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Research ArticleFunctional
Open Access

Improvement of Clinical Language Localization with an Overt Semantic and Syntactic Language Functional MR Imaging Paradigm

A. Gartus, T. Foki, A. Geissler and R. Beisteiner
American Journal of Neuroradiology November 2009, 30 (10) 1977-1985; DOI: https://doi.org/10.3174/ajnr.A1725
A. Gartus
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T. Foki
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A. Geissler
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R. Beisteiner
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  • Fig 1.
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    Fig 1.

    Schematic of a language paradigm. First row, Schematic illustration of a semantic run (duration, 140 seconds [s]). Syntactic runs comprised syntactic tasks instead of semantic tasks. Second row, Construction of pseudorandomized control periods (duration, 20s) and the first sentence of the semantic task 2 (duration: 20s) shown in detail. Every task comprises 2 sentences. Third row, Comparison of the construction of a semantic and a syntactic error sentence (as appearing in semantic/syntactic runs). Note that due to the translation into English, the verbs are no longer at the end of the sentences. The original German sentences read “Er wird den Löwen fahren/zähmen” (semantic error) and “Ich werde die Schrauben befestigt/befestigen” (syntactic error).

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    Fig 2.

    Coronal, sagittal, and axial views of the applied regions of interest as displayed by the program MARINA: A, Anterior (Broca) region of interest. B, Posterior (Wernicke) region of interest. C, Temporofrontal region of interest.

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    Fig 3.

    A, Patients with TLE: semantic + syntactic task. 3D view of the language-activation map of both tasks (ie, [semantic + syntactic] tasks) across the whole group of patients with TLE (no region of interest; FDR, P < .05; threshold [T] = 2.879) overlaid on SPM5 standard brain in MNI space. B, Healthy subjects: semantic + syntactic task. 3D view of a language-activation map of both tasks (ie, [semantic + syntactic] tasks) across the whole group of healthy subjects (no region of interest; FDR, P < .05; T = 2.834) overlaid on SPM5 standard brain in MNI space.

  • Fig 4.
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    Fig 4.

    A, Patients with TLE: semantic − syntactic task. 3D view of a language-activation map shows the differences between the [semantic − syntactic] task across the whole group of patients with TLE (temporofrontal region of interest; FDR, P < .05; threshold [T] = 3.838) overlaid on SPM5 standard brain in MNI space. Note the small activation in the left and right IFGs (BA47) and the left insula (BA13) (yellow arrows, compare with Table 5). B, Healthy subjects: semantic − syntactic task. 3D view of a language-activation map shows the differences between the [semantic − syntactic] task across the whole group of healthy subjects (temporofrontal region of interest; FDR, P < .05, T = 2.710) overlaid on SPM5 standard brain in MNI space (compare Table 6).

Tables

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    Table 1:

    LIs of patients with left and right TLE*

    Patients with TLESexAge (yr)LI
    BrocaWernicke
    Left TLE
        L1F26−0.357†+0.523
        L2F46+0.823+0.507
        L3M31+0.149†+0.539
        L4M28+0.552+0.442
        L5M48+0.404+0.199†
        L6F37+0.244+0.374
        L7F32+0.140†+0.679
        L8F25+0.189†+0.572
        L9M39+0.829−0.179†
        L10M20+0.521−0.074†
        L11M21−0.780†+0.049†
        L12F41+0.038†+0.567
        L13F27+0.500+0.511
        L14F25+0.374+0.774
        L15F16+0.986+0.867
        L16M59+0.618+0.967
        L17F49+0.179†+0.233
    Right TLE
        R1M25+0.001†+0.230
        R2F29+0.240−0.106†
        R3M29+0.059†+0.509
        R4M45+0.124†+0.158†
        R5F53+0.157†+0.005†
        R6M22+0.213+0.375
        R7F51+0.298+0.600
        R8M36+0.413+0.857
        R9F54+0.802+0.772
        R10M32+0.674+0.842
        R11F25+0.777+0.857
        R12M22−0.147†+0.065†
        R13F50+0.433+0.706
    • Note:—LI indicates laterality index; TLE, temporal lobe epilepsy.

    • * LIs of patients with left and right TLE for the anterior (Broca) and the posterior (Wernicke) regions of interest using [semantic + syntactic] tasks.

    • † Atypical LIs (LI ≤ 0.20).

