Evidence map›Paper›PMID 33940142›Full record

ArticleNeuroImage2021

Local and distant responses to single pulse electrical stimulation reflect different forms of connectivity.

Britni Crocker, Lauren Ostrowski, Ziv M Williams, Darin D Dougherty, Emad N Eskandar, Alik S Widge, Catherine J Chu, Sydney S Cash, Angelique C Paulk

Open access · goldAbstract read
In one paragraph

Article in NeuroImage, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  14. Macroscale Traveling Waves Evoked by Single-Pulse Stimulation of the Human Brain.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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  15. Review
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  18. Network excitability of stimulation-induced spectral responses helps localize the seizure onset zone.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Article
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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 4 institutions in 1 country.

Britni CrockerHarvard-MIT Health Sciences and Technology, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, 02139; Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA.
Lauren OstrowskiDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA.
Ziv M WilliamsNayef Al-Rodhan Laboratories, Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
Darin D DoughertyDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, 02129.
Emad N EskandarNayef Al-Rodhan Laboratories, Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA; Department of Neurosurgery, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10467.
Alik S WidgeDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, 02129; Picower Institute for Learning & Memory, Massachusetts Institute of Technology, Cambridge, MA 02124; Department of Psychiatry, University of Minnesota, Minneapolis, MN 55455.
Catherine J ChuDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA.
Sydney S CashDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA.
Angelique C PaulkDepartment of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA; Nayef Al-Rodhan Laboratories, Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. Electronic address: apaulk@mgh.harvard.edu.
Massachusetts General Hospital · USHarvard University · USAlbert Einstein College of Medicine · USUniversity of Minnesota · US

Funding

Identification of Cortical Biomarkers for Seizure Risk in Childhood EpilepsyK23NS092923 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CHU, CATHERINE J · 2015 to 2020
$1.0M
Seizure focus delineation using spontaneous and stimulus evoked EEG featuresK24NS088568 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S · 2015 to 2019
$923k
NINDS NIH HHS K23 NS092923NINDS NIH HHS K24 NS088568
6 · The paper itself

Abstract

Measuring connectivity in the human brain involves innumerable approaches using both noninvasive (fMRI, EEG) and invasive (intracranial EEG or iEEG) recording modalities, including the use of external probing stimuli, such as direct electrical stimulation. To examine how different measures of connectivity correlate with one another, we compared 'passive' measures of connectivity during resting state conditions to the more 'active' probing measures of connectivity with single pulse electrical stimulation (SPES). We measured the network engagement and spread of the cortico-cortico evoked potential (CCEP) induced by SPES at 53 out of 104 total sites across the brain, including cortical and subcortical regions, in patients with intractable epilepsy (N=11) who were undergoing intracranial recordings as a part of their clinical care for identifying seizure onset zones. We compared the CCEP network to functional, effective, and structural measures of connectivity during a resting state in each patient. Functional and effective connectivity measures included correlation or Granger causality measures applied to stereoEEG (sEEGs) recordings. Structural connectivity was derived from diffusion tensor imaging (DTI) acquired before intracranial electrode implant and monitoring (N=8). The CCEP network was most similar to the resting state voltage correlation network in channels near to the stimulation location. In contrast, the distant CCEP network was most similar to the DTI network. Other connectivity measures were not as similar to the CCEP network. These results demonstrate that different connectivity measures, including those derived from active stimulation-based probing, measure different, complementary aspects of regional interrelationships in the brain.

Indexed as

Cerebral CortexConnectomeDiffusion Tensor ImagingElectric StimulationElectrocorticographyNerve NetAdultDrug Resistant EpilepsyEvoked PotentialsHumansImplantable NeurostimulatorsConnectivityDiffusion tensor imagingDirect electrical stimulationIntracranialsEEG

Identifiers

PMID33940142
PMCPMC12424142
OpenAlexW3157605720

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.