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[Machine learning for resting state fMRI-based preoperative mapping: comparison with task-based fMRI and direct

I N Pronin1, M G Sharaev2, T V Melnikova-Pitskhelauri1

  • 1Burdenko Neurosurgical Center, Moscow, Russia.

Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko
|August 9, 2022
PubMed
Summary

Resting-state fMRI (rs-fMRI) with machine learning accurately predicts brain activity for glioma patients, outperforming task-based fMRI. This aids in precise surgical planning for motor and speech areas.

Keywords:
brain MRIbrain mappingdirect cortical stimulationfunctional MRImachine learningpreoperative planningresting state fMRI

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Area of Science:

  • Neurosurgery
  • Neuroimaging
  • Machine Learning

Background:

  • Brain gliomas pose challenges for preserving critical motor and speech functions during surgery.
  • Accurate preoperative mapping of eloquent brain areas is crucial for minimizing neurological deficits.

Purpose of the Study:

  • To develop and validate a machine learning system for predicting individual brain activations in motor and speech areas.
  • To compare the efficacy of resting-state fMRI (rs-fMRI) and task-based fMRI (tb-fMRI) for preoperative mapping in glioma patients.

Main Methods:

  • A machine learning system was pre-trained on 200 healthy subjects' data from The Human Connectome Project.
  • The system was further trained and validated using preoperative MRI (T1, tb-fMRI, rs-fMRI) data from 33 glioma patients.
  • Direct cortical stimulation (DCS) was used intraoperatively to verify functional area predictions.

Main Results:

  • rs-fMRI predicted more positive direct cortical stimulation responses (132) compared to tb-fMRI (112).
  • tb-fMRI showed a higher proportion of negative stimulation sites within activated areas (69 vs. 44).

Conclusions:

  • The developed machine learning method using rs-fMRI demonstrated superior sensitivity in identifying speech zones (0.72 vs. 0.66) and motor areas (0.79 vs. 0.62) compared to tb-fMRI.
  • rs-fMRI-based prediction, verified by DCS, offers a more sensitive approach for preoperative functional mapping in glioma surgery.