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《Chinese Journal of Medical Imaging Technology》 2009-S1
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Preoperative usage of fMRI in localizing language areas for patients with glioma

YI Xiao-li1,DAI Jian-ping1,CHEN Xu-zhu1,WU Chen-xing2,WANG Xiao-yi3,LI Shao-wu1,JIANG Tao2,AI Lin1(1.Imaging Center of Neuroscience,2.Glioma Center,Tiantan Hospital,Capital Medical University,Beijing 100050,China;3.Beijing Normal University,State Key Laboratory of Cognitive Neuroscience and Learning,Beijing 100875,China)  
Objective To prospectively assess functional magnetic resonance imaging(fMRI)for localizing the Broca and Wernicke areas in patients with glioma.Methods Forty-five patients with glioma in the left frontal or the left temporal lobe underwent blood oxygen level-dependent functional MR imaging(Bold-fMRI)at 3.0 T scanner with two paradigms:auditory word judgment(AJ)and auditory word repeat(AR).The functional data were analyzed by SPM5.Four regions of interest were evaluated in the regions of the Broca,Wernicke areas and their anatomic homologues in the controlateral hemisphere.Results The AJ and AR paradigms were successfully completed in 44(97.8%,44/45)and 44(97.8%,44/45)cases,respectively.The two paradigms were all finished in 43(95.6%,43/45)cases.Success rate was 93.2% for localizing the Broca areas and 97.7% for the Wernicke areas with AJ paradigm,97.7%,the Broca,97.7%,Wernicke areas with AR paradigm;and 97.8%,the Broca areas and 100%,the Wernicke areas when the two paradigms were used in combination.Conclusion Bold-fMRI with combined AJ and AR is better to localize the language areas than Bold-fMRI with AJ or AR respective in patients with glioma.
【Fund】: “十一五”国家科技支撑计划基金(2007BA105B08)
【CateGory Index】: R739.41
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