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Resting State Functional Networks in Gliomas: Validation With Direct Electric Stimulation Using a New Tool for Planning Brain Resections.

作者信息

Moretto Manuela, Luciani Beatrice Federica, Zigiotto Luca, Saviola Francesca, Tambalo Stefano, Cabalo Donna Gift, Annicchiarico Luciano, Venturini Martina, Jovicich Jorge, Sarubbo Silvio

机构信息

Center for Mind/Brain Sciences (CIMeC), University of Trento, Trento , Italy.

Department of Neurosurgery, "S. Chiara" University-Hospital, Azienda Provinciale per i Servizi Sanitari, Trento , Italy.

出版信息

Neurosurgery. 2024 Dec 1;95(6):1358-1368. doi: 10.1227/neu.0000000000003012. Epub 2024 Jun 5.


DOI:10.1227/neu.0000000000003012
PMID:38836617
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11540433/
Abstract

BACKGROUND AND OBJECTIVES: Precise mapping of functional networks in patients with brain tumor is essential for tailoring personalized treatment strategies. Resting-state functional MRI (rs-fMRI) offers an alternative to task-based fMRI, capable of capturing multiple networks within a single acquisition, without necessitating task engagement. This study demonstrates a strong concordance between preoperative rs-fMRI maps and the gold standard intraoperative direct electric stimulation (DES) mapping during awake surgery. METHODS: We conducted an analysis involving 28 patients with glioma who underwent awake surgery with DES mapping. A total of 100 DES recordings were collected to map sensorimotor (SMN), language (LANG), visual (VIS), and speech articulation cognitive domains. Preoperative rs-fMRI maps were generated using an updated version of the ReStNeuMap software, specifically designed for rs-fMRI data preprocessing and automatic detection of 7 resting-state networks (SMN, LANG, VIS, speech articulation, default mode, frontoparietal, and visuospatial). To evaluate the agreement between these networks and those mapped with invasive cortical mapping, we computed patient-specific distances between them and intraoperative DES recordings. RESULTS: Automatically detected preoperative functional networks exhibited excellent agreement with intraoperative DES recordings. When we spatially compared DES points with their corresponding networks, we found that SMN, VIS, and speech articulatory DES points fell within the corresponding network (median distance = 0 mm), whereas for LANG a median distance of 1.6 mm was reported. CONCLUSION: Our findings show the remarkable consistency between key functional networks mapped noninvasively using presurgical rs-fMRI and invasive cortical mapping. This evidence highlights the utility of rs-fMRI for personalized presurgical planning, particularly in scenarios where awake surgery with DES is not feasible to protect eloquent areas during tumor resection. We have made the updated tool for automated functional network estimation publicly available, facilitating broader utilization of rs-fMRI mapping in various clinical contexts, including presurgical planning, functional reorganization over follow-up periods, and informing future treatments such as radiotherapy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/d608de07b8e6/neu-95-1358-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/c99b12aa54ba/neu-95-1358-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/f108e91d75b1/neu-95-1358-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/dc8af0b38116/neu-95-1358-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/d608de07b8e6/neu-95-1358-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/c99b12aa54ba/neu-95-1358-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/f108e91d75b1/neu-95-1358-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/dc8af0b38116/neu-95-1358-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84c8/11540433/d608de07b8e6/neu-95-1358-g004.jpg

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[1]
Resting State Functional Networks in Gliomas: Validation With Direct Electric Stimulation Using a New Tool for Planning Brain Resections.

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引用本文的文献

[1]
Precision Neuro-Oncology in Glioblastoma: AI-Guided CRISPR Editing and Real-Time Multi-Omics for Genomic Brain Surgery.

Int J Mol Sci. 2025-7-30

[2]
From Tumor to Network: Functional Connectome Heterogeneity and Alterations in Brain Tumors-A Multimodal Neuroimaging Narrative Review.

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[3]
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[4]
Precision Surgery for Glioblastomas.

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[5]
Quantitative evaluation of neuroradiological and morphometric alteration of inferior Fronto-Occipital Fascicle across different brain tumor histotype: an Italian multicentric study.

Acta Neurochir (Wien). 2025-3-12

本文引用的文献

[1]
Current State of Functional MRI in the Presurgical Planning of Brain Tumors.

Radiol Imaging Cancer. 2023-11

[2]
The dynamic functional connectivity fingerprint of high-grade gliomas.

Sci Rep. 2023-6-27

[3]
Cortical mapping in glioma surgery: correlation of fMRI and direct electrical stimulation with Human Connectome Project parcellations.

Neurosurg Focus. 2022-12

[4]
Intraoperative mapping and monitoring during brain tumor surgeries.

Handb Clin Neurol. 2022

[5]
Motor Mapping of the Brain: Taniguchi Versus Penfield Method.

Cureus. 2022-5-11

[6]
The role of the default mode network in longitudinal functional brain reorganization of brain gliomas.

Brain Struct Funct. 2022-12

[7]
Emerging therapies for glioblastoma: current state and future directions.

J Exp Clin Cancer Res. 2022-4-15

[8]
Can Preoperative Mapping with Functional MRI Reduce Morbidity in Brain Tumor Resection? A Systematic Review and Meta-Analysis of 68 Observational Studies.

Radiology. 2021-8

[9]
Asymmetric tumor-related alterations of network-specific intrinsic functional connectivity in glioma patients.

Hum Brain Mapp. 2020-11

[10]
Relative survival after diagnosis with a primary brain or other central nervous system tumor in the National Program of Cancer Registries, 2004 to 2014.

Neurooncol Pract. 2020-6

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