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000888641 1001_ $$00000-0001-6463-0034$$aWeiss Lucas, Carolin$$b0$$eCorresponding author
000888641 245__ $$aInvasive versus non‐invasive mapping of the motor cortex
000888641 260__ $$aNew York, NY$$bWiley-Liss$$c2020
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000888641 520__ $$aPrecise and comprehensive mapping of somatotopic representations in the motor cortex is clinically essential to achieve maximum resection of brain tumours whilst preserving motor function, especially since the current gold standard, that is, intraoperative direct cortical stimulation (DCS), holds limitations linked to the intraoperative setting such as time constraints or anatomical restrictions. Non‐invasive techniques are increasingly relevant with regard to pre‐operative risk‐assessment. Here, we assessed the congruency of neuronavigated transcranial magnetic stimulation (nTMS) and functional magnetic resonance imaging (fMRI) with DCS. The motor representations of the hand, the foot and the tongue regions of 36 patients with intracranial tumours were mapped pre‐operatively using nTMS and fMRI and by intraoperative DCS. Euclidean distances (ED) between hotspots/centres of gravity and (relative) overlaps of the maps were compared. We found significantly smaller EDs (11.4 ± 8.3 vs. 16.8 ± 7.0 mm) and better spatial overlaps (64 ± 38% vs. 37 ± 37%) between DCS and nTMS compared with DCS and fMRI. In contrast to DCS, fMRI and nTMS mappings were feasible for all regions and patients without complications. In summary, nTMS seems to be the more promising non‐invasive motor cortex mapping technique to approximate the gold standard DCS results.
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000888641 7001_ $$0P:(DE-Juel1)165785$$aNettekoven, Charlotte$$b1
000888641 7001_ $$00000-0001-7527-6990$$aNeuschmelting, Volker$$b2
000888641 7001_ $$0P:(DE-HGF)0$$aOros‐Peusquens, Ana‐Maria$$b3
000888641 7001_ $$0P:(DE-Juel1)131627$$aStoffels, Gabriele$$b4
000888641 7001_ $$0P:(DE-Juel1)162395$$aViswanathan, Shivakumar$$b5
000888641 7001_ $$0P:(DE-Juel1)165784$$aRehme, Anne K.$$b6
000888641 7001_ $$0P:(DE-HGF)0$$aFaymonville, Andrea Maria$$b7
000888641 7001_ $$0P:(DE-Juel1)131794$$aShah, N. Jon$$b8$$ufzj
000888641 7001_ $$0P:(DE-Juel1)131777$$aLangen, Karl Josef$$b9
000888641 7001_ $$0P:(DE-HGF)0$$aGoldbrunner, Roland$$b10
000888641 7001_ $$0P:(DE-Juel1)161406$$aGrefkes, Christian$$b11
000888641 773__ $$0PERI:(DE-600)1492703-2$$a10.1002/hbm.25101$$gVol. 41, no. 14, p. 3970 - 3983$$n14$$p3970 - 3983$$tHuman brain mapping$$v41$$x1097-0193$$y2020
000888641 8564_ $$uhttps://juser.fz-juelich.de/record/888641/files/Weiss_2020_HumBrainMapp_Invasive%20versus%20non-invasive%20mapping%20....pdf$$yOpenAccess
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