Evidence map›Paper›PMID 33216425›Full record

ArticleHuman brain mapping2021

An empirical comparison of univariate versus multivariate methods for the analysis of brain-behavior mapping.

Maria V Ivanova, Timothy J Herron, Nina F Dronkers, Juliana V Baldo

Abstract readComparative Study
In one paragraph

Article in Human brain mapping, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

46 citing papers in PubMed.

  1. Critical-Network Lesion-Symptom Mapping.Human brain mapping · 2026
    Article
  2. Article
  3. Article
  4. Lesions Reveal Shared and Distinct Neurocognitive Bases of Oral Reading and Silent Word Recognition.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  5. Lesion-symptom mapping reveals differential relationships between language and precise versus approximate numeracy.Cortex; a journal devoted to the study of the nervous system and behavior · 2025
    Article
  6. Article
  7. Article
  8. Using unsupervised dimensionality reduction to identify lesion patterns predictive of post-stroke aphasia severity.Cortex; a journal devoted to the study of the nervous system and behavior · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Neural Correlates of Rhythm in Post-Stroke Aphasia.Neurobiology of language (Cambridge, Mass.) · 2025
    Article
  14. Post-stroke cognitive impairment: More than a lesion-symptom model.Imaging neuroscience (Cambridge, Mass.) · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Lesion mapping in neuropsychological research: A practical and conceptual guide.Cortex; a journal devoted to the study of the nervous system and behavior · 2024
    Article
  19. Article
  20. Article
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

4 authors.

Maria V IvanovaUniversity of California, Berkeley, California, USA.ORCID 0000-0001-6598-3501
Timothy J HerronVA Northern California Health Care System, Martinez, California, USA.
Nina F DronkersUniversity of California, Berkeley, California, USA.
Juliana V BaldoVA Northern California Health Care System, Martinez, California, USA.

Funding

Neural Mechanisms of Language Production Decline in Primary Progressive AphasiaR01DC016345 · NIDCD · UNIVERSITY OF CALIFORNIA BERKELEY · PI DRONKERS, NINA F. · 2017 to 2022
$2.8M
Neural Predictors of Recovery from Auditory Comprehension Deficits in AphasiaI01CX001290 · VA · VA NORTHERN CALIFORNIA HEALTH CARE SYS · PI BALDO, JULIANA V. · 2016 to 2020
–
CSRD VA I01 CX001290NIDCD NIH HHS R01 DC016345
6 · The paper itself

Abstract

Lesion symptom mapping (LSM) tools are used on brain injury data to identify the neural structures critical for a given behavior or symptom. Univariate lesion symptom mapping (ULSM) methods provide statistical comparisons of behavioral test scores in patients with and without a lesion on a voxel by voxel basis. More recently, multivariate lesion symptom mapping (MLSM) methods have been developed that consider the effects of all lesioned voxels in one model simultaneously. In the current study, we provide a much-needed systematic comparison of several ULSM and MLSM methods, using both synthetic and real data to identify the potential strengths and weaknesses of both approaches. We tested the spatial precision of each LSM method for both single and dual (network type) anatomical target simulations across anatomical target location, sample size, noise level, and lesion smoothing. Additionally, we performed false positive simulations to identify the characteristics associated with each method's spurious findings. Simulations showed no clear superiority of either ULSM or MLSM methods overall, but rather highlighted specific advantages of different methods. No single method produced a thresholded LSM map that exclusively delineated brain regions associated with the target behavior. Thus, different LSM methods are indicated, depending on the particular study design, specific hypotheses, and sample size. Overall, we recommend the use of both ULSM and MLSM methods in tandem to enhance confidence in the results: Brain foci identified as significant across both types of methods are unlikely to be spurious and can be confidently reported as robust results.

Indexed as

AdultAgedAged, 80 and overAnalysis of VarianceBrain MappingCerebral CortexComputer SimulationFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNerve NetStrokeaphasiabrain-behavior relationshipslanguagelesion symptom mappingmultivariatestrokeVLSM

Identifiers

PMID33216425
PMCPMC7856656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.