Evidence map›Paper›PMID 32975591›Full record

ArticleNeuroradiology2021

Widespread cortical dyslamination in epilepsy patients with malformations of cortical development.

Eyal Lotan, Omri Tomer, Ido Tavor, Ilan Blatt, Hadassah Goldberg-Stern, Chen Hoffmann, Galia Tsarfaty, David Tanne, Yaniv Assaf

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In one paragraph

Article in Neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

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

  1. Pooled it
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  6. Expanding connectomics to the laminar level: A perspective.Network neuroscience (Cambridge, Mass.) · 2023
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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

9 authors at 1 institution in 2 countries.

Eyal LotanDepartment of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel. elotan@gmail.com.ORCID https://orcid.org/0000-0002-9526-3430
Omri TomerSagol School of Neuroscience, Tel Aviv University, 69978, Tel Aviv, Israel.
Ido TavorDepartment of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.
Ilan BlattSackler Faculty of Medicine, Tel Aviv University, 69978, Tel Aviv, Israel.
Hadassah Goldberg-SternSackler Faculty of Medicine, Tel Aviv University, 69978, Tel Aviv, Israel.
Chen HoffmannDepartment of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.
Galia TsarfatyDepartment of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, 52621, Ramat Gan, Israel.
David Tanne *Sackler Faculty of Medicine, Tel Aviv University, 69978, Tel Aviv, Israel.
Yaniv Assaf *Sagol School of Neuroscience, Tel Aviv University, 69978, Tel Aviv, Israel.
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecent research in epilepsy patients confirms our understanding of epilepsy as a network disorder with widespread cortical compromise. Here, we aimed to investigate the neocortical laminar architecture in patients with focal cortical dysplasia (FCD) and periventricular nodular heterotopia (PNH) using clinically feasible 3 T MRI.

methodsEighteen epilepsy patients (FCD and PNH groups; n = 9 each) and age-matched healthy controls (n = 9) underwent T1 relaxation 3 T MRI, from which component probability T1 maps were utilized to extract sub-voxel composition of 6 T1 cortical layers. Seventy-eight cortical areas of the automated anatomical labeling atlas were divided into 1000 equal-volume sub-areas for better detection of cortical abnormalities, and logistic regressions were performed to compare FCD/PNH patients with healthy controls with the T1 layers composing each sub-area as regressors. Statistical significance (p < 0.05) was determined by a likelihood-ratio test with correction for false discovery rate using Benjamini-Hochberg method.

resultsWidespread cortical abnormalities were observed in the patient groups. Out of 1000 sub-areas, 291 and 256 bilateral hemispheric cortical sub-areas were found to predict FCD and PNH, respectively. For each of these sub-areas, we were able to identify the T1 layer, which contributed the most to the prediction.

conclusionOur results reveal widespread cortical abnormalities in epilepsy patients with FCD and PNH, which may have a role in epileptogenesis, and likely related to recent studies showing widespread structural (e.g., cortical thinning) and diffusion abnormalities in various human epilepsy populations. Our study provides quantitative information of cortical laminar architecture in epilepsy patients that can be further targeted for study in functional and neuropathological studies.

Indexed as

EpilepsyMalformations of Cortical DevelopmentHumansMagnetic Resonance ImagingCortical layersEpilepsyFocal cortical dysplasiaMRIPeriventricular nodular heterotopiaT1 relaxation

Identifiers

PMID32975591
OpenAlexW3088521669

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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.