Evidence map›Paper›PMID 37333141›Full record

ArticlemedRxiv : the preprint server for health sciences2023

Improved Seizure Onset-Zone Lateralization in Temporal Lobe Epilepsy using 7T Resting-State fMRI: A Direct Comparison with 3T.

Alfredo Lucas, Eli J Cornblath, Nishant Sinha, Lorenzo Caciagli, Peter Hadar, Ashley Tranquille, Joel M Stein, Sandhitsu Das, Kathryn A Davis

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Alfredo LucasPerelman School of Medicine, University of Pennsylvania.
Eli J CornblathDepartment of Neurology, University of Pennsylvania.
Nishant SinhaDepartment of Neurology, University of Pennsylvania.
Lorenzo CaciagliDepartment of Bioengineering, University of Pennsylvania.
Peter HadarDepartment of Neurology, Massachussets General Hospital (work conducted while at the University of Pennsylvania).
Ashley TranquilleDepartment of Neurology, University of Pennsylvania.
Joel M SteinDepartment of Radiology, University of Pennsylvania.
Sandhitsu DasDepartment of Neurology, University of Pennsylvania.
Kathryn A DavisDepartment of Neurology, University of Pennsylvania.

Funding

Optimized Intracranial EEG Targeting in Focal Epilepsy based upon Neuroimaging ConnectomicsR01NS116504 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DAVIS, KATHRYN ADAMIAK · 2021 to 2025
$3.3M
NINDS NIH HHS R01 NS116504
6 · The paper itself

Abstract

Objective: Resting-state functional magnetic resonance imaging (rs-fMRI) at ultra high-field strengths (≥7T) is known to provide superior signal-to-noise and statistical power than comparable acquisitions at lower field strengths. In this study, we aim to provide a direct comparison of the seizure onset-zone (SOZ) lateralizing ability of 7T rs-fMRI and 3T rs-fMRI. Methods: We investigated a cohort of 70 temporal lobe epilepsy (TLE) patients. A paired cohort of 19 patients had 3T and 7T rs-fMRI acquisitions for direct comparison between the two field strengths. Forty-three patients had only 3T, and 8 patients had only 7T rs-fMRI acquisitions. We quantified the functional connectivity between the hippocampus and other nodes within the default mode network (DMN) using seed-to-voxel connectivity, and measured how hippocampo-DMN connectivity could inform SOZ lateralization at 7T and 3T field strengths. Results: Differences between hippocampo-DMN connectivity ipsilateral and contralateral to the SOZ were significantly higher at 7T (p Significance: We show superior SOZ lateralization in TLE patients when using 7T relative to 3T rs-fMRI, supporting the adoption of high-field strength functional imaging in the epilepsy presurgical evaluation.

Identifiers

PMID37333141
PMCPMC10275004

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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.