Comparative fMRI and MEG localization of cortical sensorimotor function: Bimodal mapping supports motor area reorganization in glioma patients.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 31 08 2018
accepted: 19 02 2019
entrez: 8 3 2019
pubmed: 8 3 2019
medline: 18 12 2019
Statut: epublish

Résumé

Preoperative functional mapping in the vicinity of brain lesion is of high importance for avoiding complications in surgical management. However, space-occupying lesions may lead to functional reorganization or decreased BOLD activity. Therefore in 13 patients with cerebral gliomas or brain arterio-venous malformations/ hemangioma fMRI- and MEG-based cortical localizations of motor and somatosensory cortical activation pattern were compared in order to investigate their congruency. Localization of cortical sensorimotor areas with fMRI and MEG showed good congruency with a mean spatial distance of around 10 mm, with differences depending on the localization method. The smallest mean differences for the centroids were found for MEF with MNE 8 mm and SEF with sLORETA 8 mm. Primary motor area (M1) reorganization was found in 5 of 12 patients in fMRI and confirmed with MEG data. In these 5 patients with M1-reorganization the distance between the border of the fMRI-based cortical M1-localization and the tumor border on T1w MR images varied between 0-4 mm, which was significant (P = 0.025) different to the distance in glioma patients without M1-reorganization (5-26 mm). Our multimodal preoperative mapping approach combining fMRI and MEG reveals a high degree of spatial congruence and provided high evidence for the presence of motor cortex reorganization.

Identifiants

pubmed: 30845241
doi: 10.1371/journal.pone.0213371
pii: PONE-D-18-25585
pmc: PMC6405066
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0213371

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Max Zimmermann (M)

Department of Neurosurgery, University of Erlangen-Nürnberg, Erlangen, Germany.

Karl Rössler (K)

Department of Neurosurgery, University of Erlangen-Nürnberg, Erlangen, Germany.

Martin Kaltenhäuser (M)

Department of Neurosurgery, University of Erlangen-Nürnberg, Erlangen, Germany.

Peter Grummich (P)

Department of Neurosurgery, University of Erlangen-Nürnberg, Erlangen, Germany.

Nadja Brandner (N)

Department of Neurosurgery, University of Erlangen-Nürnberg, Erlangen, Germany.

Michael Buchfelder (M)

Department of Neurosurgery, University of Erlangen-Nürnberg, Erlangen, Germany.

Arnd Dörfler (A)

Department of Neuroradiology, University of Erlangen-Nürnberg, Erlangen, Germany.

Konrad Kölble (K)

Department of Neuropathology, University of Erlangen-Nürnberg, Erlangen, Germany.

Andreas Stadlbauer (A)

Department of Neurosurgery, University of Erlangen-Nürnberg, Erlangen, Germany.
Institute of Medical Radiology, University Clinic of St. Pölten, St. Pölten, Austria.

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