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  <title>NITRC News Group Forum: clinical-standardized-fmri-reveals-altered-language-lateralization-in-brain-tumor-patients.</title>
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	&lt;table border=&quot;0&quot; width=&quot;100%&quot;&gt;&lt;tr&gt;&lt;td align=&quot;left&quot;/&gt;&lt;/tr&gt;&lt;/table&gt;
        &lt;p&gt;&lt;b&gt;Clinical Standardized fMRI Reveals Altered Language Lateralization in Brain Tumor Patients.&lt;/b&gt;&lt;/p&gt;
        &lt;p&gt;AJNR Am J Neuroradiol. 2012 May 17;&lt;/p&gt;
        &lt;p&gt;Authors:  Partovi S, Jacobi B, Rapps N, Zipp L, Karimi S, Rengier F, Lyo JK, Stippich C&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        BACKGROUND AND PURPOSE:Brain tumors affecting language-relevant areas may influence language lateralization. The purpose of this study was to systematically investigate language lateralization in brain tumor patients using clinical language fMRI, comparing the results with a group of healthy volunteers.MATERIALS AND METHODS:Fifty-seven strictly right-handed patients with left-hemispheric-space intracranial masses (mainly neoplastic) affecting either the Broca area (n = 19) or Wernicke area (n = 38) were prospectively enrolled in this study. Fourteen healthy volunteers served as a control group. Standardized clinical language fMRI, using visually triggered sentence- and word-generation paradigms, was performed on a 1.5T MR scanner. Semiautomated analyses of all functional data were conducted on an individual basis using BrainVoyager. A regional lateralization index was calculated for Broca and Wernicke areas separately versus their corresponding right-hemisphere homologs.RESULTS:In masses affecting the Broca area, a significant decrease in the lateralization index was found when performing word generation (P = .0017), whereas when applying sentence generation, the decrease did not reach statistical significance (P = .851). Masses affecting the Wernicke area induced a significant decrease of the lateralization index when performing sentence generation (P = .0007), whereas when applying word generation, the decrease was not statistically significant (P = .310).CONCLUSIONS:Clinical language fMRI was feasible for patients with brain tumors and provided relevant presurgical information by localizing essential language areas and determining language dominance. A significant effect of the brain masses on language lateralization was observed, with a shift toward the contralesional, nondominant hemisphere. This may reflect compensatory mechanisms of the brain to maintain communicative abilities.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 22595902 [PubMed - as supplied by publisher]&lt;/p&gt;
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