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Park KY, Lee JJ, Dierker D, Marple LM, Hacker CD, Roland JL, Marcus DS, Milchenko M, Miller-Thomas MM, Benzinger TL, Shimony JS, Snyder AZ, Leuthardt EC. Mapping language function with task-based vs. resting-state functional MRI. PLoS One 2020; 15:e0236423. [PMID: 32735611 PMCID: PMC7394427 DOI: 10.1371/journal.pone.0236423] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Accepted: 07/06/2020] [Indexed: 01/21/2023] Open
Abstract
Background Use of functional MRI (fMRI) in pre-surgical planning is a non-invasive method for pre-operative functional mapping for patients with brain tumors, especially tumors located near eloquent cortex. Currently, this practice predominantly involves task-based fMRI (T-fMRI). Resting state fMRI (RS-fMRI) offers an alternative with several methodological advantages. Here, we compare group-level analyses of RS-fMRI vs. T-fMRI as methods for language localization. Purpose To contrast RS-fMRI vs. T-fMRI as techniques for localization of language function. Methods We analyzed data obtained in 35 patients who had both T-fMRI and RS-fMRI scans during the course of pre-surgical evaluation. The RS-fMRI data were analyzed using a previously trained resting-state network classifier. The T-fMRI data were analyzed using conventional techniques. Group-level results obtained by both methods were evaluated in terms of two outcome measures: (1) inter-subject variability of response magnitude and (2) sensitivity/specificity analysis of response topography, taking as ground truth previously reported maps of the language system based on intraoperative cortical mapping as well as meta-analytic maps of language task fMRI responses. Results Both fMRI methods localized major components of the language system (areas of Broca and Wernicke) although not with equal inter-subject consistency. Word-stem completion T-fMRI strongly activated Broca's area but also several task-general areas not specific to language. RS-fMRI provided a more specific representation of the language system. Conclusion We demonstrate several advantages of classifier-based mapping of language representation in the brain. Language T-fMRI activated task-general (i.e., not language-specific) functional systems in addition to areas of Broca and Wernicke. In contrast, classifier-based analysis of RS-fMRI data generated maps confined to language-specific regions of the brain.
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Affiliation(s)
- Ki Yun Park
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - John J. Lee
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Donna Dierker
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Laura M. Marple
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Carl D. Hacker
- Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Jarod L. Roland
- Department of Neurosurgery, University of California San Francisco, San Francisco, California, United States of America
| | - Daniel S. Marcus
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Mikhail Milchenko
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Michelle M. Miller-Thomas
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Tammie L. Benzinger
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Joshua S. Shimony
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
- * E-mail:
| | - Abraham Z. Snyder
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, United States of America
| | - Eric C. Leuthardt
- Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, United States of America
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Koenig LN, Day GS, Salter A, Keefe S, Marple LM, Long J, LaMontagne P, Massoumzadeh P, Snider BJ, Kanthamneni M, Raji CA, Ghoshal N, Gordon BA, Miller-Thomas M, Morris JC, Shimony JS, Benzinger TLS. Select Atrophied Regions in Alzheimer disease (SARA): An improved volumetric model for identifying Alzheimer disease dementia. Neuroimage Clin 2020; 26:102248. [PMID: 32334404 PMCID: PMC7182765 DOI: 10.1016/j.nicl.2020.102248] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 03/12/2020] [Accepted: 03/15/2020] [Indexed: 12/24/2022]
Abstract
INTRODUCTION Volumetric biomarkers for Alzheimer disease (AD) are attractive due to their wide availability and ease of administration, but have traditionally shown lower diagnostic accuracy than measures of neuropathological contributors to AD. Our purpose was to optimize the diagnostic specificity of structural MRIs for AD using quantitative, data-driven techniques. METHODS This retrospective study assembled several non-overlapping cohorts (total n = 1287) with publicly available data and clinical patients from Barnes-Jewish Hospital (data gathered 1990-2018). The Normal Aging Cohort (n = 383) contained amyloid biomarker negative, cognitively normal (CN) participants, and provided a basis for determining age-related atrophy in other cohorts. The Training (n = 216) and Test (n = 109) Cohorts contained participants with symptomatic AD and CN controls. Classification models were developed in the Training Cohort and compared in the Test Cohort using the receiver operating characteristics areas under curve (AUCs). Additional model comparisons were done in the Clinical Cohort (n = 579), which contained patients who were diagnosed with dementia due to various etiologies in a tertiary care outpatient memory clinic. RESULTS While the Normal Aging Cohort showed regional age-related atrophy, classification models were not improved by including age as a predictor or by using volumetrics adjusted for age-related atrophy. The optimal model used multiple regions (hippocampal volume, inferior lateral ventricle volume, amygdala volume, entorhinal thickness, and inferior parietal thickness) and was able to separate AD and CN controls in the Test Cohort with an AUC of 0.961. In the Clinical Cohort, this model separated AD from non-AD diagnoses with an AUC 0.820, an incrementally greater separation of the cohort than by hippocampal volume alone (AUC of 0.801, p = 0.06). Greatest separation was seen for AD vs. frontotemporal dementia and for AD vs. non-neurodegenerative diagnoses. CONCLUSIONS Volumetric biomarkers distinguished individuals with symptomatic AD from CN controls and other dementia types but were not improved by controlling for normal aging.
