Evidence map›Paper›PMID 38215622›Full record

ArticleNeuroImage. Clinical2024

Comparing the efficacy of awake and sedated MEG to TMS in mapping hand sensorimotor cortex in a clinical cohort.

Negar Noorizadeh, Jackie Austin Varner, Liliya Birg, Theresa Williard, Roozbeh Rezaie, James Wheless, Shalini Narayana

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

7 authors at 2 institutions in 1 country.

Negar NoorizadehDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States; Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.
Jackie Austin VarnerNeuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.
Liliya BirgNeuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.
Theresa WilliardNeuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.
Roozbeh RezaieDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States; Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.
James WhelessDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States; Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN, United States.
Shalini NarayanaDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States; Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN, United States; Department of Anatomy and Neurobiology, University of Tennessee Health Science Center, Memphis, TN, United States. Electronic address: snaraya2@uthsc.edu.
University of Tennessee Health Science Center · USLe Bonheur Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-invasive methods such as Transcranial Magnetic Stimulation (TMS) and magnetoencephalography (MEG) aid in the pre-surgical evaluation of patients with epilepsy or brain tumor to identify sensorimotor cortices. MEG requires sedation in children or patients with developmental delay. However, TMS can be applied to awake patients of all ages with any cognitive abilities. In this study, we compared the efficacy of TMS with MEG (in awake and sedated states) in identifying the hand sensorimotor areas in patients with epilepsy or brain tumors. We identified 153 patients who underwent awake- (n = 98) or sedated-MEG (n = 55), along with awake TMS for hand sensorimotor mapping as part of their pre-surgical evaluation. TMS involved stimulating the precentral gyrus and recording electromyography responses, while MEG identified the somatosensory cortex during median nerve stimulation. Awake-MEG had a success rate of 92.35 % and TMS had 99.49 % (p-value = 0.5517). However, in the sedated-MEG cohort, TMS success rate of 95.61 % was significantly higher compared to MEG's 58.77 % (p-value = 0.0001). Factors affecting mapping success were analyzed. Logistic regression across the entire cohort identified patient sedation as the lone significant predictor, contrary to age, lesion, metal, and number of antiseizure medications (ASMs). A subsequent analysis replaced sedation with anesthetic drug dosage, revealing no significant predictors impacting somatosensory mapping success under sedation. This study yields insights into the utility of TMS and MEG in mapping hand sensorimotor cortices and underscores the importance of considering factors that influence eloquent cortex mapping limitations during sedation.

Indexed as

Brain NeoplasmsEpilepsySensorimotor CortexBrain MappingChildHumansMagnetoencephalographyTranscranial Magnetic StimulationWakefulnessBrain tumorEpilepsyMagnetoencephalography (MEG)SedationSensorimotor mappingTranscranial Magnetic Stimulation (TMS)

Identifiers

PMID38215622
PMCPMC10821581
OpenAlexW4390675134

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.