Evidence map›Paper›PMID 32812070›Full record

ArticleNeuroradiology2020

Automatic identification of atypical clinical fMRI results.

J Martijn Jansma, Geert-Jan Rutten, Lenny E Ramsey, T J Snijders, Alberto Bizzi, Katharina Rosengarth, Frank Dodoo-Schittko, Elke Hattingen, Mar Jiménez de la Peña, Gord von Campe and 2 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

J Martijn JansmaBrain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Geert-Jan RuttenDepartment of Neurosurgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.
Lenny E RamseyDepartment of Neurosurgery, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA.
T J SnijdersBrain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Alberto BizziNeuroradiology Unit, Istituto Clinico Humanitas IRCCS, Rozzano, Milan, Italy.
Katharina RosengarthInstitute for Experimental Psychology, University of Regensburg, Regensburg, Germany.
Frank Dodoo-SchittkoMedical Sociology, Institute for Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.
Elke HattingenInstitute of Neuroradiology, Goethe University, Frankfurt, Germany.
Mar Jiménez de la PeñaDiagnostic Imaging Department, Hospital Universitario QuirónSalud, Madrid, Spain.
Gord von CampeDepartment of Neurosurgery, Medical University of Graz, Graz, Austria.
Margit JehnaDivision of Neuroradiology, Vascular and Interventional Radiology, Medical University of Graz, Graz, Austria.
Nick F RamseyBrain Center, Department of Neurology & Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands. n.f.ramsey@umcutrecht.nl.ORCID http://orcid.org/0000-0002-7136-259X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFunctional MRI is not routinely used for neurosurgical planning despite potential important advantages, due to difficulty of determining quality. We introduce a novel method for objective evaluation of fMRI scan quality, based on activation maps. A template matching analysis (TMA) is presented and tested on data from two clinical fMRI protocols, performed by healthy controls in seven clinical centers. Preliminary clinical utility is tested with data from low-grade glioma patients.

methodsData were collected from 42 healthy subjects from seven centers, with standardized finger tapping (FT) and verb generation (VG) tasks. Copies of these "typical" data were deliberately analyzed incorrectly to assess feasibility of identifying them as "atypical." Analyses of the VG task administered to 32 tumor patients assessed sensitivity of the TMA method to anatomical abnormalities.

resultsTMA identified all atypical activity maps for both tasks, at the cost of incorrectly classifying 3.6 (VG)-6.5% (FT) of typical maps as atypical. For patients, the average TMA was significantly higher than atypical healthy scans, despite localized anatomical abnormalities caused by a tumor.

conclusionThis study supports feasibility of TMA for objective identification of atypical activation patterns for motor and verb generation fMRI protocols. TMA can facilitate the use and evaluation of clinical fMRI in hospital settings that have limited access to fMRI experts. In a clinical setting, this method could be applied to automatically flag fMRI scans showing atypical activation patterns for further investigation to determine whether atypicality is caused by poor scan data quality or abnormal functional topography.

Indexed as

AdolescentAdultBrain NeoplasmsEuropeFeasibility StudiesFemaleGliomaHealthy VolunteersHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingProof of Concept StudyTask Performance and AnalysisBrain functionClinical fMRIFunctional MRILanguageMotor cortex

Identifiers

PMID32812070
PMCPMC7666675

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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.