American society of functional neuroradiology-recommended fMRI paradigm algorithms for presurgical language assessment

D. F. Black, B. Vachha, A. Mian, Scott Faro, M. Maheshwari, Haris Sair, J. R. Petrella, Jay Pillai, K. Welker

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: Functional MR imaging is increasingly being used for presurgical language assessment in the treatment of patients with brain tumors, epilepsy, vascular malformations, and other conditions. The inherent complexity of fMRI, which includes numerous processing steps and selective analyses, is compounded by institution-unique approaches to patient training, paradigm choice, and an eclectic array of postprocessing options from various vendors. Consequently, institutions perform fMRI in such markedly different manners that data sharing, comparison, and generalization of results are difficult. The American Society of Functional Neuroradiology proposes widespread adoption of common fMRI language paradigms as the first step in countering this lost opportunity to advance our knowledge and improve patient care. LANGUAGE PARADIGM REVIEW PROCESS: A taskforce of American Society of Functional Neuroradiology members from multiple institutions used a broad literature review, member polls, and expert opinion to converge on 2 sets of standard language paradigms that strike a balance between ease of application and clinical usefulness. ASFNR RECOMMENDATIONS: The taskforce generated an adult language paradigm algorithm for presurgical language assessment including the following tasks: Sentence Completion, Silent Word Generation, Rhyming, Object Naming, and/or Passive Story Listening. The pediatric algorithm includes the following tasks: Sentence Completion, Rhyming, Antonym Generation, or Passive Story Listening. DISCUSSION: Convergence of fMRI language paradigms across institutions offers the first step in providing a "Rosetta Stone" that provides a common reference point with which to compare and contrast the usefulness and reliability of fMRI data. From this common language task battery, future refinements and improvements are anticipated, particularly as objective measures of reliability become available. Some commonality of practice is a necessary first step to develop a foundation on which to improve the clinical utility of this field.

Original languageEnglish (US)
Pages (from-to)E65-E73
JournalAmerican Journal of Neuroradiology
Volume38
Issue number10
DOIs
StatePublished - Oct 1 2017

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Language
Magnetic Resonance Imaging
Vascular Malformations
Information Dissemination
Expert Testimony
Brain Neoplasms
Epilepsy
Patient Care
Pediatrics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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American society of functional neuroradiology-recommended fMRI paradigm algorithms for presurgical language assessment. / Black, D. F.; Vachha, B.; Mian, A.; Faro, Scott; Maheshwari, M.; Sair, Haris; Petrella, J. R.; Pillai, Jay; Welker, K.

In: American Journal of Neuroradiology, Vol. 38, No. 10, 01.10.2017, p. E65-E73.

Research output: Contribution to journalArticle

Black, D. F. ; Vachha, B. ; Mian, A. ; Faro, Scott ; Maheshwari, M. ; Sair, Haris ; Petrella, J. R. ; Pillai, Jay ; Welker, K. / American society of functional neuroradiology-recommended fMRI paradigm algorithms for presurgical language assessment. In: American Journal of Neuroradiology. 2017 ; Vol. 38, No. 10. pp. E65-E73.
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