    • View popup
    Table 2:

    LIs of healthy subjects*

    Healthy SubjectsSexAge (yr)LI
    BrocaWernicke
    S1F28+0.196†+0.596
    S2F24+0.477+0.465
    S3F25+0.327+0.517
    S4M26+0.469+0.876
    S5F55+0.008†+0.048†
    S6M24+0.387+0.949
    S7M52+0.104†+0.585
    S8F48+0.207+0.824
    S9M25+0.053†+0.288
    S10F25+0.674+0.689
    S11M26+0.984+0.592
    S12M46+0.186†+0.716
    S13M27+0.661+0.418
    S14F28+0.173†+0.033†
    S15F26+0.500+0.331
    S16F26+0.311+0.306
    S17M25+0.362+0.954
    S18M35+0.706+0.989
    S19F23−0.614†+0.143†
    S20M29+0.182†+0.663
    S21F22+0.366+0.776
    S22M34+0.542+0.290
    S23M33+0.333−0.013†
    • * LIs of healthy subjects for the anterior (Broca) and the posterior (Wernicke) regions of interest using [semantic + syntactic] tasks.

    • † Atypical LIs (LI ≤ 0.20).

    • View popup
    Table 3:

    Active Brodmann areas of the semantic + syntactic task in patients with TLE*

    Brodmann AreaNo. Voxels% Total Activation
    Whole brain9672100.00
    Left brain169417.51
    Brodmann area 6 (L)3023.12
    Brodmann area 7 (L)2732.82
    Brodmann area 9 (L)1541.59
    Brodmann area 21 (L)1161.20
    Brodmann area 47 (L)1101.14
    Brodmann area 19 (L)1011.04
    Brodmann area 4 (L)991.02
    Brodmann area 22 (L)960.99
    Brodmann area 18 (L)950.98
    Brodmann area 38 (L)700.72
    Brodmann area 3 (L)670.69
    Brodmann area 46 (L)540.56
    Brodmann area 2 (L)360.37
    Brodmann area 40 (L)280.29
    Brodmann area 17 (L)210.22
    Brodmann area 44 (L)180.19
    Brodmann area 45 (L)160.17
    Brodmann area 39 (L)160.17
    Brodmann area 8 (L)130.13
    Brodmann area 13 (L)50.05
    Brodmann area 37 (L)20.02
    Corpus callosum (L)10.01
    Brodmann area 42 (L)10.01
    Right brain7357.60
    Brodmann area 7 (R)2142.21
    Brodmann area 21 (R)1631.69
    Brodmann area 6 (R)1301.34
    Brodmann area 19 (R)590.61
    Brodmann area 4 (R)380.39
    Brodmann area 40 (R)290.30
    Brodmann area 18 (R)280.29
    Brodmann area 3 (R)250.26
    Brodmann area 39 (R)190.20
    Brodmann area 17 (R)190.20
    Brodmann area 22 (R)100.10
    Corpus callosum (R)10.01
    Other locations724374.89
    Unidentified724274.88
    Corpus callosum (C)10.01
    • Note:—L indicates left; R, right; C, central.

    • * Active Brodmann areas of the [semantic + syntactic] task in the whole brain with false discovery rate correction (P < .05) and cluster criterion of 5 voxels ordered by the number of active voxels in patients with TLE, showing the Brodmann areas with the highest number of active voxels on top (see “Materials and Methods” section for details of calculation).

    • View popup
    Table 4:

