{"id":"https://openalex.org/W3160825834","doi":"https://doi.org/10.3171/case21113","title":"The utility of diffusion tractography for speech preservation in laser ablation of the dominant insula: illustrative case","display_name":"The utility of diffusion tractography for speech preservation in laser ablation of the dominant insula: illustrative case","publication_year":2021,"publication_date":"2021-05-10","ids":{"openalex":"https://openalex.org/W3160825834","doi":"https://doi.org/10.3171/case21113","mag":"3160825834","pmid":"https://pubmed.ncbi.nlm.nih.gov/35854831","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9245765"},"language":"en","primary_location":{"id":"doi:10.3171/case21113","doi":"https://doi.org/10.3171/case21113","is_oa":true,"landing_page_url":"https://doi.org/10.3171/case21113","pdf_url":"https://thejns.org/downloadpdf/journals/j-neurosurg-case-lessons/1/19/article-CASE21113.pdf","source":{"id":"https://openalex.org/S4210221338","display_name":"Journal of Neurosurgery Case Lessons","issn_l":"2694-1902","issn":["2694-1902"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery: Case Lessons","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://thejns.org/downloadpdf/journals/j-neurosurg-case-lessons/1/19/article-CASE21113.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059989712","display_name":"Timothy J. Kaufmann","orcid":"https://orcid.org/0000-0001-7483-1569","observed_orcids":["https://orcid.org/0000-0001-7483-1569"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Timothy J. Kaufmann","raw_affiliation_strings":["Departments of Radiology","Departments of 1Radiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Radiology","institution_ids":[]},{"raw_affiliation_string":"Departments of 1Radiology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014014140","display_name":"Vance T. Lehman","orcid":"https://orcid.org/0000-0002-8713-8293","observed_orcids":["https://orcid.org/0000-0002-8713-8293"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vance T. Lehman","raw_affiliation_strings":["Departments of Radiology","Departments of 1Radiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Radiology","institution_ids":[]},{"raw_affiliation_string":"Departments of 1Radiology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083945779","display_name":"Lily C. Wong\u2010Kisiel","orcid":"https://orcid.org/0000-0002-5306-0862","observed_orcids":["https://orcid.org/0000-0002-5306-0862"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lily C. Wong-Kisiel","raw_affiliation_strings":["Neurology,","Pediatric and Adolescent Medicine,","2Neurology,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology,","institution_ids":[]},{"raw_affiliation_string":"Pediatric and Adolescent Medicine,","institution_ids":[]},{"raw_affiliation_string":"2Neurology,","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046623845","display_name":"Panagiotis Kerezoudis","orcid":"https://orcid.org/0000-0002-3590-6289","observed_orcids":["https://orcid.org/0000-0002-3590-6289"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Panagiotis Kerezoudis","raw_affiliation_strings":["Neurologic Surgery, and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurologic Surgery, and","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5060950565","display_name":"Kai Joshua Miller","orcid":"https://orcid.org/0000-0002-6687-6422","observed_orcids":["https://orcid.org/0000-0002-6687-6422"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kai J. Miller","raw_affiliation_strings":["Biomedical Engineering, Mayo Clinic, Rochester, Minnesota","Neurologic Surgery, and","Pediatric and Adolescent Medicine,","Biomedical Engineering, Mayo Clinic, Rochester, Minnesota; Neurologic Surgery, and; Pediatric and Adolescent Medicine,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biomedical Engineering, Mayo Clinic, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Neurologic Surgery, and","institution_ids":[]},{"raw_affiliation_string":"Pediatric and Adolescent Medicine,","institution_ids":[]},{"raw_affiliation_string":"Biomedical Engineering, Mayo Clinic, Rochester, Minnesota; Neurologic Surgery, and; Pediatric and Adolescent Medicine,","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5059989712"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.5176,"has_fulltext":true,"cited_by_count":7,"citation_normalized_percentile":{"value":0.59232944,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":97},"biblio":{"volume":"1","issue":"19","first_page":"CASE21113","last_page":"CASE21113"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11304","display_name":"Advanced