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Research ArticleFunctional
Open Access

Adaptive Language Mapping Paradigms for Presurgical Language Mapping

E. Diachek, V.L. Morgan and S.M. Wilson
American Journal of Neuroradiology September 2022, DOI: https://doi.org/10.3174/ajnr.A7629
E. Diachek
aFrom the Departments of Psychology and Human Development (E.D., S.M.W.)
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V.L. Morgan
bBiomedical Engineering (V.L.M.), Vanderbilt University, Nashville, Tennessee
cDepartments of Radiology and Radiological Sciences (V.L.M., S.M.W.)
dNeurological Surgery (V.L.M.)
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S.M. Wilson
aFrom the Departments of Psychology and Human Development (E.D., S.M.W.)
cDepartments of Radiology and Radiological Sciences (V.L.M., S.M.W.)
eHearing and Speech Sciences (S.M.W.), Vanderbilt University Medical Center, Nashville, Tennessee
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  • FIG 1.
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    FIG 1.

    ROIs. LIs were calculated on the basis of activation throughout the wide region shown in blue (or any of the other colors), while sensitivity was determined on the basis of activations in frontal (red), temporal (green), and anterior parietal (yellow) language regions.

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    FIG 2.

    Activation maps for each paradigm. The color map indicates the number of individual patients with activation, with a whole-brain ROI, relative threshold of 5%, and minimum cluster extent of 2 cm3. Activation maps for patients with right-hemisphere dominance were flipped for these maps. A, Adaptive semantic. B, Adaptive phonological. C, Sentence completion. D, Word generation.

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    FIG 3.

    Lateralization indices by paradigm. Violin plots show the distribution of patients. Red dots indicate patients with right-hemisphere language, and blue dots indicate patients with bilateral language lateralization. Teal dotted lines show cutoffs for lateralization categories.

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    FIG 4.

    Sensitivity for identifying language regions in the dominant hemisphere. Violin plots show the extent of activation in each region for each paradigm. Red dots indicate patients with right-hemisphere language, and blue dots indicate patients with bilateral language lateralization. Horizontal lines show means. Teal dotted lines show cutoffs for assessment of sensitivity. A, Inferior frontal language region. B, Posterior temporal language region. C, Anterior parietal language region.

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    Table 1:

    Characteristics of the 73 participants

    Age (mean) (range) (yr)38.6 (SD, 12.6) (20–70)
    Sex32 Male; 41 female
    Handednessa57 Right-handed; 6 left-handed; 10 mixed (of whom 6 write with right and 4 write with left); mean laterality quotient: 68.8 (SD, 59.4)
    Education (mean) (range) (yr)13.7 (SD, 2.5) (range, 8–19)
    Race58 White; 10 black; 1 Asian; 4 did not state
    Native speaker71 Native; 2 fluent but non-native
    EtiologyEpilepsy 55
    Tumor 16
    Arteriovenous malformation 1
    Cavernous malformation 1
    Duration of etiology (mean) (range)3170 (SD, 3722) days (range, 6 days to 39 yr)
    Language deficit42 (58%) Yes; 31 (42%) no
    • ↵a Handedness was assessed with the 4-item modification of the Edinburgh Handedness Inventory by Veale.29

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    Table 2:

    Proportions of patients with satisfactory language maps

    ParadigmProportionPercentage
    Adaptive semantic71 of 7397%
    Adaptive phonological49 of 7367%
    Sentence completion63 of 7386%
    Word generation37 of 7351%
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E. Diachek, V.L. Morgan, S.M. Wilson
Adaptive Language Mapping Paradigms for Presurgical Language Mapping
American Journal of Neuroradiology Sep 2022, DOI: 10.3174/ajnr.A7629

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Adaptive Language Mapping Paradigms for Presurgical Language Mapping
E. Diachek, V.L. Morgan, S.M. Wilson
American Journal of Neuroradiology Sep 2022, DOI: 10.3174/ajnr.A7629
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