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Research ArticleFunctional

Functional Connectivity MR Imaging of the Language Network in Patients with Drug-Resistant Epilepsy

E. Pravatà, C. Sestieri, D. Mantini, C. Briganti, G. Colicchio, C. Marra, C. Colosimo, A. Tartaro, G.L. Romani and M. Caulo
American Journal of Neuroradiology March 2011, 32 (3) 532-540; DOI: https://doi.org/10.3174/ajnr.A2311
E. Pravatà
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C. Sestieri
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D. Mantini
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C. Briganti
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G. Colicchio
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C. Marra
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C. Colosimo
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A. Tartaro
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G.L. Romani
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M. Caulo
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    Fig 1.

    A and B, Verb-generation task statistical activations from group-level ICA-GLM analysis in the control (n = 12) and patient (n = 22) groups, respectively (P < .01, FDR-corrected for multiple comparisons; only clusters >10 mm2 are represented). C, Predefined seed regions of interest for the FC analysis are superimposed on the conjunction plots, displaying common activated voxels in controls and in patients in both LE and RE subgroups. All seed centers were found to be included within the activated shared voxels.

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    Fig 2.

    Plots and matrices representing FC links among the 6 language-network regions in both hemispheres evaluated in this study (left panel) in controls (n = 12) and all patients (n = 22). Connectivity plots (upper row) show statistically significant correlations by means of red lines of variable thickness according to the z scores, from Pearson coefficient values. These are further represented in the corresponding color-coded matrices (lower row), ranging from white (z = 0) to dark red (z = 0.7). Only correlations significant at P < .01 are shown. The right panel shows a statistical comparison between the groups (independent t test, P < .01). Significantly reduced FC links in patients are indicated by black lines and quantified in the corresponding color-coded matrices (color scale for z score representation is the same as that in the left panel). Line thickness varies according to the reduction of correlation values.

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    Fig 3.

    Plots and matrices representing FC links among the 6 language-network regions in both hemispheres evaluated in this study (left panel) in patients with LE (n = 11) and RE (n = 11). Connectivity plots (upper row) show statistically significant correlations by means of red lines of variable thickness according to the z scores, from Pearson coefficient values. These are further represented in the corresponding color-coded matrices (lower row), ranging from white (z = 0) to dark red (z = 0.7). Only correlations significant at P < .01 are shown.

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    Fig 4.

    FC statistical maps displaying correlation z scores between L-T1p (black dots) and the rest of the brain, superimposed on inflated 3D templates for anatomic reference (P < .01, FDR-corrected for multiple comparisons). Patient maps (B) lack several connectivity links with the rest of the language network compared with controls (A). However, contrary to controls, the patient group presents statistically significant correlations with the left PCC (white circles).

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    Table 1:

    Patient clinical data

    Patient No.AgeSO (yr)SFLobeEtiology
    13610WFrontalMicropolygyria
    24910MTemporalMTS
    32719MFrontalDNET
    45128MTemporalCortical dysplasia
    52620WTemporalCavernoma
    6190.7MTemporalMTS
    7292WTemporalMTS
    8237WFrontalDNET
    93210WTemporalMTS
    101612DTemporalMTS
    11168WTemporalMTS
    123515MTemporalCryptogenetic
    132816MTemporalCryptogenetic
    142220DTemporalDNET
    15220.5DFrontalCryptogenetic
    163330DFrontalCryptogenetic
    173426DTemporalMTS
    18283WTemporalMTS
    194638MFrontalAVM
    20368MTemporalMTS
    212912MTemporalMicropolygyria
    221811WTemporalMTS
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    Table 2:

    Mean FC summary

    L-IntraR-IntraInterOverall
    Controls >
    LE.016a.052<.001a<.001a
    RE.006a.080<.001a<.001a
    • a <.05, 2-tailed t test.

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American Journal of Neuroradiology: 32 (3)
American Journal of Neuroradiology
Vol. 32, Issue 3
1 Mar 2011
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Cite this article
E. Pravatà, C. Sestieri, D. Mantini, C. Briganti, G. Colicchio, C. Marra, C. Colosimo, A. Tartaro, G.L. Romani, M. Caulo
Functional Connectivity MR Imaging of the Language Network in Patients with Drug-Resistant Epilepsy
American Journal of Neuroradiology Mar 2011, 32 (3) 532-540; DOI: 10.3174/ajnr.A2311

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Functional Connectivity MR Imaging of the Language Network in Patients with Drug-Resistant Epilepsy
E. Pravatà, C. Sestieri, D. Mantini, C. Briganti, G. Colicchio, C. Marra, C. Colosimo, A. Tartaro, G.L. Romani, M. Caulo
American Journal of Neuroradiology Mar 2011, 32 (3) 532-540; DOI: 10.3174/ajnr.A2311
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