Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, United States of America.
PLoS One. 2013;8(3):e59657. doi: 10.1371/journal.pone.0059657. Epub 2013 Mar 26.
OBJECT: This study investigates the effect of tumor location on alterations of language network by brain tumors at different locations using blood oxygenation level dependent (BOLD) fMRI and group independent component analysis (ICA). SUBJECTS AND METHODS: BOLD fMRI data were obtained from 43 right handed brain tumor patients. Presurgical mapping of language areas was performed on all 43 patients with a picture naming task. All data were retrospectively analyzed using group ICA. Patents were divided into three groups based on tumor locations, i.e., left frontal region, left temporal region or right hemisphere. Laterality index (LI) was used to assess language lateralization in each group. RESULTS: The results from BOLD fMRI and ICA revealed the different language activation patterns in patients with brain tumors located in different brain regions. Language areas, such as Broca's and Wernicke's areas, were intact in patients with tumors in the right hemisphere. Significant functional changes were observed in patients with tumor in the left frontal and temporal areas. More specifically, the tumors in the left frontal region affect both Broca's and Wernicke's areas, while tumors in the left temporal lobe affect mainly Wernicke's area. The compensated activation increase was observed in the right frontal areas in patients with left hemisphere tumors. CONCLUSION: Group ICA provides a model free alternative approach for mapping functional networks in brain tumor patients. Altered language activation by different tumor locations suggested reorganization of language functions in brain tumor patients and may help better understanding of the language plasticity.
目的:本研究旨在通过血氧水平依赖(BOLD)fMRI 和组独立成分分析(ICA),探讨不同部位脑肿瘤对语言网络改变的影响。
对象与方法:本研究纳入 43 例右侧利手脑肿瘤患者,所有患者均接受了图片命名任务的术前语言区定位。采用组 ICA 对所有 43 例患者的 BOLD fMRI 数据进行回顾性分析。根据肿瘤位置将患者分为三组:左额叶、左颞叶或右半球。采用侧化指数(LI)评估各组的语言侧化。
结果:BOLD fMRI 和 ICA 的结果显示,不同部位脑肿瘤患者的语言激活模式存在差异。位于右半球的肿瘤患者的Broca 和Wernicke 区完整,而位于左额叶和颞叶的肿瘤患者则存在明显的功能改变。更具体地说,左额叶肿瘤影响 Broca 和Wernicke 区,而左颞叶肿瘤主要影响Wernicke 区。左半球肿瘤患者的右侧额区出现代偿性激活增加。
结论:组 ICA 为脑肿瘤患者的功能网络映射提供了一种无模型的替代方法。不同肿瘤位置对语言激活的改变提示脑肿瘤患者的语言功能重新组织,并有助于更好地理解语言可塑性。
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