Evidence map›Paper›PMID 38969934›Full record

Trial reportBrain structure & function2024

Microstructural properties in subacute aphasia: concurrent and prospective relationships underpinning recovery.

Melissa D Stockbridge, Zafer Keser, Leonardo Bonilha, Argye E Hillis

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain structure & function, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

4 authors.

Melissa D StockbridgeDepartment of Neurology, Johns Hopkins University School of Medicine, 600 North Wolfe Street Phipps 4, Suite 446, Baltimore, MD, 21287, USA. md.stockbridge@jhmi.edu.
Zafer KeserDepartment of Neurology, Johns Hopkins University School of Medicine, 600 North Wolfe Street Phipps 4, Suite 446, Baltimore, MD, 21287, USA.
Leonardo BonilhaDepartment of Neurology, University of South Carolina School of Medicine Columbia, Columbia, SC, 29209, USA.
Argye E HillisDepartment of Neurology, Johns Hopkins University School of Medicine, 600 North Wolfe Street Phipps 4, Suite 446, Baltimore, MD, 21287, USA.

Funding

Telerehab for Aphasia (TERRA)P50DC014664 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BONILHA, LEONARDO F · 2016 to 2025
$25.0M
State of the Art 3T Research ScannerS10OD021648 · OD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI VAN ZIJL, PETER CM · 2016 to 2016
$2.0M
NIDCD NIH HHS P50 DC014664NIH HHS 1S10OD021648NIH HHS S10 OD021648
6 · The paper itself

Abstract

backgroundFew investigations examined the relationship between microstructural white matter integrity and subacute post-stroke linguistic performance or the relationship between microstructural integrity and the recovery of language function. We examined two key questions: (1) How does subacute language performance, measured in single words and discourse, relate to the microstructural integrity of key white matter regions of interest in the language network? and (2) Does the integrity of these regions before treatment predict the improvement or resolution of linguistic symptoms immediately and chronically following treatment?

methods58 participants within the first three months of stroke were enrolled in a randomized, single-center, double-blind, sham-controlled, study of anodal transcranial direct current stimulation combined with a computer-delivered speech and language naming therapy for subacute aphasia and were asked to complete magnetic resonance imaging at enrollment. Microstructural integrity was evaluated using diffusion tensor imaging processed with atlas-based segmentation. Regression and correlation analyses were conducted.

resultsA subset of 22 participants received diffusion tensor imaging. Picture naming accuracy significantly correlated with lower mean diffusivity (higher microstructural integrity) in the left posterior inferior temporal gyrus. Recovery of naming performance was predicted by days since stroke and baseline microstructural integrity of the left posterior middle temporal gyrus, arcuate fasciculus, and superior longitudinal fasciculus. Recovery of discourse efficiency was significantly predicted by the same model.

conclusionsThis study demonstrates an association between picture naming and discourse and microstructural integrity of the key regions in the language network for patients with subacute post-stroke aphasia. Baseline microstructural integrity significantly predicts language recovery.

Indexed as

AphasiaDiffusion Tensor ImagingRecovery of FunctionStrokeWhite MatterAdultAgedBrainDouble-Blind MethodFemaleHumansLanguage TherapyMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesAphasiaDiscourseNamingStroketDCS

Identifiers

PMID38969934
PMCPMC11611690

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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.