Evidence map›Paper›PMID 33476393›Full record

ReviewNeurosurgery2021

Clinical Pearls and Methods for Intraoperative Motor Mapping.

Marco Rossi, Tommaso Sciortino, Marco Conti Nibali, Lorenzo Gay, Luca Viganò, Guglielmo Puglisi, Antonella Leonetti, Henrietta Howells, Luca Fornia, Gabriella Cerri and 2 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06381726 (Personalized Rendering of Motor System Functional Plasticity Potential to Improve Glioma Resection and Quality of Life), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–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.

NCT06381726 narecruitingnot on this mapstarted 2024, after this paper: background citation

Personalized Rendering of Motor System Functional Plasticity Potential to Improve Glioma Resection and Quality of Life

TypeinterventionalSponsorUniversity of MilanRan2024 to 2028Enrolled400ConditionsGlioma, Glioma, MalignantArmsResting State Functional Magnetic Resonance Imaging (rs-fMRI), Up-front Motor Rehabilitation, Up-front Chemotherapy
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Marco RossiNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.
Tommaso SciortinoNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.
Marco Conti NibaliNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.
Lorenzo GayNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.
Luca ViganòNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.
Guglielmo PuglisiNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.
Antonella LeonettiNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.
Henrietta HowellsLaboratory of Motor Control, Department of Biotechnology and Translational Medicine, Università degli Studi di Milano Milano, Italy.
Luca ForniaLaboratory of Motor Control, Department of Biotechnology and Translational Medicine, Università degli Studi di Milano Milano, Italy.
Gabriella CerriLaboratory of Motor Control, Department of Biotechnology and Translational Medicine, Università degli Studi di Milano Milano, Italy.
Marco RivaNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.
Lorenzo BelloNeurosurgery , Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resection of brain tumors involving motor areas and pathways requires the identification and preservation of various cortical and subcortical structures involved in motor control at the time of the procedure, in order to maintain the patient's full motor capacities. The use of brain mapping techniques has now been integrated into clinical practice for many years, as they help the surgeon to identify the neural structures involved in motor functions. A common definition of motor function, as well as knowledge of its neural organization, has been continuously evolving, underlining the need for implementing intraoperative strategies at the time of the procedure. Similarly, mapping strategies have been subjected to continuous changes, enhancing the likelihood of preservation of full motor capacities. As a general rule, the motor mapping strategy should be as flexible as possible and adapted strictly to the individual patient and clinical context of the tumor. In this work, we present an overview of current knowledge of motor organization, indications for motor mapping, available motor mapping, and monitoring strategies, as well as their advantages and limitations. The use of motor mapping improves resection and outcomes in patients harboring tumors involving motor areas and pathways, and should be considered the gold standard in the resection of this type of tumor.

Indexed as

Brain MappingBrain NeoplasmsFemaleGliomaHumansIntraoperative Neurophysiological MonitoringMaleMotor CortexAwake surgeryBrain tumorsGliomaMonitoring techniquesMotor area tumorsMotor controlMotor mapping techniquesOncological balance

Identifiers

PMID33476393
PMCPMC7884143

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.