Neuroimaging Techniques and Applications","score":0.9506999850273132,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11304","display_name":"Advanced Neuroimaging Techniques and Applications","score":0.9506999850273132,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10094","display_name":"Epilepsy research and treatment","score":0.0348999984562397,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10919","display_name":"Deep Brain Stimulation and Movement Disorders","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/insular-epilepsy","display_name":"insular epilepsy","score":0.8370000123977661},{"id":"https://openalex.org/keywords/laser-interstitial-thermal-therapy","display_name":"laser interstitial thermal therapy","score":0.8880000114440918},{"id":"https://openalex.org/keywords/diffusion-tractography","display_name":"diffusion tractography","score":0.9169999957084656},{"id":"https://openalex.org/keywords/language-preservation","display_name":"language preservation","score":0.675000011920929},{"id":"https://openalex.org/keywords/superior-longitudinal-fasciculus","display_name":"superior longitudinal fasciculus","score":0.9089999794960022},{"id":"https://openalex.org/keywords/arcuate-fasciculus","display_name":"arcuate fasciculus","score":0.9980000257492065},{"id":"https://openalex.org/keywords/inferior-fronto-occipital-fasciculus","display_name":"inferior fronto-occipital fasciculus","score":1.0},{"id":"https://openalex.org/keywords/stereo-electroencephalography","display_name":"stereoelectroencephalography","score":0.6840000152587891},{"id":"https://openalex.org/keywords/mri-negative-epilepsy","display_name":"MRI-negative epilepsy","score":0.6430000066757202},{"id":"https://openalex.org/keywords/pediatric-epilepsy","display_name":"pediatric epilepsy","score":0.7789999842643738},{"id":"https://openalex.org/keywords/surgical-planning","display_name":"surgical planning","score":0.41200000047683716}],"concepts":[{"id":"https://openalex.org/C2779857881","wikidata":"https://www.wikidata.org/wiki/Q615697","display_name":"Arcuate fasciculus","level":5,"score":0.8136162757873535},{"id":"https://openalex.org/C84787856","wikidata":"https://www.wikidata.org/wiki/Q3076659","display_name":"Tractography","level":4,"score":0.6987104415893555},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.678180456161499},{"id":"https://openalex.org/C2780830986","wikidata":"https://www.wikidata.org/wiki/Q6029363","display_name":"Inferior longitudinal fasciculus","level":5,"score":0.6760756373405457},{"id":"https://openalex.org/C2777886324","wikidata":"https://www.wikidata.org/wiki/Q653741","display_name":"Superior longitudinal fasciculus","level":5,"score":0.6383424997329712},{"id":"https://openalex.org/C2781192897","wikidata":"https://www.wikidata.org/wiki/Q822050","display_name":"White matter","level":3,"score":0.6060447692871094},{"id":"https://openalex.org/C149550507","wikidata":"https://www.wikidata.org/wiki/Q899360","display_name":"Diffusion MRI","level":3,"score":0.5534614324569702},{"id":"https://openalex.org/C2779497037","wikidata":"https://www.wikidata.org/wiki/Q1397368","display_name":"Fasciculus","level":5,"score":0.4623528718948364},{"id":"https://openalex.org/C2779490353","wikidata":"https://www.wikidata.org/wiki/Q176007","display_name":"Uncinate fasciculus","level":5,"score":0.44910240173339844},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.3807724416255951},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2934122085571289},{"id":"https://openalex.org/C89916169","wikidata":"https://www.wikidata.org/wiki/Q17014600","display_name":"Fractional anisotropy","level":4,"score":0.11998280882835388}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.3171/case21113","doi":"https://doi.org/10.3171/case21113","is_oa":true,"landing_page_url":"https://doi.org/10.3171/case21113","pdf_url":"https://thejns.org/downloadpdf/journals/j-neurosurg-case-lessons/1/19/article-CASE21113.pdf","source":{"id":"https://openalex.org/S4210221338","display_name":"Journal of Neurosurgery Case Lessons","issn_l":"2694-1902","issn":["2694-1902"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery: Case Lessons","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9245765","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9245765","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Neurosurg Case