Evidence map›Paper›PMID 34305571›Full record

ArticleFrontiers in aging neuroscience2021

Hemispheric Difference of Regional Brain Function Exists in Patients With Acute Stroke in Different Cerebral Hemispheres: A Resting-State fMRI Study.

Jingchun Gao, Canhong Yang, Qixiong Li, Lanpin Chen, Yijing Jiang, Songyan Liu, Jing Zhang, Gang Liu, Junqi Chen

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
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  7. Article
  8. Article
  9. Sex Differences in the Long-Term Consequences of Stroke.Current topics in behavioral neurosciences · 2023
    Review
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  11. Article
  12. 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 6 institutions in 1 country.

Jingchun GaoDepartment of Rehabilitation Medicine, Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Canhong YangDepartment of Neurology, Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Qixiong LiDepartment of Rehabilitation Medicine, Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Lanpin ChenSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.
Yijing JiangDepartment of Rehabilitation Medicine, Rehabilitation Hospital, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
Songyan LiuDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Jing ZhangDepartment of Neurology, China-Japan Union Hospital of Jilin University, Changchun, China.
Gang LiuDepartment of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Junqi ChenDepartment of Rehabilitation Medicine, Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Third Affiliated Hospital of Southern Medical University · CNUnion Hospital · CNFoshan Hospital of TCM · CNFujian University of Traditional Chinese Medicine · CNNanfang Hospital · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the different compensatory mechanisms of brain function between the patients with brain dysfunction after acute ischemic stroke (AIS) in the dominant hemisphere and the non-dominant hemisphere based on Resting-state Functional Magnetic Resonance Imaging (Rs-fMRI).

methodsIn this trial, 15 healthy subjects (HS) were used as blank controls. In total, 30 hemiplegic patients with middle cerebral artery acute infarction of different dominant hemispheres were divided into the dominant hemisphere group (DH) and the non-dominant hemisphere group (NDH), scanned by a 3.0 T MRI scanner, to obtain the amplitude of low-frequency fluctuations (ALFF) and regional homogeneity (ReHo) and compare the differences.

resultsCompared with the HS, increased ALFF values in the brain areas, such as the bilateral midbrain, were observed in DH. Meanwhile decreased ReHo values in the brain areas, such as the right postcentral gyrus (BA3), were also observed. Enhanced ALFF values in the brain areas, such as the left BA6, and enhanced ReHo values in the brain areas, such as the left precuneus, were observed in the NDH. The ALFF and ReHo values of the right BA9 and precentral gyrus were both increased. Compared with DH, the NDH group showed lower ALFF values in the left supplementary motor area and lower ReHo values in the right BA10.

conclusionAfter acute infarction in the middle cerebral artery of the dominant hemisphere, a compensation mechanism is triggered in brain areas of the ipsilateral cortex regulating motor-related pathways, while some brain areas related to cognition, sensation, and motor in the contralateral cortex are suppressed, and the connection with the peripheral brain regions is weakened. After acute infarction in the middle cerebral artery of the non-dominant hemisphere, compensatory activation appears in motor control-related brain areas of the dominant hemisphere. After acute middle cerebral artery infarction in the dominant hemisphere, compared with the non-dominant hemisphere, functional specificity in the bilateral supplementary motor area weakens. After acute middle cerebral artery infarction in different hemispheres, there are hemispheric differences in the compensatory mechanism of brain function.

Indexed as

AISamplitude of low frequency fluctuationsdominant hemispherenon-dominant hemisphereregional homogeneityresting-state functional magnetic resonance imaging

Identifiers

PMID34305571
PMCPMC8299339
OpenAlexW3111327319

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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.