دورية أكاديمية
Naming fMRI-guided white matter language tract volumes influence naming decline after temporal lobe resection.
العنوان: | Naming fMRI-guided white matter language tract volumes influence naming decline after temporal lobe resection. |
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المؤلفون: | Trimmel K; Department of Neurology, Medical University of Vienna, Vienna, Austria. k.trimmel@ucl.ac.uk.; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK. k.trimmel@ucl.ac.uk.; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK. k.trimmel@ucl.ac.uk., Vos SB; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.; Centre for Medical Image Computing, Department of Computer Science, University College London, London, UK.; Neuroradiological Academic Unit, UCL Queen Square Institute of Neurology, London, UK.; Centre for Microscopy Characterisation and Analysis, University of Western Australia, Nedlands, Australia., Binding L; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK.; Centre for Medical Image Computing, Department of Computer Science, University College London, London, UK., Caciagli L; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK.; Department of Neurology, Inselspital, Sleep-Wake-Epilepsy-Center, Bern University Hospital, University of Bern, Bern, Switzerland., Xiao F; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK., van Graan LA; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK., Koepp MJ; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK., Thompson PJ; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK., Duncan JS; Epilepsy Society MRI Unit, Epilepsy Society, Chalfont St Peter, UK.; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK. |
المصدر: | Journal of neurology [J Neurol] 2024 Jul; Vol. 271 (7), pp. 4158-4167. Date of Electronic Publication: 2024 Apr 07. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 0423161 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1459 (Electronic) Linking ISSN: 03405354 NLM ISO Abbreviation: J Neurol Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Berlin ; New York, Springer-Verlag |
مواضيع طبية MeSH: | White Matter*/diagnostic imaging , White Matter*/surgery , Magnetic Resonance Imaging* , Epilepsy, Temporal Lobe*/surgery , Epilepsy, Temporal Lobe*/diagnostic imaging , Epilepsy, Temporal Lobe*/physiopathology , Temporal Lobe*/surgery , Temporal Lobe*/diagnostic imaging , Temporal Lobe*/physiopathology, Humans ; Male ; Female ; Adult ; Middle Aged ; Diffusion Tensor Imaging ; Young Adult ; Language Disorders/etiology ; Language Disorders/diagnostic imaging ; Language Disorders/physiopathology ; Functional Laterality/physiology ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/etiology ; Postoperative Complications/physiopathology ; Language ; Neural Pathways/diagnostic imaging ; Neural Pathways/physiopathology ; Neural Pathways/surgery |
مستخلص: | Objective: The aim of this study was to explore the relation of language functional MRI (fMRI)-guided tractography with postsurgical naming decline in people with temporal lobe epilepsy (TLE). Methods: Twenty patients with unilateral TLE (9 left) were studied with auditory and picture naming functional MRI tasks. Activation maxima in the left posterobasal temporal lobe were used as seed regions for whole-brain fibre tractography. Clinical naming performance was assessed preoperatively, 4 months, and 12 months following temporal lobe resection. Volumes of white matter language tracts in both hemispheres as well as tract volume laterality indices were explored as moderators of postoperative naming decline using Pearson correlations and multiple linear regression with other clinical variables. Results: Larger volumes of white matter language tracts derived from auditory and picture naming maxima in the hemisphere of subsequent surgery as well as stronger lateralization of picture naming tract volumes to the side of surgery correlated with greater language decline, which was independent of fMRI lateralization status. Multiple regression for picture naming tract volumes was associated with a significant decline of naming function with 100% sensitivity and 93% specificity at both short-term and long-term follow-up. Interpretation: Naming fMRI-guided white matter language tract volumes relate to postoperative naming decline after temporal lobe resection in people with TLE. This can assist stratification of surgical outcome and minimize risk of postoperative language deficits in TLE. (© 2024. The Author(s).) |
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معلومات مُعتمدة: | P1904 Epilepsy Research UK; 14181 Brain Research UK |
فهرسة مساهمة: | Keywords: Epilepsy surgery; Language fMRI; Language tracts; Naming outcome; Temporal lobe epilepsy; Tractography |
تواريخ الأحداث: | Date Created: 20240407 Date Completed: 20240709 Latest Revision: 20240728 |
رمز التحديث: | 20240728 |
مُعرف محوري في PubMed: | PMC11233363 |
DOI: | 10.1007/s00415-024-12315-2 |
PMID: | 38583105 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1432-1459 |
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DOI: | 10.1007/s00415-024-12315-2 |