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However, the inter\u2010individual variability in functional networks and brain function\u2010structural dissociations pose challenges when relying solely on group\u2010level atlases or anatomical landmarks for surgical guidance. Here, we aimed to develop and validate a personalized functional mapping technique for verbal memory using precision resting\u2010state functional MRI (rs\u2010fMRI) and neurosurgery. A total of 38 patients with refractory epilepsy scheduled for surgical interventions were enrolled and 28 patients were analyzed in the study. Baseline 30\u2010min rs\u2010fMRI scanning, verbal memory and language assessments were collected for each patient before surgery. Personalized verbal memory networks (PVMN) were delineated based on preoperative rs\u2010fMRI data for each patient. The accuracy of PVMN was assessed by comparing post\u2010operative functional impairments and the overlapping extent between PVMN and surgical lesions. A total of 14 out of 28 patients experienced clinically meaningful declines in verbal memory after surgery. The personalized network and the group\u2010level atlas exhibited 100% and 75.0% accuracy in predicting postoperative verbal memory declines, respectively. Moreover, six patients with extra\u2010temporal lesions that overlapped with PVMN showed selective impairments in verbal memory. Furthermore, the lesioned ratio of the personalized network rather than the group\u2010level atlas was significantly correlated with postoperative declines in verbal memory (personalized networks: <jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.39, <jats:italic>p<\/jats:italic>\u2009=\u2009.038; group\u2010level atlas: <jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.19, <jats:italic>p<\/jats:italic>\u2009=\u2009.332). In conclusion, our personalized functional mapping technique, using precision rs\u2010fMRI, offers valuable insights into individual variability in the verbal memory network and holds promise in precision verbal memory network mapping in individuals.<\/jats:p>","DOI":"10.1002\/hbm.26691","type":"journal-article","created":{"date-parts":[[2024,5,4]],"date-time":"2024-05-04T13:24:52Z","timestamp":1714829092000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Verbal memory network mapping in individual patients predicts postoperative functional impairments"],"prefix":"10.1002","volume":"45","author":[{"given":"Feng","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Neurosurgery Research Institute The First Affiliated Hospital of Fujian Medical University  Fuzhou 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