Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Medical Scientist Training Program, David Geffen UCLA School of Medicine, Los Angeles, CA, 90095, USA.
Brain Imaging Behav. 2022 Feb;16(1):252-262. doi: 10.1007/s11682-021-00498-5. Epub 2021 Aug 1.
Brain tumors can have far-reaching impacts on functional networks. Language processing is typically lateralized to the left hemisphere, but also involves the right hemisphere and cerebellum. This resting-state functional MRI study investigated the proximal and distal effects of left-hemispheric brain tumors on language network connectivity in the ipsilesional and contralesional hemispheres. Separate language resting-state networks were generated from seeding in ipsilesional (left) and contralesional (right) Broca's Area for 29 patients with left-hemispheric brain tumors and 13 controls. Inclusion criteria for all subjects included language left-dominance based on task-based functional MRI. Functional connectivity was analyzed in each network to the respective Wernicke's Area and contralateral cerebellum. Patients were assessed for language deficits prior to scanning. Compared to controls, patients exhibited decreased connectivity in the ipsilesional and contralesional hemispheres between the Broca's Area and Wernicke's Area homologs (mean connectivity for patients/controls: left 0.51/0.59, p < 0.002; right 0.52/0.59, p < 0.0002). No differences in mean connectivity to the contralateral cerebellum were observed between groups (p > 0.09). Crossed cerebro-cerebellar connectivity was correlated in controls (rho = 0.59, p < 0.05), patients without language deficits (rho = 0.74, p < 0.0002), and patients with high-grade gliomas (rho = 0.78, p < 0.0002), but not in patients with language deficits or low-grade gliomas (p > 0.l). These findings demonstrate that brain tumors impact the language network in the contralesional hemisphere and cerebellum, which may reflect neurological deficits and lesion-induced cortical reorganization.
脑肿瘤会对功能网络产生深远的影响。语言处理通常偏向于左半球,但也涉及右半球和小脑。这项静息态功能磁共振成像研究调查了左半球脑肿瘤对同侧和对侧半球语言网络连接的近端和远端影响。为 29 名左半球脑肿瘤患者和 13 名对照者分别从同侧(左侧)和对侧(右侧)布罗卡区种子生成语言静息态网络。所有受试者的纳入标准均包括基于任务功能磁共振成像的语言左优势。在每个网络中,均分析了与各自韦尼克区和对侧小脑的功能连接。所有患者在扫描前均进行了语言缺陷评估。与对照组相比,患者在同侧和对侧半球的布罗卡区和韦尼克区同源之间的连接性降低(患者/对照组的平均连接性:左侧 0.51/0.59,p<0.002;右侧 0.52/0.59,p<0.0002)。两组之间对侧小脑的平均连接性无差异(p>0.09)。对照组之间存在交叉脑-小脑连接(rho=0.59,p<0.05),无语言缺陷的患者(rho=0.74,p<0.0002)和高级别胶质瘤患者(rho=0.78,p<0.0002)之间存在相关性,但语言缺陷或低级别胶质瘤患者之间没有相关性(p>0.1)。这些发现表明脑肿瘤会影响对侧半球和小脑的语言网络,这可能反映了神经功能缺陷和病变诱导的皮质重组。
J Neurosurg. 2021-4-2
Neuroimage Clin. 2014-7-12
Int J Radiat Oncol Biol Phys. 2025-9-1
J Multidiscip Healthc. 2024-5-18
Sci Rep. 2023-6-27
Hum Brain Mapp. 2023-2-1
J Neurooncol. 2017-12-1