Evidence map›Paper›PMID 34637901›Full record

ArticleNeuroImage2021

Functional connectome reorganization relates to post-stroke motor recovery and structural and functional disconnection.

Emily R Olafson, Keith W Jamison, Elizabeth M Sweeney, Hesheng Liu, Danhong Wang, Joel E Bruss, Aaron D Boes, Amy Kuceyeski

Registry-linked trialAbstract 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. It is linked to trial NCT07584681 (Connectomic Alterations Following Acute Ischemic Stroke in the Middle Cerebral Artery Territory), which is not on this map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 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.

NCT07584681 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Connectomic Alterations Following Acute Ischemic Stroke in the Middle Cerebral Artery Territory: A Pilot Study of Prognostic Value and Structural Disruption

TypeinterventionalSponsorNorthwell HealthRan2026 to 2028Enrolled10ConditionsIschemic StrokeArmsMRI with connectomic sequencing
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. The effects of rTMS on motor recovery after stroke: a systematic review of fMRI studies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  4. Trial
  5. Trial
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  7. Article
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  10. The Cerebellar Connectome Disruptions in Ischemic Stroke.CNS neuroscience & therapeutics · 2026
    Article
  11. Article
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  19. Brain repair mechanisms after cell therapy for stroke.Brain : a journal of neurology · 2024
    Review
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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

8 authors.

Emily R OlafsonDepartment of Radiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10021, USA; Department of Radiology, Harvard Medical School, Boston, MA 02115, USA; Department of Neurology, University of Iowa, Iowa, IA 52242, USA. Electronic address: emo4002@med.cornell.edu.
Keith W JamisonDepartment of Radiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10021, USA; Department of Radiology, Harvard Medical School, Boston, MA 02115, USA; Department of Neurology, University of Iowa, Iowa, IA 52242, USA.
Elizabeth M SweeneyDepartment of Radiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10021, USA; Department of Radiology, Harvard Medical School, Boston, MA 02115, USA; Department of Neurology, University of Iowa, Iowa, IA 52242, USA.
Hesheng LiuDepartment of Radiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10021, USA; Department of Radiology, Harvard Medical School, Boston, MA 02115, USA; Department of Neurology, University of Iowa, Iowa, IA 52242, USA.
Danhong WangDepartment of Radiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10021, USA; Department of Radiology, Harvard Medical School, Boston, MA 02115, USA; Department of Neurology, University of Iowa, Iowa, IA 52242, USA.
Joel E BrussDepartment of Radiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10021, USA; Department of Radiology, Harvard Medical School, Boston, MA 02115, USA; Department of Neurology, University of Iowa, Iowa, IA 52242, USA.
Aaron D BoesDepartment of Radiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10021, USA; Department of Radiology, Harvard Medical School, Boston, MA 02115, USA; Department of Neurology, University of Iowa, Iowa, IA 52242, USA.
Amy KuceyeskiDepartment of Radiology, Weill Cornell Medical College, New York, NY 10021, USA; Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10021, USA; Department of Radiology, Harvard Medical School, Boston, MA 02115, USA; Department of Neurology, University of Iowa, Iowa, IA 52242, USA.

Funding

Multi-Modal Imaging of the Mechanisms Underlying Impaired Executive Attention After Traumatic Brain InjuryR01NS102646 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI KUCEYESKI, AMY FRANCES, SHAH, SUDHIN · 2018 to 2022
$2.8M
Predicting Cognitive Outcomes from Stroke Based on Lesion LocationR01NS114405 · NINDS · UNIVERSITY OF IOWA · PI BOES, AARON D · 2020 to 2024
$2.1M
Heritability and cognitive implications of structural-functional connectome couplingRF1MH123232 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI KUCEYESKI, AMY FRANCES · 2021 to 2021
$1.3M
Quantifying the role of the connectome in resiliency to multiple sclerosisR21NS104634 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI KUCEYESKI, AMY FRANCES · 2017 to 2018
$466k
Learning high-dimensional functional connectomes of heterogeneous populationsR21NS120227 · NINDS · CORNELL UNIVERSITY · PI BASU, SUMANTA · 2020 to 2020
$428k
NIMH NIH HHS RF1 MH123232NINDS NIH HHS R01 NS102646NINDS NIH HHS R01 NS114405NINDS NIH HHS R21 NS104634NINDS NIH HHS R21 NS120227
6 · The paper itself

Abstract

Motor recovery following ischemic stroke is contingent on the ability of surviving brain networks to compensate for damaged tissue. In rodent models, sensory and motor cortical representations have been shown to remap onto intact tissue around the lesion site, but remapping to more distal sites (e.g. in the contralesional hemisphere) has also been observed. Resting state functional connectivity (FC) analysis has been employed to study compensatory network adaptations in humans, but mechanisms and time course of motor recovery are not well understood. Here, we examine longitudinal FC in 23 first-episode ischemic pontine stroke patients and utilize a graph matching approach to identify patterns of functional connectivity reorganization during recovery. We quantified functional reorganization between several intervals ranging from 1 week to 6 months following stroke, and demonstrated that the areas that undergo functional reorganization most frequently are in cerebellar/subcortical networks. Brain regions with more structural and functional connectome disruption due to the stroke also had more remapping over time. Finally, we show that functional reorganization is correlated with the extent of motor recovery in the early to late subacute phases, and furthermore, individuals with greater baseline motor impairment demonstrate more extensive early subacute functional reorganization (from one to two weeks post-stroke) and this reorganization correlates with better motor recovery at 6 months. Taken together, these results suggest that our graph matching approach can quantify recovery-relevant, whole-brain functional connectivity network reorganization after stroke.

Indexed as

Recovery of FunctionAdultAgedCase-Control StudiesConnectomeFemaleHumansImage Processing, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedMotor CortexStrokeConnectomefMRIGraph matchingMotor recoveryRemappingStroke

Identifiers

PMID34637901
PMCPMC8805675

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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.