{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T11:01:55Z","timestamp":1782730915900,"version":"3.54.5"},"reference-count":72,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Noninvasive brain mapping with functional MRI (fMRI) and mapping with direct electrical stimulation (DES) are important tools in glioma surgery, but the evidence is inconclusive regarding the sensitivity and specificity of fMRI. The Human Connectome Project (HCP) proposed a new cortical parcellation that has not been thoroughly tested in a clinical setting. The main goal of this study was to evaluate the correlation of fMRI and DES mapping with HCP areas in a clinical setting, and to evaluate the performance of fMRI mapping in motor and language tasks in patients with glioma, using DES as the gold standard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Forty patients with supratentorial gliomas were examined using preoperative fMRI and underwent awake craniotomy with DES. Functional activation maps were visualized on a 3D representation of the cortex, classified according to HCP areas, and compared with surgical mapping.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Functional MRI was successful in identifying language and motor HCP areas in most cases, including novel areas such as 55b and the superior longitudinal fasciculus (SLF). Functional MRI had a sensitivity and specificity of 100% and 71%, respectively, for motor function in HCP area 4. Sensitivity and specificity were different according to the area and fMRI protocol; i.e., semantic protocols performed better in Brodmann area (BA) 55b\/peri-sylvian language areas with 100% sensitivity and 20% specificity, and word production protocols in BAs 44 and 45 with 70% sensitivity and 80% specificity. Some compensation patterns could be observed, such as motor activation of the postcentral gyrus in precentral gliomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>HCP areas can be detected in clinical scenarios of glioma surgery. These areas appear relatively stable across patients, but compensation patterns seem to differ, allowing occasional resection of activating areas. Newly described areas such as 55b and SLF can act as critical areas in language networks. Surgical planning should account for these parcellations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2022.9.focus2283","type":"journal-article","created":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T13:02:41Z","timestamp":1669899761000},"page":"E2","source":"Crossref","is-referenced-by-count":14,"title":["Cortical mapping in glioma surgery: correlation of fMRI and direct electrical stimulation with Human Connectome Project parcellations"],"prefix":"10.3171","volume":"53","author":[{"given":"Carlos","family":"Bennett","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Hospital Carlos van Buren, Valpara\u00edso;"},{"name":"School of Medicine, Universidad de Valpara\u00edso;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mat\u00edas","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Carlos van Buren, Valpara\u00edso;"},{"name":"School of Medicine, Universidad de Valpara\u00edso;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisella","family":"Tapia","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de Valpara\u00edso;"},{"name":"Department of Neurology, Hospital Carlos van Buren, Valpara\u00edso;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Riveros","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de Valpara\u00edso;"},{"name":"Department of Radiology, Hospital Carlos van Buren, Valpara\u00edso;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Torres","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad de Valpara\u00edso;"},{"name":"Department of Radiology, Hospital Carlos van Buren, Valpara\u00edso;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Loyola","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Carlos van Buren, Valpara\u00edso;"},{"name":"School of Medicine, Universidad de Valpara\u00edso;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Veloz","sequence":"additional","affiliation":[{"name":"School of Biomedical Engineering, Universidad de Valpara\u00edso;"},{"name":"Centro de Investigaci\u00f3n y Desarrollo en Ingenier\u00eda en Salud CINGS, Universidad de Valpara\u00edso;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9ren","family":"Chabert","sequence":"additional","affiliation":[{"name":"School of Biomedical Engineering, Universidad de Valpara\u00edso;"},{"name":"Instituto Milenio Intelligent Healthcare Engineering, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"12","key":"b1","series-title":"Rev Neurol","first-page":"747","article-title":"Controversial aspects in WHO grade II gliomas management: review of recent literature.Article in Spanish","volume":"53","author":"Rueda E","year":"2011","unstructured":"Rueda E, Sierra M, Infante J,  Controversial aspects in WHO grade II gliomas management: review of recent literature.Article in Spanish. 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