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  <title>NITRC News Group Forum: fmri-activation-in-the-middle-frontal-gyrus-as-an-indicator-of-hemispheric-dominance-for-language-in-brain-tumor-patients--a-comparison-with-broca--s-area.</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;fMRI activation in the middle frontal gyrus as an indicator of hemispheric dominance for language in brain tumor patients: a comparison with Broca's area.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;Neuroradiology. 2016 Feb 5;&lt;/p&gt;
        &lt;p&gt;Authors:  Dong JW, Brennan NM, Izzo G, Peck KK, Holodny AI&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        INTRODUCTION: Functional MRI (fMRI) can assess language lateralization in brain tumor patients; however, this can be limited if the primary language area-Broca's area (BA)-is affected by the tumor. We hypothesized that the middle frontal gyrus (MFG) can be used as a clinical indicator of hemispheric dominance for language during presurgical workup.&lt;br/&gt;
        METHODS: Fifty-two right-handed subjects with solitary left-hemispheric primary brain tumors were retrospectively studied. Subjects performed a verbal fluency task during fMRI. The MFG was compared to BA for fMRI voxel activation, language laterality index (LI), and the effect of tumor grade on the LI.&lt;br/&gt;
        RESULTS: Language fMRI (verbal fluency) activated more voxels in MFG than in BA (MFG = 315, BA = 216, p &amp;lt; 0.001). Voxel activations in the left-hemispheric MFG and BA were positively correlated (r = 0.69, p &amp;lt; 0.001). Mean LI in the MFG was comparable to that in BA (MFG = 0.48, BA = 0.39, p = 0.06). LIs in MFG and BA were positively correlated (r = 0.62, p &amp;lt; 0.001). Subjects with high-grade tumors demonstrate lower language lateralization than those with low-grade tumors in both BA and MFG (p = 0.02, p = 0.02, respectively).&lt;br/&gt;
        CONCLUSION: MFG is comparable to BA in its ability to indicate hemispheric dominance for language using a measure of verbal fluency and may be an adjunct measure in the clinical determination of language laterality for presurgical planning.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 26847705 [PubMed - as supplied by publisher]&lt;/p&gt;
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