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Research ArticleFUNCTIONAL

Memory Lateralization with 2 Functional MR Imaging Tasks in Patients with Lesions in the Temporal Lobe

C. Ávila, A. Barrós-Loscertales, C. Forn, R. Mallo, M.-A. Parcet, V. Belloch, S. Campos, R. Feliu-Tatay and J.M. González-Darder
American Journal of Neuroradiology March 2006, 27 (3) 498-503;
C. Ávila
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A. Barrós-Loscertales
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C. Forn
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R. Mallo
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M.-A. Parcet
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V. Belloch
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S. Campos
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R. Feliu-Tatay
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J.M. González-Darder
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  • Fig 1.
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    Fig 1.

    Functional activation results for the picture-encoding task (left) and the hometown-walking task (right). All images are in radiologic orientation. Activation thresholds were at 0.00001 for groups and 0.001 for individual patients.

    A, Results for the control group.

    B, Results for patient 2 showing symmetric bilateral activation of the temporal lobe for both tasks.

    C, Results for patient 6 showing asymmetric activation of the temporal lobe for both tasks.

    D, Results for patient 19 showing a clear discordance between the results of both tasks, where the picture-encoding tasks showed a contralesional representation of memory, the hometown-walking task showed an ipsilesional representation of memory.

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    Fig 2.

    Mean number of voxels activated for both tasks in each group.

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    Table 1:

    Patient characteristics and results from fMRI tasks

    Patient No./Ae (y)/SexTemporal LobeEtiologyHippocampal Formation AffectedTLEL1 Hometown Walking TaskL1 Picture Encoding Task
    1/30/MLGlioblastoma multiforme grade IVYesNo−93.35−40.90
    2/28/MLCavernous angiomaYesNo9.308.20
    3/44/FLGlioblastoma multiforme grade IVYesYes−83.57−35.13
    4/61/MRGlioblastoma multiforme grade IVYesNo61.7798.37
    5/61/MRCavernous angiomaYesYes18.3130.69
    6/39/MRGlioblastoma multiforme grade IVYesNo29.1731.99
    7/51/FLCavernous angiomaNoYes−36.20−29.57
    8/36/MRLow-grade astrocytomaYesNo16.83
    9/70/MLGlioblastoma multiforme grade IVYesYes−43.71−75.25
    10/64/MLAVMYesNo11.82
    11/30/FLOligoastrocytoma grade IIYesYes−100
    12/39/FRHippocampal sclerosisYesYes17.05−2.14
    13/72/MLHigh-grade gliomaNoNo−36.35−85.52
    14/43/MLAVMYesYes−23.66
    15/55/FROligodendroglioma grade IIYesYes57.5448.55
    16/34/MRLow-grade astrocytomaYesYes19.566.18
    17/27/FLMeningothelial meningiomaNoNo−9.21−99.00
    18/33/FRCavernomaNoYes8.85−29.61
    19/47/MLGlioblastoma multiforme grade IVYesYes53.27−35.66
    20/42/FLCavernous angiomaYesYes−64.091.26
    21/26/FLMedial temporal lobe atrophyYesYes−8.67−8.68
    22/37/FLAVMYesNo−100−100
    23/50/MLTumoral lesion*YesNo−40.29−25.44
    24/46/FRHippocampal sclerosisYesYes54.92
    25/23/MRLow-grade gliomaYesYes40.098.79
    Controls
    1/26/F17.869.01
    2/60/F−7.283.23
    3/62/F−4.0111.66
    4/26/F6.51−14.00
    5/28/F5.60−7.07
    6/45/M−5.70−13.23
    7/40/F−5.710.47
    8/47/F−10.0218.37
    9/39/F0.243.02
    10/59/M7.94−7.87
    11/43/F−14.96−6.35
    12/45/F−12.9317.99
    • Note:—TLE indicates temporal lobe epilepsy; LI, lateralization index; AVM, arteriovenous malformation.

    • * No histological diagnosis.

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    Table 2:

    Brain areas activated during fMRI tasks in the control group

    Brain areaPicture-Encoding TaskHometown-Walking Task
    BATalairach CoordinateMean t ValueBATalairach CoordinateMean t Value
    xyzxyz
    Supplementary motor area669504.806912485.28
    Lateral frontal gyrus (R)63610305.02624−1554.95
    Lateral frontal gyrus (L)6−26−4454.856−27−10545.32
    Parahippocampal gyrus (R)19, 27, 28, 30, 35, 3625−37−55.2819, 27, 28, 30, 35, 36, 3722−29−85.45
    Parahippocampal gyrus (L)19, 28, 30, 36, 37−22−42−55.7519, 27, 28, 30, 35, 36, 37−20−34−75.41
    Lingual gyrus (R)18, 1914−5706.02
    Lingual gyrus (L)18,19−11−5615.56
    Fusiform gyrus (R)19, 20, 3733−50−106.06
    Fusiform gyrus (L)19, 20, 37−31−49−116.10
    Posterior cingulate (R)23, 29, 30, 315−5285.6223, 29, 30, 319−49116.09
    Posterior cingulate (L)23, 29, 30, 31−5−5285.1323, 29, 30, 31−6−4996.29
    Hippocampus (R)27−16−134.4127−24−94.52
    Hippocampus (L)−27−16−135.44−26−24−64.60
    Thalamus (R)5−2338.9011−24145.18
    Thalamus (L)−17−2824.98−10−22105.48
    • Note:—Areas are detailed as a function of gyri and Broadmann’s maps. BA indicates Broadmann areas; L, left hemisphere; R, right hemisphere.

    • View popup
    Table 3:

    Correlations between recognition scores on the picture- encoding task and number of left and right voxels activated in both tasks

    Mean (±SD)Picture-Encoding TaskHometown-Walking Task
    LeftRightLeftRight
    Recognition store4.13 (2.46).2156*.44.45
    RAVLT
        First trial4.71 (1.90).65**.36.63**.14
        Five trials12.07 (3.64).62**.40.67**.28
        Recall (30 min)9.36 (4.58).57*.40.48.20
    Rey figure
        Copy64.08 (31.16)−.02.00.14.30
        Recall15.77 (13.14).17.58*.37.38
    Digit span8.07 (2.3).54*.58*.22.30
    • Note:—

    • * P < .05,

    • ** P < .01.

    • RAVLT indicates Rey Auditory Verbal Learning Task.

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American Journal of Neuroradiology: 27 (3)
American Journal of Neuroradiology
Vol. 27, Issue 3
March, 2006
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Cite this article
C. Ávila, A. Barrós-Loscertales, C. Forn, R. Mallo, M.-A. Parcet, V. Belloch, S. Campos, R. Feliu-Tatay, J.M. González-Darder
Memory Lateralization with 2 Functional MR Imaging Tasks in Patients with Lesions in the Temporal Lobe
American Journal of Neuroradiology Mar 2006, 27 (3) 498-503;

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Memory Lateralization with 2 Functional MR Imaging Tasks in Patients with Lesions in the Temporal Lobe
C. Ávila, A. Barrós-Loscertales, C. Forn, R. Mallo, M.-A. Parcet, V. Belloch, S. Campos, R. Feliu-Tatay, J.M. González-Darder
American Journal of Neuroradiology Mar 2006, 27 (3) 498-503;
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