反边语言网络集成预测并保护在叶切除后的命名下降
Karl-Heinz Nenning1,2, Karin Trimmel3, Lisa Bartha-Doering4,5
1Center for Biomedical Imaging and Neuromodulation, Nathan Kline Institute, Orangeburg, New York, USA.
Epilepsia
|March 10, 2026
概括
前叶切除 (ATLR) 可能会损害命名. 手术前的功能连接,特别是在右叶,预测命名衰退,有助于预测结果.
科学领域:
- 神经科学是一个神经科学.
- 神经外科 神经外科
- 的研究研究.
背景情况:
- 前叶切除 (ATLR) 有效地治疗耐药性叶 (TLE).
- ATLR存在语言缺陷的重大风险,特别是影响命名能力.
- 在ATLR之后预测语言结果仍然是一个临床挑战.
研究的目的:
- 研究ATLR对功能语言连接组的短期影响.
- 了解非主导半球在ATLR后语言功能中的作用.
- 为了确定ATLR之后命名障碍的预测因素.
主要方法:
- 功能磁共振成像 (fMRI) 用于评估语言网络连接.
- 44名TLE患者 (左24人,右20人) 接受了fMRI和ATLR前后的神经心理测试.
- 功能连接的变化与神经心理学表现相关.
主要成果:
- ATLR造成了广泛的功能连接变化,包括ipsilateral中断和反侧补偿.
- 左ATLR影响了半球间时连接;右ATLR影响了双边前部连接.
- 手术前的右叶连接预测了命名性能,机器学习模型改善了命名下降的预测.
结论:
- 右叶在支持以左ATLR命名方面发挥着至关重要的作用.
- 术前连接性评估可以提高术后语言结果的预测.
- 功能连接模式为神经外科手术后语言重组提供了宝贵的见解.
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