    Active Brodmann areas of the semantic + syntactic task in healthy subjects*

    Brodmann AreaNo. Voxels% Total Activation
    Whole brain15051100.0
    Left brain271918.07
    Brodmann area 21 (L)4122.7
    Brodmann area 22 (L)3582.38
    Brodmann area 6 (L)3542.35
    Brodmann area 7 (L)2611.73
    Brodmann area 37 (L)2331.5
    Brodmann area 18 (L)1691.12
    Brodmann area 38 (L)1631.08
    Brodmann area 19 (L)1490.99
    Brodmann area 4 (L)1390.92
    Brodmann area 3 (L)900.60
    Brodmann area 9 (L)630.42
    Brodmann area 13 (L)610.4
    Brodmann area 44 (L)600.40
    Brodmann area 47 (L)510.34
    Brodmann area 40 (L)410.27
    Brodmann area 20 (L)370.25
    Dentate (L)180.12
    Brodmann area 17 (L)140.09
    Brodmann area 42 (L)130.09
    Brodmann area 41 (L)90.06
    Brodmann area 43 (L)70.05
    Brodmann area 29 (L)60.04
    Brodmann area 36 (L)40.03
    Corpus callosum (L)20.01
    Brodmann area 2 (L)20.01
    Brodmann area 1 (L)20.01
    Brodmann area 45 (L)10.01
    Right brain14629.71
    Brodmann area 21 (R)3782.51
    Brodmann area 6 (R)2621.74
    Brodmann area 22 (R)1951.30
    Brodmann area 38 (R)1871.24
    Brodmann area 18 (R)1180.78
    Brodmann area 7 (R)1050.70
    Brodmann area 19 (R)740.49
    Brodmann area 17 (R)580.39
    Dentate (R)330.22
    Brodmann area 4 (R)210.14
    Brodmann area 47 (R)100.07
    Brodmann area 44 (R)100.07
    Corpus callosum (R)30.02
    Brodmann area 39 (R)30.02
    Brodmann area 3 (R)20.01
    Brodmann area 9 (R)10.01
    Brodmann area 37 (R)10.01
    Brodmann area 13 (R)10.01
    Other Locations1087072.22
    Unidentified1086772.20
    Corpus callosum (C)30.02
    • * Active Brodmann areas of the [semantic + syntactic] task in the whole brain with false discovery rate correction (P < .05) and cluster criterion of 5 voxels ordered by the number of active voxels in healthy subjects, showing the Brodmann areas with the highest number of active voxels on top (see “Materials and Methods” section for details of calculation).

    • View popup
    Table 5:

    Active Brodmann areas of the semantic − syntactic task in patients with TLE*

    Brodmann AreaNo. voxels% Total Activation
    Temporofrontal ROI219100.00
    Left brain3013.70
    Brodmann area 47 (L)167.31
    Brodmann area 13 (L)146.39
    Right brain00.00
    Other locations18986.30
    Unidentified18986.30
    • Note:—ROI indicates region of interest.

    • * Active Brodmann areas of the [semantic − syntactic] task in a temporofrontal ROI with false discovery rate correction (P < .05) and cluster criterion of 5 voxels ordered by the number of active voxels in patients with TLE, showing the Brodmann area with the highest number of active voxels on top (see “Materials and Methods” section for details of calculation).

    • View popup
    Table 6:

    Active Brodmann areas of the semantic − syntactic task in healthy subjects*

    Brodmann AreaNo. voxels% Total Activation
    Temporofrontal ROI5528100.0
    Left brain121722.02
    Brodmann area 21 (L)2314.18
    Brodmann area 47 (L)2304.16
    Brodmann area 13 (L)1673.02
    Brodmann area 22 (L)1382.50
    Brodmann area 45 (L)1262.28
    Brodmann area 38 (L)1001.81
    Brodmann area 9 (L)510.92
    Brodmann area 44 (L)490.89
    Brodmann area 37 (L)360.65
    Brodmann area 19 (L)200.36
    Brodmann area 39 (L)160.29
    Brodmann area 29 (L)130.24
    Brodmann area 46 (L)120.22
    Brodmann area 20 (L)100.18
    Brodmann area 41 (L)90.16
    Brodmann area 40 (L)60.11
    Brodmann area 34 (L)10.02
    Brodmann area 18 (L)10.02
    Brodmann area 11 (L)10.02
    Right brain3676.64
    Brodmann area 47 (R)1462.6
    Brodmann area 21 (R)581.05
    Brodmann area 13 (R)480.87
    Brodmann area 45 (R)440.80
    Brodmann area 38 (R)420.76
    Brodmann area 46 (R)140.25
    Brodmann area 22 (R)140.25
    Brodmann area 41 (R)10.02
    Other locations394471.35
    Unidentified394471.35
    • * Active Brodmann areas of the [semantic − syntactic] task in a temporofrontal ROI with false discovery rate correction (P < .05) and cluster criterion of 5 voxels ordered by the number of active voxels in healthy subjects, showing the Brodmann areas with the highest number of active voxels on top (see “Materials and Methods” section for details of calculation).

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A. Gartus, T. Foki, A. Geissler, R. Beisteiner
Improvement of Clinical Language Localization with an Overt Semantic and Syntactic Language Functional MR Imaging Paradigm
American Journal of Neuroradiology Nov 2009, 30 (10) 1977-1985; DOI: 10.3174/ajnr.A1725

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Improvement of Clinical Language Localization with an Overt Semantic and Syntactic Language Functional MR Imaging Paradigm
A. Gartus, T. Foki, A. Geissler, R. Beisteiner
American Journal of Neuroradiology Nov 2009, 30 (10) 1977-1985; DOI: 10.3174/ajnr.A1725
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