Evidence map›Paper›PMID 40577112›Full record

ArticleAnnals of clinical and translational neurology2025

Detecting rs-fMRI Networks in Disorders of Consciousness: Improving Clinical Interpretability.

Jean Paul Medina Carrion, Mario Stanziano, Ludovico D'Incerti, Davide Sattin, Stefania Ferraro, Davide Rossi Sebastiano, Francesca Giulia Magnani, Alice Deruti, Davide Fedeli, Ludovico Minati and 6 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
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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

16 authors.

Jean Paul Medina CarrionNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0000-0002-6450-0202
Mario StanzianoNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Ludovico D'IncertiNeuroradiology Unit, Children's Hospital A. Meyer-University of Florence, Florence, Italy.
Davide SattinIstituti Clinici Scientifici Maugeri IRCCS, Health Directorate, Milan, Italy.
Stefania FerraroSchool of Life Science and Technology, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China.
Davide Rossi SebastianoDepartment of Neurophysiology and Diagnostic, Epileptology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0000-0003-3698-8615
Francesca Giulia MagnaniNeurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0000-0002-6503-3052
Alice DerutiNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0009-0008-5088-5464
Davide FedeliNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Ludovico MinatiSchool of Life Science and Technology, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China.
Francesca EpifaniNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Marina GrisoliNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Matilde LeonardiNeurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Maria Grazia BruzzoneNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Anna NigriNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0000-0002-1197-5458
Cristina RosazzaNeuroradiology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID 0000-0002-7799-415X

Funding

Italian Ministry of Health GR-2016-02361225Lombardy Regional Government IX/000407
6 · The paper itself

Abstract

backgroundPreserved resting-state functional MRI (rs-fMRI) networks are typically observed in Disorders of Consciousness (DOC). Despite the widespread use of rs-fMRI in DOC, a systematic assessment of networks is needed to improve the interpretability of data in clinical practice. We investigated functional connectivity of the main networks, combining structural MRI to obtain a description of the most observed networks in DOC, their diagnostic ability, and whether they can be related to clinical assessment.

methodsA group of 109 chronic patients [65 vegetative state/unresponsive wakefulness state (VS/UWS), 34 minimally conscious state (MCS), and 10 emerged from MCS (eMCS)], with different etiologies, and 34 control subjects underwent multimodal assessment. Rs-fMRI data were analyzed with a semi-automatic pipeline to assess residual functional activity in terms of number, type, mean intensity, and structural preservation of networks.

resultsThe more networks observed, the better the patient's clinical condition is likely to be. VS/UWS patients display 0-9, MCS 5-9, and eMCS 8-10 networks. Both the presence and intensity of 5 networks (visual networks, temporal, left fronto-parietal and default mode network) are relevant to distinguish VS/UWS from MCS, with AUCs of 0.64-0.69 (95% confidence interval). Etiology and disease duration have an impact on the number and type of preserved networks. High residual functional connectivity observed in VS/UWS patients, as in MCS, is in agreement with neurophysiological and metabolic evaluations.

conclusionsThis systematic assessment of the main rs-fMRI networks in DOC provides basic measures of functional connectivity that can enhance their interpretability in clinical practice.

Indexed as

ConnectomeConsciousness DisordersMagnetic Resonance ImagingNerve NetPersistent Vegetative StateAdultAgedFemaleHumansMaleMiddle AgedYoung Adultchronic conditionsclinical interpretationDOCresidual functional connectivityrs‐fMRI networksstructural‐functional integration

Identifiers

PMID40577112
PMCPMC12455880

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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.