Evidence map›Paper›PMID 38354669›Full record

ArticleCortex; a journal devoted to the study of the nervous system and behavior2024

Tumour-infiltrated cortex participates in large-scale cognitive circuits.

Ayan S Mandal, Chemda Wiener, Moataz Assem, Rafael Romero-Garcia, Pedro Coelho, Alexa McDonald, Emma Woodberry, Robert C Morris, Stephen J Price, John Duncan and 4 more

Abstract read
In one paragraph

Article in Cortex; a journal devoted to the study of the nervous system and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Article
  3. A complex network perspective on brain disease.Biological reviews of the Cambridge Philosophical Society · 2026
    Review
  4. 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

14 authors.

Ayan S MandalBrain-Gene Development Lab, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, USA; Brain Mapping Unit, Department of Psychiatry, University of Cambridge, UK. Electronic address: Ayan.Mandal@pennmedicine.upenn.edu.
Chemda WienerFaculty of Engineering, Bar-Ilan University, Ramat-Gan, Israel.
Moataz AssemMedical Research Council, Cognition and Brain Sciences Unit, University of Cambridge, UK.
Rafael Romero-GarciaBrain Mapping Unit, Department of Psychiatry, University of Cambridge, UK; Department of Medical Physiology and Biophysics, Instituto de Biomedicina de Sevilla (IBiS) HUVR/CSIC/Universidad de Sevilla/CIBERSAM, ISCIII, Sevilla, Spain.
Pedro CoelhoNeurophys Limited, UK.
Alexa McDonaldDepartment of Neuropsychology, Cambridge University Hospitals NHS Foundation Trust, UK.
Emma WoodberryDepartment of Neuropsychology, Cambridge University Hospitals NHS Foundation Trust, UK.
Robert C MorrisDepartment of Neuropsychology, Cambridge University Hospitals NHS Foundation Trust, UK.
Stephen J PriceDepartment of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, UK.
John DuncanMedical Research Council, Cognition and Brain Sciences Unit, University of Cambridge, UK; Department of Experimental Psychology, University of Oxford, UK.
Thomas SantariusDepartment of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, UK; Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, UK; Department of Physiology, Development and Neuroscience, University of Cambridge, UK.
John SucklingBrain Mapping Unit, Department of Psychiatry, University of Cambridge, UK; Behavioural and Clinical Neuroscience Institute, University of Cambridge, UK; Cambridge and Peterborough NHS Foundation Trust, UK.
Michael G HartSt George's, University of London & St George's University Hospitals NHS Foundation Trust, Institute of Molecular and Clinical Sciences, Neurosciences Research Centre, Cranmer Terrace, London, UK.
Yaara ErezFaculty of Engineering, Bar-Ilan University, Ramat-Gan, Israel; Medical Research Council, Cognition and Brain Sciences Unit, University of Cambridge, UK; Gonda Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat-Gan, Israel. Electronic address: yaara.erez@biu.ac.ul.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The extent to which tumour-infiltrated brain tissue contributes to cognitive function remains unclear. We tested the hypothesis that cortical tissue infiltrated by diffuse gliomas participates in large-scale cognitive circuits using a unique combination of intracranial electrocorticography (ECoG) and resting-state functional magnetic resonance (fMRI) imaging in four patients. We also assessed the relationship between functional connectivity with tumour-infiltrated tissue and long-term cognitive outcomes in a larger, overlapping cohort of 17 patients. We observed significant task-related high gamma (70-250 Hz) power modulations in tumour-infiltrated cortex in response to increased cognitive effort (i.e., switch counting compared to simple counting), implying preserved functionality of neoplastic tissue for complex tasks probing executive function. We found that tumour locations corresponding to task-responsive electrodes exhibited functional connectivity patterns that significantly co-localised with canonical brain networks implicated in executive function. Specifically, we discovered that tumour-infiltrated cortex with larger task-related high gamma power modulations tended to be more functionally connected to the dorsal attention network (DAN). Finally, we demonstrated that tumour-DAN connectivity is evident across a larger cohort of patients with gliomas and that it relates to long-term postsurgical outcomes in goal-directed attention. Overall, this study contributes convergent fMRI-ECoG evidence that tumour-infiltrated cortex participates in large-scale neurocognitive circuits that support executive function in health. These findings underscore the potential clinical utility of mapping large-scale connectivity of tumour-infiltrated tissue in the care of patients with diffuse gliomas.

Indexed as

BrainGliomaBrain MappingCognitionExecutive FunctionHumansMagnetic Resonance ImagingNeural PathwaysBrain tumourElectrocorticography (ECOG)Executive functionfMRIFunctional connectivityGliomaNeural circuits

Identifiers

PMID38354669
PMCPMC10988771

What OpenQuestion holds

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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.