Language | US English |
Inclusion criteria | Moderate aphasia, L MCA |
Number of individuals with aphasia | 8 (plus 3 excluded: 2 metallic artifact; 1 seizure at time of stroke) |
Number of control participants | 0 |
Were any of the participants included in any previous studies? | Yes (same patients as Szaflarski et al. (2011); different fMRI paradigm acquired in the same sessions) |
Is age reported for patients and controls, and matched? | Yes (mean 54.4 ± 12.7 years) |
Is sex reported for patients and controls, and matched? | Yes (males: 4; females: 4) |
Is handedness reported for patients and controls, and matched? | Yes (right: 8; left: 0) |
Is time post stroke onset reported and appropriate to the study design? | Yes (mean 5.3 ± 3.6 years) |
To what extent is the nature of aphasia characterized? | Severity and type |
Language evaluation | BNT; phonemic fluency, semantic fluency, complex ideation from BDAE, PPVT, communicative activities log |
Aphasia severity | Moderate |
Aphasia type | 4 Broca's, 3 anomic, 1 anomic/conduction |
First stroke only? | Not stated |
Stroke type | Not stated |
To what extent is the lesion distribution characterized? | Individual lesions |
Lesion extent | Range 1.4-52.5 cc |
Lesion location | L MCA |
Participants notes | — |
Modality | fMRI |
Is the study cross-sectional or longitudinal? | Longitudinal—chronic treatment |
If longitudinal, at what time point(s) were imaging data acquired? | T1: pre-treatment/chronic; T2: post-treatment, ~2 weeks later |
If longitudinal, was there any intervention between the time points? | RTMS to residual activation near Broca's area, 5 sessions/week, 2 weeks |
Is the scanner described? | Yes (Varian Unity INOVA 4 Tesla) |
Is the timing of stimulus presentation and image acquisition clearly described and appropriate? | Yes |
Design type | Block |
Total images acquired | 140 |
Are the imaging acquisition parameters, including coverage, adequately described and appropriate? | Yes (whole brain) |
Is preprocessing and intrasubject coregistration adequately described and appropriate? | Yes |
Is first level model fitting adequately described and appropriate? | Yes |
Is intersubject normalization adequately described and appropriate? | No (lesion impact not addressed) |
Imaging notes | — |
Language condition | Verb generation |
Control condition | Finger tapping |
Are the conditions matched for visual demands? | Yes |
Are the conditions matched for auditory demands? | Yes |
Are the conditions matched for motor demands? | No |
Are the conditions matched for cognitive/executive demands? | No |
Is accuracy matched between the language and control tasks for all relevant groups? | N/A, tasks not comparable |
Is reaction time matched between the language and control tasks for all relevant groups? | N/A, tasks not comparable |
Behavioral data notes | — |
Are control data reported in this paper or another that is referenced? | Yes |
Does the contrast selectively activate plausible relevant language regions in the control group? | Yes |
Are activations lateralized in the control data? | Somewhat |
Control activation notes | Control data in Szaflarski et al. (2008); frontal activation L-lateralized, temporal less so |
Contrast notes | — |
First level contrast | Verb generation vs finger tapping |
Analysis class | Longitudinal change in aphasia |
Group(s) | Aphasia T2 vs T1 |
Covariate | — |
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved? | Somewhat (patients improved only on semantic fluency) |
Is accuracy matched across the second level contrast? | Unknown, not reported |
Is reaction time matched across the second level contrast? | Unknown, not reported |
Behavioral data notes | — |
Type of analysis | Voxelwise |
Search volume | Whole brain |
Correction for multiple comparisons | No correction |
Software | SPM12 |
Voxelwise p | .001 |
Cluster extent | None |
Statistical details | — |
Findings | ↑ L IFG pars opercularis ↑ R cerebellum ↑ R thalamus ↓ R anterior temporal ↓ R cerebellum |
Findings notes | Based on description in text; it is noted that no regions survived FDR correction |
First level contrast | Verb generation vs finger tapping |
Analysis class | Longitudinal change in aphasia |
Group(s) | Aphasia T2 vs T1 |
Covariate | — |
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved? | Somewhat (patients improved only on semantic fluency) |
Is accuracy matched across the second level contrast? | Unknown, not reported |
Is reaction time matched across the second level contrast? | Unknown, not reported |