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Affiliation(s)
- Lauren N Koenig
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
| | - Gregory S Day
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA
| | - Amber Salter
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
| | - Sarah Keefe
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
| | - Laura M Marple
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
| | - Justin Long
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA
| | - Pamela LaMontagne
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
| | - Parinaz Massoumzadeh
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA
| | - B Joy Snider
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA
| | - Manasa Kanthamneni
- St. George's University School of Medicine, University Centre Grenada, West Indies, Grenada
| | - Cyrus A Raji
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA
| | - Nupur Ghoshal
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA
| | - Brian A Gordon
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA
| | - Michelle Miller-Thomas
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
| | - John C Morris
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA
| | - Joshua S Shimony
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA
| | - Tammie L S Benzinger
- Washington University in St. Louis School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110, USA; Knight Alzheimer Disease Research Center, 4488 Forest Park Pkwy, St. Louis, MO 63108, USA.
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Flores S, Su Y, Gordon BA, Adedokun A, Marple LM, Wang Q, Chen G, Hornbeck RC, Jack CR, Roberson ED, Soucy JP, Noto RB, Brooks WS, Jiménez-Velázquez IZ, Gauthier S, Robin Hsiung GY, Surti GM, Farlow MR, Salloway S, McDade E, Bateman R, Benzinger TL. P3-426: REGIONAL AND VOXEL-WISE SPATIAL RELATIONSHIPS AMONG FLUORINE-18 AMYLOID PET TRACERS AND PITTSBURGH COMPOUND B. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.3460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Shaney Flores
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Yi Su
- Banner Alzheimer's Institute; Phoenix AZ USA
| | - Brian A. Gordon
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
| | | | - Laura M. Marple
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Qing Wang
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Gengsheng Chen
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Russ C. Hornbeck
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | | | | | | | | | | | | | - Serge Gauthier
- McGill University Research Centre for Studies in Aging; Montreal QC Canada
| | | | | | - Martin R. Farlow
- Department of Radiology and Imaging Sciences; Indiana University School of Medicine; Indianapolis IN USA
| | | | - Eric McDade
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
| | - Randall Bateman
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
| | - Tammie L.S. Benzinger
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
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Dincer A, Gordon BA, Vlassenko AG, Goyal MS, Aschenbrenner AJ, McCullough AA, Adedokun A, Marple LM, Flores S, Keefe S, Chen G, Hornbeck RC, Morris JC, Benzinger TL. IC-P-090: COMPARISON OF ALZHEIMER'S DISEASE BIOMARKER MEASURES AS PREDICTORS OF COGNITION. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.4933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Aylin Dincer
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Brian A. Gordon
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Hope Center for Neurological Disorders; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
| | - Andrei G. Vlassenko
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Hope Center for Neurological Disorders; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
| | - Manu S. Goyal
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
| | | | | | | | - Laura M. Marple
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Shaney Flores
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Sarah Keefe
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Gengsheng Chen
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Russ C. Hornbeck
