Evidence map›Paper›PMID 34642939›Full record

ArticleEpilepsia2021

Decoupling of functional and structural language networks in temporal lobe epilepsy.

Karin Trimmel, Sjoerd B Vos, Lorenzo Caciagli, Fenglai Xiao, Louis A van Graan, Gavin P Winston, Matthias J Koepp, Pamela J Thompson, John S Duncan

Open access · hybridAbstract read
In one paragraph

Article in Epilepsia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 32 citations in OpenAlex.

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  15. Subcortical Functional Connectivity Gradients in Temporal Lobe Epilepsy.medRxiv : the preprint server for health sciences · 2023
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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 4 countries.

Karin TrimmelEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0002-9203-5344
Sjoerd B VosEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0002-8502-4487
Lorenzo CaciagliEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0001-7189-9699
Fenglai XiaoEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0003-1308-6539
Louis A van GraanEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0003-0531-9259
Gavin P WinstonEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0001-9395-1478
Matthias J KoeppEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0002-4277-8000
Pamela J ThompsonEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0002-3141-3567
John S DuncanEpilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.ORCID 0000-0002-1373-0681
Epilepsy Research UK · GBEpilepsy Society · GBQueen's University · CASichuan University · CN

Funding

Department of HealthMedical Research Council G0802012Medical Research Council MR/M00841X/1
6 · The paper itself

Abstract

objectiveTo identify functional and structural alterations in language networks of people with temporal lobe epilepsy (TLE), who frequently present with naming and word-finding difficulties.

methodsFifty-five patients with unilateral TLE (29 left) and 16 controls were studied with auditory and picture naming functional magnetic resonance imaging (fMRI) tasks. Activation maxima in the left posterobasal temporal lobe were used as seed regions for whole-brain functional connectivity analyses (psychophysiological interaction). White matter language pathways were investigated using diffusion tensor imaging and neurite orientation dispersion and density imaging metrics extracted along fiber bundles starting from fMRI-guided seeds. Regression analyses were performed to investigate the correlation of functional connectivity with diffusion MRI metrics.

resultsIn the whole group of patients and controls, weaker functional connectivity from the left posterobasal temporal lobe (1) to the bilateral anterior temporal lobe, precentral gyrus, and lingual gyrus during auditory naming and (2) to the bilateral occipital cortex and right fusiform gyrus during picture naming was associated with decreased neurite orientation dispersion and higher free water fraction of white matter tracts. Compared to controls, TLE patients exhibited fewer structural connections and an impaired coupling of functional and structural metrics. SIGNIFICANCE: TLE is associated with an impairment and decoupling of functional and structural language networks. White matter damage, as evidenced by diffusion abnormalities, may contribute to impaired functional connectivity and language dysfunction in TLE.

Indexed as

Epilepsy, Temporal LobeDiffusion Tensor ImagingFunctional LateralityHumansLanguageMagnetic Resonance ImagingTemporal Lobediffusion MRIDTIfunctional connectivitylanguage networknaming functionNODDItemporal lobe epilepsy

Identifiers

PMID34642939
PMCPMC8776336
OpenAlexW3206849725

What OpenQuestion holds

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LicenceCC BY-NC
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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.