References

medvis

Медицинская визуализация

Medical Visualization

1607-07632408-9516

RDS-Media Ltd.

10.24835/10.24835/1607-0763-1094

medvis-1094

Research Article

ОТ ПРИГЛАШЕННОГО РЕДАКТОРА

FROM THE INVITED EDITOR

Прехирургическое картирование речевых зон коры головного мозга с помощью фМРТ: актуальное состояние и тенденции

Presurgical brain mapping of language processing with fMRI: state of the art and tendencies

https://orcid.org/0000-0003-3409-3703

Печенкова

Е. В.

Pechenkova

E. V.

Печенкова Екатерина Васильевна – канд. психол. наук, ведущий научный сотрудник

101000 Москва, Армянский пер., д. 4, стр. 2

Тел.:+7-916-359-21-92

Ekaterina V. Pechenkova – Cand. of Sci. (Psychology), Leading Research Fellow

4-2, Armyansky per., 101000 Moscow

Phone:+7-916-359-21-92

evpech@gmail.com

https://orcid.org/0000-0002-5698-4251

Паникратова

Я. Р.

Panikratova

Ya. R.

Паникратова Яна Романовна – младший научный сотрудник лаборатории нейровизуализации и мультимодального анализа

115522 Москва, Каширское шоссе, 34

Yana R. Panikratova – Research Scientist

34, Kashirskoe shosse, 115522 Moscow

panikratova@mail.ru

https://orcid.org/0000-0002-1266-4926

Мершина

Е. А.

Mershina

E. A.

Мершина Елена Александровна – канд. мед. наук, доцент кафедры лучевой диагностики и лучевой терапии, заведующая отделением рентгенодиагностики с кабинетами МРТ и КТ

119192 Москва, Ломоносовский проспект, 27, к.10

Elena A. Mershina – Cand. of Sci. (Med.), Head of CT and MRI Unit at Radiology Department

27-10, Lomonosovsky prospekt, 119192 Moscow

elena_mershina@mail.ru

https://orcid.org/0000-0002-6455-8949

Власова

Р. М.

Vlasova

R. M.

Власова Роза Михайловна – канд. психол. наук, постдокторант

Чапел-Хилл

Roza M. Vlasova – Cand. of Sci. (Psychology), Postdoctoral Fellow

Chapel Hill

roza_vlasova@med.unc.edu

Научно-учебная лаборатория когнитивных исследований НИУ “Высшая школа экономики”РоссияLaboratory for Cognitive Research, Higher School of EconomicsRussian Federation

Лаборатория нейровизуализации и мультимодального анализа ФГБНУ “Научный центр психического здоровья”РоссияLaboratory of Neuroimaging and Multimodal Analysis, Mental Health Research CenterRussian Federation

Медицинский научно-образовательный центр ФГБОУ ВО “Московский государственный университет имени М.В. Ломоносова”РоссияMedical Research and Education Center of Lomonosov Moscow State UniversityRussian Federation

Департамент психиатрии, Университет Северной КаролиныСоединённые Штаты АмерикиDepartment of Psychiatry, University of North CarolinaUnited States

2022

05032022

2614869

2022

Печенкова Е.В., Паникратова Я.Р., Мершина Е.А., Власова Р.М.

Pechenkova E.V., Panikratova Y.R., Mershina E.A., Vlasova R.M.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://medvis.rdsmedia.ru/jour/article/view/1094

Прехирургическое картирование областей мозга, критически важных для осуществления речевых функций, направлено на минимизацию повреждения этих областей во время нейрохирургического вмешательства у пациентов с опухолями головного мозга и фармакорезистентной эпилепсией и тем самым на сохранение качества их жизни. Две основных задачи картирования речи – это определение локализации и латерализации речевых зон, “золотыми стандартами” для решения которых являются интраоперационное картирование (ИОК) и проба Вада соответственно. Однако ряд ограничений этих методов обусловливает целесообразность неинвазивного предварительного картирования речи, для которого в последние годы наиболее широко используется функциональная МРТ (фМРТ). Проведенный обзор литературы сосредоточен на нововведениях и актуальных тенденциях, которые получили распространение в области фМРТ-картирования речи за последнее десятилетие. В статье кратко изложено текущее состояние представлений о мозговой организации речевых функций, лежащих в основе картирования речи с применением фМРТ. Рассматриваются современные исследования валидности результатов фМРТ, касающихся локализации и латерализации речевых областей. Отдельно обсуждаются такие тактики прехирургического картирования речи, как дополнение фМРТ-данных результатами трактографии, комбинированный анализ фМРТ-проб и использование фМРТ покоя. Перечисляются и описываются устоявшиеся фМРТ-пробы для картирования зон, связанных с порождением и восприятием речи, и новые экспериментальные разработки в этой области.

Presurgical brain mapping of language-eloquent cortex aims to minimize its injury during neurosurgery in patients with brain tumors and drug-resistant epilepsy, and thereby, to preserve their quality of life. Two main goals of language mapping are to identify the localization and lateralization of brain regions involved in language. Gold standards for them are the intraoperative mapping and Wada test, respectively; however, due to some limitations of these techniques, non-invasive preliminary language mapping becomes reasonable. During the last years, fMRI has been widely applied for such purposes. Our literature review focuses on innovations and actual tendencies which spread in the field of language mapping via fMRI in the last decade. State-of-the-art knowledge on brain organization of language, which underpins brain mapping of language processing via fMRI, is briefly described in the article. Contemporary studies of fMRI validity in localization and lateralization of language brain regions are considered. Strategies of presurgical language mapping, such as application of tractography in addition to fMRI, combined analysis of fMRI tasks as well as resting-state fMRI are also discussed. Well-established fMRI tasks for brain mapping of language production and comprehension, as well as new experimental developments in this field, are listed and described.

функционально значимые зонынейрохирургияфункциональное картирование мозгаречьфМРТ

eloquent cortexneurosurgeryfunctional brain mappinglanguagefMRI

Работа выполнена в рамках государственного задания МГУ (номер ЦИТИС 121061800148-2).

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The authors declare that there are no conflicts of interest present.