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - John C. Morris
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Hope Center for Neurological Disorders; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
| | - Tammie L.S. Benzinger
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
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Raji CA, Marple LM, Keefe S, Massoumzadeh P, Adedokun A, Miller-Thomas M, Benzinger TL. P3-416: COMPARATIVE ANALYSIS OF HIPPOCAMPAL QUANTIFICATION BETWEEN A COMMERCIAL AND RESEARCH BASED VOLUMETRIC SOFTWARE. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.3450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Cyrus A. Raji
- Mallinckrodt Institute of Radiology; Washington University; St. Louis MO USA
| | - Laura M. Marple
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | - Sarah Keefe
- Washington University in St. Louis School of Medicine; St. Louis MO USA
| | | | | | | | - Tammie L.S. Benzinger
- Washington University in St. Louis School of Medicine; St. Louis MO USA
- Washington University School of Medicine; St. Louis MO USA
- Mallinckrodt Institute of Radiology; St. Louis MO USA
- Knight Alzheimer's Disease Research Center; St. Louis MO USA
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6
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Flores S, Su Y, Gordon BA, Adedokun A, Marple LM, Wang Q, Chen G, Hornbeck RC, Jack CR, Roberson ED, Soucy JP, Noto RB, Brooks WS, Jiménez-Velázquez IZ, Gauthier S, Robin Hsiung GY, Surti GM, Farlow MR, Salloway S, McDade E, Bateman R, Benzinger TL. IC‐P‐189: REGIONAL AND VOXEL‐WISE SPATIAL RELATIONSHIPS AMONG FLUORINE‐18 AMYLOID PET TRACERS AND PITTSBURGH COMPOUND B. Alzheimers Dement 2019. [DOI: 10.1016/j.jalz.2019.06.4304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Shaney Flores
- Washington University in St. Louis School of Medicine St. Louis MO USA
| | - Yi Su
- Banner Alzheimer's Institute Phoenix AZ USA
| | - Brian A. Gordon
- Washington University in St. Louis School of Medicine St. Louis MO USA
- Knight Alzheimer's Disease Research Center St. Louis MO USA
| | | | - Laura M. Marple
- Washington University in St. Louis School of Medicine St. Louis MO USA
| | - Qing Wang
- Washington University in St. Louis School of Medicine St. Louis MO USA
| | - Gengsheng Chen
- Washington University in St. Louis School of Medicine St. Louis MO USA
| | - Russ C. Hornbeck
- Washington University in St. Louis School of Medicine St. Louis MO USA
| | | | | | | | | | | | | | - Serge Gauthier
- McGill University Research Centre for Studies in Aging Montreal QC Canada
| | | | | | - Martin R. Farlow
- Department of Radiology and Imaging Sciences Indiana University School of Medicine Indianapolis IN USA
| | | | - Eric McDade
- Washington University in St. Louis School of Medicine St. Louis MO USA
- Knight Alzheimer's Disease Research Center St. Louis MO USA
| | - Randall Bateman
- Washington University in St. Louis School of Medicine St. Louis MO USA
- Knight Alzheimer's Disease Research Center St. Louis MO USA
| | - Tammie L.S. Benzinger
- Washington University in St. Louis School of Medicine St. Louis MO USA
- Knight Alzheimer's Disease Research Center St. Louis MO USA
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7
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Koenig LN, Keefe S, Marple LM, Blazey T, Gordon BA, Hassenstab J, Morris JC, Miller-Thomas M, Shimony JS, Benzinger TL. P1‐390: VOLUMETRIC‐BASED DIAGNOSIS OF ALZHEIMER'S DISEASE USING A SUPER‐NORMAL COHORT OF AGING. Alzheimers Dement 2018. [DOI: 10.1016/j.jalz.2018.06.398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
| | - Sarah Keefe
- Washington University in St. Louis School of MedicineSt. LouisMOUSA
| | | | - Tyler Blazey
- Washington University School of MedicineSt. LouisMOUSA
| | - Brian A. Gordon
- Washington University in St. Louis School of MedicineSt. LouisMOUSA
| | - Jason Hassenstab
- Washington University in St. Louis School of MedicineSt. LouisMOUSA
| | - John C. Morris
- Knight Alzheimer Disease Research CenterSt. LouisMOUSA
- Washington University School of MedicineSt. LouisMOUSA
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