Lessons","raw_type":"Text"},{"id":"pmid:35854831","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35854831","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of neurosurgery. Case lessons","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.3171/case21113","doi":"https://doi.org/10.3171/case21113","is_oa":true,"landing_page_url":"https://doi.org/10.3171/case21113","pdf_url":"https://thejns.org/downloadpdf/journals/j-neurosurg-case-lessons/1/19/article-CASE21113.pdf","source":{"id":"https://openalex.org/S4210221338","display_name":"Journal of Neurosurgery Case Lessons","issn_l":"2694-1902","issn":["2694-1902"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurosurgery: Case Lessons","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[{"id":"https://openalex.org/G9000857139","display_name":"Institutional Career Development Core","funder_award_id":"KL2TR002379","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337472","display_name":"National Center for Advancing Translational Sciences","ror":"https://ror.org/04pw6fb54"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3160825834.pdf","grobid_xml":"https://content.openalex.org/works/W3160825834.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W2036447011","https://openalex.org/W2057028373","https://openalex.org/W2096547867","https://openalex.org/W2115133411","https://openalex.org/W2128462670","https://openalex.org/W2132344070","https://openalex.org/W2140952088","https://openalex.org/W2574310179","https://openalex.org/W2604288576","https://openalex.org/W2625448573","https://openalex.org/W2754075401","https://openalex.org/W2762548327","https://openalex.org/W2769394528","https://openalex.org/W2789976621","https://openalex.org/W2913030311","https://openalex.org/W2914492038","https://openalex.org/W2923776826","https://openalex.org/W2951253980","https://openalex.org/W3043141125","https://openalex.org/W3047350095"],"related_works":["https://openalex.org/W2762548327","https://openalex.org/W4293087451","https://openalex.org/W4313585148","https://openalex.org/W3047350095","https://openalex.org/W4403173992","https://openalex.org/W4414162225","https://openalex.org/W7125423036","https://openalex.org/W4391527167","https://openalex.org/W4321371146","https://openalex.org/W2370940772"],"abstract_inverted_index":{"BACKGROUND:":[0],"Open":[1],"surgical":[2,42],"treatment":[3],"of":[4,10,58,91],"insular":[5,68,86,122,128,176],"epilepsy":[6,69],"holds":[7],"particular":[8],"risk":[9],"injury":[11,99],"to":[12,82,100,175,181],"middle":[13],"cerebral":[14],"artery":[15],"branches,":[16],"the":[17,28,56,89,101,134,137],"operculum":[18],"(through":[19],"retraction),":[20],"and":[21,109,124,139,145,159,173],"adjacent":[22],"language-related":[23,102,184],"white":[24,185],"matter":[25,186],"tracts":[26,142],"in":[27,88,120],"language-dominant":[29],"hemisphere.":[30],"Magnetic":[31],"resonance":[32],"imaging":[33,77],"(MRI)-guided":[34],"laser":[35,177],"interstitial":[36],"thermal":[37,98],"therapy":[38],"(LITT)":[39],"is":[40,156],"a":[41,59,126],"alternative":[43],"that":[44,70,163],"allows":[45],"precise":[46],"lesioning":[47,87],"with":[48,62,73,130,136],"potentially":[49],"less":[50],"operative":[51],"risk.":[52],"The":[53],"authors":[54],"presented":[55],"case":[57],"13-year-old":[60],"girl":[61],"intractable,":[63],"MRI-negative,":[64],"left":[65],"(dominant":[66],"hemisphere)":[67],"was":[71,80,117],"treated":[72],"LITT.":[74,152],"Diffusion":[75],"tensor":[76],"(DTI)":[78],"tractography":[79,116,170],"used":[81,118,180],"aid":[83],"full":[84],"posterior":[85],"region":[90],"stereo":[92],"electroencephalography-determined":[93],"seizure":[94],"onset":[95],"while":[96],"avoiding":[97],"superior":[103],"longitudinal":[104],"fasciculus":[105,107,112],"(SLF)/arcuate":[106],"(AF)":[108],"inferior":[110],"fronto-occipital":[111],"(IFOF).":[113],"OBSERVATIONS:":[114],"DTI":[115,169],"successfully":[119],"planning":[121],"LITT":[123],"facilitated":[125],"robust":[127],"ablation":[129,178],"sharp":[131],"margins":[132],"at":[133],"interfaces":[135],"SLF/AF":[138],"IFOF.":[140],"These":[141],"were":[143,149],"spared,":[144],"no":[146],"neurological":[147],"deficits":[148],"induced":[150],"through":[151],"LESSONS:":[153],"Although":[154],"it":[155],"technically":[157],"demanding":[158],"has":[160],"important":[161,183],"limitations":[162],"must":[164],"be":[165],"understood,":[166],"clinically":[167],"available":[168],"adds":[171],"precision":[172],"confidence":[174],"when":[179],"protect":[182],"tracts.":[187]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2021-05-24T00:00:00"}
