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  <title>NITRC News Group Forum: integration-of-resting-state-functional-mri-into-clinical-practice---a-large-single-institution-experience.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=8721</link>
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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;td align=&quot;right&quot;&gt;&lt;a href=&quot;https://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&amp;amp;cmd=Link&amp;amp;LinkName=pubmed_pubmed&amp;amp;from_uid=29933375&quot;&gt;Related Articles&lt;/a&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;
        &lt;p&gt;&lt;b&gt;Integration of resting state functional MRI into clinical practice - A large single institution experience.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;PLoS One. 2018;13(6):e0198349&lt;/p&gt;
        &lt;p&gt;Authors:  Leuthardt EC, Guzman G, Bandt SK, Hacker C, Vellimana AK, Limbrick D, Milchenko M, Lamontagne P, Speidel B, Roland J, Miller-Thomas M, Snyder AZ, Marcus D, Shimony J, Benzinger TLS&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        Functional magnetic resonance imaging (fMRI) is an important tool for pre-surgical evaluation of eloquent cortex. Classic task-based paradigms require patient participation and individual imaging sequence acquisitions for each functional domain that is being assessed. Resting state fMRI (rs-fMRI), however, enables functional localization without patient participation and can evaluate numerous functional domains with a single imaging session. To date, post-processing of this resting state data has been resource intensive, which limits its widespread application for routine clinical use. Through a novel automated algorithm and advanced imaging IT structure, we report the clinical application and the large-scale integration of rs-fMRI into routine neurosurgical practice. One hundred and ninety one consecutive patients underwent a 3T rs-fMRI, 83 of whom also underwent both motor and language task-based fMRI. Data were processed using a novel, automated, multi-layer perceptron algorithm and integrated into stereotactic navigation using a streamlined IT imaging pipeline. One hundred eighty-five studies were performed for intracranial neoplasm, 14 for refractory epilepsy and 33 for vascular malformations or other neurological disorders. Failure rate of rs-fMRI of 13% was significantly better than that for task-based fMRI (38.5%,) (p &amp;lt;0.001). In conclusion, at Washington University in St. Louis, rs-fMRI has become an integral part of standard imaging for neurosurgical planning. Resting state fMRI can be used in all patients, and due to its lower failure rate than task-based fMRI, it is useful for patients who are unable to cooperate with task-based studies.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 29933375 [PubMed - in process]&lt;/p&gt;
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