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Research ArticleFunctional

Resting-State Functional MRI for Determining Language Lateralization in Children with Drug-Resistant Epilepsy

N.L. Phillips, A.S. Shatil, C. Go, A. Robertson and E. Widjaja
American Journal of Neuroradiology July 2021, 42 (7) 1299-1304; DOI: https://doi.org/10.3174/ajnr.A7110
N.L. Phillips
aFrom the Neurosciences and Mental Health Program (N.L.P., A.S.S., A.R., E.W.), The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada
bDepartment of Psychology (N.L.P.)
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A.S. Shatil
aFrom the Neurosciences and Mental Health Program (N.L.P., A.S.S., A.R., E.W.), The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada
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C. Go
cDivision of Neurology (C.G., E.W.)
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A. Robertson
aFrom the Neurosciences and Mental Health Program (N.L.P., A.S.S., A.R., E.W.), The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada
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E. Widjaja
aFrom the Neurosciences and Mental Health Program (N.L.P., A.S.S., A.R., E.W.), The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada
cDivision of Neurology (C.G., E.W.)
dDepartment of Diagnostic Imaging (E.W.), The Hospital for Sick Children, Toronto, Ontario, Canada
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    FIGURE.

    An 11-year-old child (A and B) with left-lateralized language on tb-fMRI and bilateral language on rs-fMRI. A 14-year-old adolescent (C and D) with bilateral language on tb-fMRI and left-lateralized language on rs-fMRI.

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    Table 1:

    Language task-based fMRI tasks

    Language TaskDescription (Task and Control Condition)
    ADDTTask: decide whether a sentence is true or false and taps leg if correct.
    Control: listen to reverse speech and taps leg each time in response to hearing a beep
    ACTTask: decide whether a list of words falls into a previously presented category (eg, animals) and taps leg when target word matches category.
    Control: listen to reverse speech and taps leg each time in response to hearing a beep
    VFTask: generate words from a series of letters, ie, must generate as many words covertly/silently in head that begin with a particular letter (5 letters presented per task block via MR imaging goggle system).
    Control: constant right hand tapping during each 30-minute control block
    SWGTask: generate verbs from a series of nouns, ie, must generate as many verbs covertly/silently from each noun presented (5 nouns presented per task block via MR imaging goggle system).
    Control: constant left hand tapping during each 30-minute control block
    • View popup
    Table 2:

    Language laterality based on resting-state and task-based fMRI

    StudyLaterality
    LeftRightBilateral
    No.%No.%No.%
    Rs-fMRIa
     z = 1.53684%37%49%
     z = 2.53479%37%614%
     z = 33581%37%512%
    Tb-fMRIa
     ADDT, n = 403690%13%38%
     ACT, n = 433684%25%512%
     VF, n = 403280%13%718%
     SWG, n = 423583%12%614%
    • ↵a LI calculated with a cutoff score ± 0.2.

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American Journal of Neuroradiology: 42 (7)
American Journal of Neuroradiology
Vol. 42, Issue 7
1 Jul 2021
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N.L. Phillips, A.S. Shatil, C. Go, A. Robertson, E. Widjaja
Resting-State Functional MRI for Determining Language Lateralization in Children with Drug-Resistant Epilepsy
American Journal of Neuroradiology Jul 2021, 42 (7) 1299-1304; DOI: 10.3174/ajnr.A7110

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Resting-State Functional MRI for Determining Language Lateralization in Children with Drug-Resistant Epilepsy
N.L. Phillips, A.S. Shatil, C. Go, A. Robertson, E. Widjaja
American Journal of Neuroradiology Jul 2021, 42 (7) 1299-1304; DOI: 10.3174/ajnr.A7110
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