Evidence map›Paper›PMID 32588936›Full record

ArticleHuman brain mapping2020

Invasive versus non-invasive mapping of the motor cortex.

Carolin Weiss Lucas, Charlotte Nettekoven, Volker Neuschmelting, Ana-Maria Oros-Peusquens, Gabriele Stoffels, Shivakumar Viswanathan, Anne K Rehme, Andrea Maria Faymonville, N Jon Shah, Karl Josef Langen and 2 more

Abstract readComparative Study
In one paragraph

Article in Human brain mapping, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

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

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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.

Carolin Weiss LucasMedical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany.ORCID 0000-0001-6463-0034
Charlotte NettekovenMedical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany.
Volker NeuschmeltingMedical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany.ORCID 0000-0001-7527-6990
Ana-Maria Oros-PeusquensResearch Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.
Gabriele StoffelsResearch Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.ORCID 0000-0001-7114-1941
Shivakumar ViswanathanResearch Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.ORCID 0000-0002-7513-3778
Anne K RehmeResearch Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.
Andrea Maria FaymonvilleMedical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany.
N Jon ShahResearch Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.ORCID 0000-0002-8151-6169
Karl Josef LangenResearch Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.ORCID 0000-0003-1101-5075
Roland GoldbrunnerMedical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany.
Christian GrefkesResearch Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.ORCID 0000-0002-1656-720X

Funding

Deutsche Forschungsgemeinschaft INST 1856/50-1University of Cologne, Faculty of Medicine Koeln Fortune Gerok 8/2016
6 · The paper itself

Abstract

Precise and comprehensive mapping of somatotopic representations in the motor cortex is clinically essential to achieve maximum resection of brain tumours whilst preserving motor function, especially since the current gold standard, that is, intraoperative direct cortical stimulation (DCS), holds limitations linked to the intraoperative setting such as time constraints or anatomical restrictions. Non-invasive techniques are increasingly relevant with regard to pre-operative risk-assessment. Here, we assessed the congruency of neuronavigated transcranial magnetic stimulation (nTMS) and functional magnetic resonance imaging (fMRI) with DCS. The motor representations of the hand, the foot and the tongue regions of 36 patients with intracranial tumours were mapped pre-operatively using nTMS and fMRI and by intraoperative DCS. Euclidean distances (ED) between hotspots/centres of gravity and (relative) overlaps of the maps were compared. We found significantly smaller EDs (11.4 ± 8.3 vs. 16.8 ± 7.0 mm) and better spatial overlaps (64 ± 38% vs. 37 ± 37%) between DCS and nTMS compared with DCS and fMRI. In contrast to DCS, fMRI and nTMS mappings were feasible for all regions and patients without complications. In summary, nTMS seems to be the more promising non-invasive motor cortex mapping technique to approximate the gold standard DCS results.

Indexed as

AdultAgedBrain MappingBrain NeoplasmsElectric StimulationElectromyographyEvoked Potentials, MotorFemaleHumansMagnetic Resonance ImagingMaleMicrosurgeryMiddle AgedMotor ActivityMotor CortexNeuronavigationbrain tumourselectric stimulationfunctional magnetic resonance imaginggliomaprecentral motor areasurgical procedures, neurologictranscranial magnetic stimulation

Identifiers

PMID32588936
PMCPMC7469817

What OpenQuestion holds

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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.