scholarly journals Functional magnetic resonance imaging of chronic dysarthric speech after childhood brain injury: reliance on a left-hemisphere compensatory network

Brain ◽  
2013 ◽  
Vol 136 (2) ◽  
pp. 646-657 ◽  
Author(s):  
Angela T. Morgan ◽  
Richard Masterton ◽  
Lauren Pigdon ◽  
Alan Connelly ◽  
Frédérique J. Liégeois
Keyword(s):  
Magnetic Resonance Imaging ◽  
Brain Injury ◽  
Magnetic Resonance ◽  
Functional Magnetic Resonance Imaging ◽  
Left Hemisphere ◽  
Functional Magnetic Resonance ◽  
Resonance Imaging ◽  
Dysarthric Speech

scholarly journals Dissociations between behavioural and functional magnetic resonance imaging-based evaluations of cognitive function after brain injury

Brain ◽  
2011 ◽  
Vol 134 (3) ◽  
pp. 769-782 ◽  
Author(s):  
Jonathan C. Bardin ◽  
Joseph J. Fins ◽  
Douglas I. Katz ◽  
Jennifer Hersh ◽  
Linda A. Heier ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Brain Injury ◽  
Cognitive Function ◽  
Magnetic Resonance ◽  
Functional Magnetic Resonance Imaging ◽  
Functional Magnetic Resonance ◽  
Resonance Imaging

Language Functional Magnetic Resonance Imaging in Preoperative Assessment of Language Areas: Correlation with Direct Cortical Stimulation

Neurosurgery ◽  
2003 ◽  
Vol 52 (6) ◽  
pp. 1335-1347 ◽  
Author(s):  
Franck-Emmanuel Roux ◽  
Kader Boulanouar ◽  
Jean-Albert Lotterie ◽  
Mehdi Mejdoubi ◽  
James P. LeSage ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Functional Magnetic Resonance Imaging ◽  
Left Hemisphere ◽  
Brain Mapping ◽  
Fmri Data ◽  
Functional Magnetic Resonance ◽  
Resonance Imaging ◽  
Verb Generation ◽  
Language Areas

Abstract OBJECTIVE The aim of this study was to analyze the usefulness of preoperative language functional magnetic resonance imaging (fMRI), by correlating fMRI data with intraoperative cortical stimulation results for patients with brain tumors. METHODS Naming and verb generation tasks were used, separately or in combination, for 14 right-handed patients with tumors in the left hemisphere. fMRI data obtained were analyzed with SPM software, with two standard analysis thresholds (P < 0.005 and then P < 0.05). The fMRI data were then registered in a frameless stereotactic neuronavigational device and correlated with direct brain mapping results. We used a statistical model with the fMRI information as a predictor, spatially correlating each intraoperatively mapped cortical site with fMRI data integrated in the neuronavigational system (site-by-site correlation). Eight patients were also studied with language fMRI postoperatively, with the same acquisition protocol. RESULTS We observed high variability in signal extents and locations among patients with both tasks. The activated areas were located mainly in the left hemisphere in the middle and inferior frontal gyri (F2 and F3), the superior and middle temporal gyri (T1 and T2), and the supramarginal and angular gyri. A total of 426 cortical sites were tested for each task among the 14 patients. In frontal and temporoparietal areas, poor sensitivity of the fMRI technique was observed for the naming and verb generation tasks (22 and 36%, respectively) with P < 0.005 as the analysis threshold. Although not perfect, the specificity of the fMRI technique was good in all conditions (97% for the naming task and 98% for the verb generation task). Better correlation (sensitivity, 59%; specificity, 97%) was achieved by combining the two fMRI tasks. Variation of the analysis threshold to P < 0.05 increased the sensitivity to 66% while decreasing the specificity to 91%. Postoperative fMRI data (for the cortical brain areas studied intraoperatively) were in accordance with brain mapping results for six of eight patients. Complete agreement between pre- and postoperative fMRI studies and direct brain mapping results was observed for only three of eight patients. CONCLUSION With the paradigms and analysis thresholds used in this study, language fMRI data obtained with naming or verb generation tasks, before and after surgery, were imperfectly correlated with intraoperative brain mapping results. A better correlation could be obtained by combining the fMRI tasks. The overall results of this study demonstrated that language fMRI could not be used to make critical surgical decisions in the absence of direct brain mapping. Other acquisition protocols are required for evaluation of the potential role of language fMRI in the accurate detection of essential cortical language areas.

Using Functional Magnetic Resonance Imaging to Detect Preserved Function in a Preterm Infant with Brain Injury

2017 ◽  
Vol 189 ◽  
pp. 213-217.e1 ◽  
Author(s):  
Charlotte Herzmann ◽  
Leire Zubiaurre-Elorza ◽  
Conor J. Wild ◽  
Annika C. Linke ◽  
Victor K. Han ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Brain Injury ◽  
Magnetic Resonance ◽  
Functional Magnetic Resonance Imaging ◽  
Preterm Infant ◽  
Functional Magnetic Resonance ◽  
Resonance Imaging
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