Identification of the Language Network from Resting-State fMRI in Patients with Brain Tumors: How Accurate Are Experts?


Journal

AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708

Informations de publication

Date de publication:
03 2023
Historique:
received: 28 10 2021
accepted: 04 01 2023
pmc-release: 01 03 2024
pubmed: 24 2 2023
medline: 14 3 2023
entrez: 23 2 2023
Statut: ppublish

Résumé

Resting-state fMRI helps identify neural networks in presurgical patients who may be limited in their ability to undergo task-fMRI. The purpose of this study was to determine the accuracy of identifying the language network from resting-state-fMRI independent component analysis (ICA) maps. Through retrospective analysis, patients who underwent both resting-state-fMRI and task-fMRI were compared by identifying the language network from the resting-state-fMRI data by 3 reviewers. Blinded to task-fMRI maps, these investigators independently reviewed resting-state-fMRI ICA maps to potentially identify the language network. Reviewers ranked up to 3 top choices for the candidate resting-state-fMRI language map. We evaluated associations between the probability of correct identification of the language network and some potential factors. Patients included 29 men and 14 women with a mean age of 41 years. Reviewer 1 (with 17 years' experience) demonstrated the highest overall accuracy with 72%; reviewers 2 and 3 (with 2 and 7 years' experience, respectively) had a similar percentage of correct responses (50% and 55%). The highest accuracy used ICA50 and the top 3 choices (81%, 65%, and 60% for reviewers 1, 2, and 3, respectively). The lowest accuracy used ICA50, limiting each reviewer to the top choice (58%, 35%, and 42%). We demonstrate variability in the accuracy of blinded identification of resting-state-fMRI language networks across reviewers with different years of experience.

Sections du résumé

BACKGROUND AND PURPOSE
Resting-state fMRI helps identify neural networks in presurgical patients who may be limited in their ability to undergo task-fMRI. The purpose of this study was to determine the accuracy of identifying the language network from resting-state-fMRI independent component analysis (ICA) maps.
MATERIALS AND METHODS
Through retrospective analysis, patients who underwent both resting-state-fMRI and task-fMRI were compared by identifying the language network from the resting-state-fMRI data by 3 reviewers. Blinded to task-fMRI maps, these investigators independently reviewed resting-state-fMRI ICA maps to potentially identify the language network. Reviewers ranked up to 3 top choices for the candidate resting-state-fMRI language map. We evaluated associations between the probability of correct identification of the language network and some potential factors.
RESULTS
Patients included 29 men and 14 women with a mean age of 41 years. Reviewer 1 (with 17 years' experience) demonstrated the highest overall accuracy with 72%; reviewers 2 and 3 (with 2 and 7 years' experience, respectively) had a similar percentage of correct responses (50% and 55%). The highest accuracy used ICA50 and the top 3 choices (81%, 65%, and 60% for reviewers 1, 2, and 3, respectively). The lowest accuracy used ICA50, limiting each reviewer to the top choice (58%, 35%, and 42%).
CONCLUSIONS
We demonstrate variability in the accuracy of blinded identification of resting-state-fMRI language networks across reviewers with different years of experience.

Identifiants

pubmed: 36822828
pii: ajnr.A7806
doi: 10.3174/ajnr.A7806
pmc: PMC10187806
doi:

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

274-282

Informations de copyright

© 2023 by American Journal of Neuroradiology.

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Auteurs

S K Gujar (SK)

From the Division of Neuroradiology (S.K.G., K.M., J.W., D.R., S.A., J.J.P., H.I.S.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.

K Manzoor (K)

From the Division of Neuroradiology (S.K.G., K.M., J.W., D.R., S.A., J.J.P., H.I.S.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.

J Wongsripuemtet (J)

From the Division of Neuroradiology (S.K.G., K.M., J.W., D.R., S.A., J.J.P., H.I.S.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.

G Wang (G)

Department of Biostatistics (G.W., M.L., B.C.).

D Ryan (D)

From the Division of Neuroradiology (S.K.G., K.M., J.W., D.R., S.A., J.J.P., H.I.S.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.

S Agarwal (S)

From the Division of Neuroradiology (S.K.G., K.M., J.W., D.R., S.A., J.J.P., H.I.S.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.

M Lindquist (M)

Department of Biostatistics (G.W., M.L., B.C.).

B Caffo (B)

Department of Biostatistics (G.W., M.L., B.C.).

J J Pillai (JJ)

From the Division of Neuroradiology (S.K.G., K.M., J.W., D.R., S.A., J.J.P., H.I.S.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Neurosurgery (J.J.P.).

H I Sair (HI)

From the Division of Neuroradiology (S.K.G., K.M., J.W., D.R., S.A., J.J.P., H.I.S.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland hsair1@jhmi.edu.
The Malone Center for Engineering in Healthcare (H.I.S.), The Whiting School of Engineering, Johns Hopkins University, Baltimore, Maryland.

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