connectivity could be detected not only adjacent to the visible lesion but also in distant brain tissue, even in the contralesional hemisphere. These changes were associated with tumor biology and cognitive function. The ability of our novel method to capture tumor effects in nonlesional brain suggests a potential clinical value for both individualizing and monitoring glioma therapy.

Indexed as

Brain NeoplasmsGliomaBiologyBrainHumansMagnetic Resonance ImagingMiddle AgedProspective Studiesfunctional connectivityfunctional MRIglioblastomagliomaresting state

Identifiers

PMID32107555
PMCPMC7523460
OpenAlexW3008330096

What OpenQuestion holds

Textmetadata
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.