Behavioral data notes | — |
Type of analysis | Regions of interest (ROI) |
ROI type | Mixed |
How many ROIs are there? | 3 |
What are the ROI(s)? | (1) L IFG; (2) R IFG; (3) frontal LI |
How are the ROI(s) defined? | First principal component of 8 mm spheres defined based on previously reported control peaks |
Correction for multiple comparisons | False discovery rate (FDR) |
Statistical details | Lesion volume included in model |
Findings | ↑ L IFG ↓ R IFG ↑ LI (frontal) |
Findings notes | — |
First level contrast | Verb generation vs finger tapping |
Analysis class | Longitudinal correlation with language or other measure |
Group(s) | Aphasia T2 vs T1 |
Covariate | Δ semantic fluency |
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved? | Somewhat (patients improved only on semantic fluency) |
Is accuracy matched across the second level contrast? | Unknown, not reported |
Is reaction time matched across the second level contrast? | Unknown, not reported |
Behavioral data notes | — |
Type of analysis | Regions of interest (ROI) |
ROI type | Mixed |
How many ROIs are there? | 3 |
What are the ROI(s)? | (1) L IFG; (2) R IFG; (3) frontal LI |
How are the ROI(s) defined? | First principal component of 8 mm spheres defined based on previously reported control peaks |
Correction for multiple comparisons | False discovery rate (FDR) |
Statistical details | Lesion volume included in model |
Findings | ↓ R IFG |
Findings notes | Decreased R IFG activation was correlated with improved semantic fluency |
First level contrast | Verb generation vs finger tapping |
Analysis class | Longitudinal change in aphasia |
Group(s) | Aphasia T2 vs T1 |
Covariate | — |
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved? | Somewhat (patients improved only on semantic fluency) |
Is accuracy matched across the second level contrast? | Unknown, not reported |
Is reaction time matched across the second level contrast? | Unknown, not reported |
Behavioral data notes | — |
Type of analysis | Complex |
Statistical details | PPI analyses were used to investigate change over time in modulation by verb generation of functional connectivity between L IFG and R IFG. |
Findings | Other |
Findings notes | There was a significant decrease in modulation by verb generation of functional connectivity between L IFG and R IFG (p = 0.03). Prior to TMS, connectivity increased during verb generation compared to finger tapping, while after TMS, connectivity decreased during verb generation compared to finger tapping. |
First level contrast | Verb generation vs finger tapping |
Analysis class | Longitudinal correlation with language or other measure |
Group(s) | Aphasia T2 vs T1 |
Covariate | Δ semantic fluency in association with modulation of interhemispheric IFG connectivity by verb generation |
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved? | Somewhat (patients improved only on semantic fluency) |
Is accuracy matched across the second level contrast? | Unknown, not reported |
Is reaction time matched across the second level contrast? | Unknown, not reported |
Behavioral data notes | — |
Type of analysis | Complex |
Statistical details | PPI analyses were used to investigate whether change over time in modulation by verb generation of functional connectivity between L IFG and R IFG was associated with changes in semantic fluency scores, which are limited as a measure of language improvement. |
Findings | None |
Findings notes | — |
First level contrast | Verb generation vs finger tapping |
Analysis class | Longitudinal change in aphasia |
Group(s) | Aphasia T2 vs T1 |
Covariate | — |
Is the second level contrast valid in terms of the group(s), time point(s), and measures involved? | Somewhat (patients improved only on semantic fluency) |
Is accuracy matched across the second level contrast? | Unknown, not reported |
Is reaction time matched across the second level contrast? | Unknown, not reported |
Behavioral data notes | — |
Type of analysis | Complex |
Statistical details | PPI analyses were used to investigate change over time in modulation by verb generation of functional connectivity between R IFG and all other brain regions. Voxelwise p < .001, not corrected for multiple comparisons. |
Findings | Other |
Findings notes | Reduced connectivity was observed in the L IFG pars opercularis, L anterior temporal lobe, L occipital lobe, L basal ganglia, R SMA and pre-SMA, R somato-motor cortex, R posterior MTG, and R cerebellum. It is noted that no regions survived FDR correction. |