Ohlerth Ann-Katrin, Bastiaanse Roelien, Negwer Chiara, Sollmann Nico, Schramm Severin, Schröder Axel, Krieg Sandro M
Center for Language and Cognition Groningen, Oude Kijk in 't Jatstraat 26, 9712 EK Groningen, The Netherlands.
International Doctorate for Experimental Approaches to Language and Brain (IDEALAB), Universities of Groningen (NL), Newcastle (UK), Potsdam (GE), Macquarie University, Sydney (AU), Oude Kijk in 't Jatstraat 26, 9712 EK Groningen, The Netherlands.
Brain Sci. 2021 Sep 10;11(9):1190. doi: 10.3390/brainsci11091190.
Preoperative language mapping with navigated transcranial magnetic stimulation (nTMS) is currently based on the disruption of performance during object naming. The resulting cortical language maps, however, lack accuracy when compared to intraoperative mapping. The question arises whether nTMS results can be improved, when another language task is considered, involving verb retrieval in sentence context. Twenty healthy German speakers were tested with object naming and a novel action naming task during nTMS language mapping. Error rates and categories in both hemispheres were compared. Action naming showed a significantly higher error rate than object naming in both hemispheres. Error category comparison revealed that this discrepancy stems from more lexico-semantic errors during action naming, indicating lexico-semantic retrieval of the verb being more affected than noun retrieval. In an area-wise comparison, higher error rates surfaced in multiple right-hemisphere areas, but only trends in the left ventral postcentral gyrus and middle superior temporal gyrus. Hesitation errors contributed significantly to the error count, but did not dull the mapping results. Inclusion of action naming coupled with a detailed error analysis may be favorable for nTMS mapping and ultimately improve accuracy in preoperative planning. Moreover, the results stress the recruitment of both left- and right-hemispheric areas during naming.
目前,使用导航经颅磁刺激(nTMS)进行术前语言映射是基于在物体命名过程中对表现的干扰。然而,与术中映射相比,由此产生的皮质语言映射缺乏准确性。当考虑另一种语言任务,即在句子语境中进行动词检索时,nTMS的结果是否可以得到改善,这一问题随之而来。20名健康的德语使用者在nTMS语言映射过程中接受了物体命名和一项新的动作命名任务测试。比较了两个半球的错误率和错误类别。动作命名在两个半球的错误率均显著高于物体命名。错误类别比较显示,这种差异源于动作命名过程中更多的词汇语义错误,表明动词的词汇语义检索比名词检索受到的影响更大。在区域比较中,多个右半球区域出现了更高的错误率,但左腹侧中央后回和颞上回中部仅呈现出趋势。犹豫错误对错误计数有显著贡献,但并未影响映射结果。纳入动作命名并进行详细的错误分析可能有利于nTMS映射,并最终提高术前规划的准确性。此外,研究结果强调了命名过程中左右半球区域的共同参与。