Evidence map›Paper›PMID 37316544›Full record

ArticleScientific reports2023

Functional connectivity discriminates epileptogenic states and predicts surgical outcome in children with drug resistant epilepsy.

Sakar Rijal, Ludovica Corona, M Scott Perry, Eleonora Tamilia, Joseph R Madsen, Scellig S D Stone, Jeffrey Bolton, Phillip L Pearl, Christos Papadelis

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 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.

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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Review
  8. Review
  9. Noninvasive Biomarkers for Assessing the Excitatory/Inhibitory Imbalance in Children with Epilepsy.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  10. Article
  11. Can brain network analyses guide epilepsy surgery?Current opinion in neurology · 2025
    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

9 authors.

Sakar Rijal *Jane and John Justin Institute for Mind Health Neurosciences Center, Cook Children's Health Care System, 1500 Cooper St., Fort Worth, TX, 76104, USA.ORCID 0009-0001-4088-941X
Ludovica Corona *Jane and John Justin Institute for Mind Health Neurosciences Center, Cook Children's Health Care System, 1500 Cooper St., Fort Worth, TX, 76104, USA.ORCID 0000-0001-7074-4513
M Scott PerryJane and John Justin Institute for Mind Health Neurosciences Center, Cook Children's Health Care System, 1500 Cooper St., Fort Worth, TX, 76104, USA.
Eleonora TamiliaFetal-Neonatal Neuroimaging and Developmental Science Center, Boston Children's Hospital, Harvard Medical School, Boston, MA, 02115, USA.ORCID 0000-0002-1235-3052
Joseph R MadsenDivision of Epilepsy Surgery, Department of Neurosurgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, 02115, USA.
Scellig S D StoneDivision of Epilepsy Surgery, Department of Neurosurgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, 02115, USA.
Jeffrey BoltonDivision of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, 02115, USA.
Phillip L PearlDivision of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, 02115, USA.ORCID 0000-0002-6373-1068
Christos PapadelisJane and John Justin Institute for Mind Health Neurosciences Center, Cook Children's Health Care System, 1500 Cooper St., Fort Worth, TX, 76104, USA. christos.papadelis@cookchildrens.org.ORCID 0000-0001-6125-9217

Funding

Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCOTT Loren POMEROY, MUSTAFA SAHIN · 2021 to 2026
$9.4M
Interictal High Frequency Oscillations of Epileptogenecity in Pediatric PatientsR01NS104116 · NINDS · COOK CHILDREN'S MEDICAL CENTER · PI PAPADELIS, CHRISTOS · 2019 to 2024
$2.4M
NICHD NIH HHS P50 HD105351NINDS NIH HHS RO1NS104116-01A1
6 · The paper itself

Abstract

Normal brain functioning emerges from a complex interplay among regions forming networks. In epilepsy, these networks are disrupted causing seizures. Highly connected nodes in these networks are epilepsy surgery targets. Here, we assess whether functional connectivity (FC) using intracranial electroencephalography can quantify brain regions epileptogenicity and predict surgical outcome in children with drug resistant epilepsy (DRE). We computed FC between electrodes on different states (i.e. interictal without spikes, interictal with spikes, pre-ictal, ictal, and post-ictal) and frequency bands. We then estimated the electrodes' nodal strength. We compared nodal strength between states, inside and outside resection for good- (n = 22, Engel I) and poor-outcome (n = 9, Engel II-IV) patients, respectively, and tested their utility to predict the epileptogenic zone and outcome. We observed a hierarchical epileptogenic organization among states for nodal strength: lower FC during interictal and pre-ictal states followed by higher FC during ictal and post-ictal states (p < 0.05). We further observed higher FC inside resection (p < 0.05) for good-outcome patients on different states and bands, and no differences for poor-outcome patients. Resection of nodes with high FC was predictive of outcome (positive and negative predictive values: 47-100%). Our findings suggest that FC can discriminate epileptogenic states and predict outcome in patients with DRE.

Indexed as

Drug Resistant EpilepsyBrainChildElectrocorticographyHumansSeizuresTransforming Growth Factor betaTreatment OutcomeTransforming Growth Factor beta

Identifiers

PMID37316544
PMCPMC10267141

What OpenQuestion holds

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Registered trials

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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.