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@ARTICLE{WeissLucas:888641,
author = {Weiss Lucas, Carolin and Nettekoven, Charlotte and
Neuschmelting, Volker and Oros‐Peusquens, Ana‐Maria and
Stoffels, Gabriele and Viswanathan, Shivakumar and Rehme,
Anne K. and Faymonville, Andrea Maria and Shah, N. Jon and
Langen, Karl Josef and Goldbrunner, Roland and Grefkes,
Christian},
title = {{I}nvasive versus non‐invasive mapping of the motor
cortex},
journal = {Human brain mapping},
volume = {41},
number = {14},
issn = {1097-0193},
address = {New York, NY},
publisher = {Wiley-Liss},
reportid = {FZJ-2020-05084},
pages = {3970 - 3983},
year = {2020},
abstract = {Precise 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.},
cin = {INM-3 / INM-4},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-4-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572)},
pid = {G:(DE-HGF)POF3-572},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:32588936},
UT = {WOS:000543223500001},
doi = {10.1002/hbm.25101},
url = {https://juser.fz-juelich.de/record/888641},
}