Graph Theory Measures and Their Application to Neurosurgical Eloquence

Improving patient safety and preserving eloquent brain are crucial in neurosurgery. Since there is significant clinical variability in post-operative lesions suffered by patients who undergo surgery in the same areas deemed compensable, there is an unknown degree of inter-individual variability in b...

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Main Authors: Onur Tanglay, Nicholas B. Dadario, Elizabeth H. N. Chong, Si Jie Tang, Isabella M. Young, Michael E. Sughrue
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/2/556
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author Onur Tanglay
Nicholas B. Dadario
Elizabeth H. N. Chong
Si Jie Tang
Isabella M. Young
Michael E. Sughrue
author_facet Onur Tanglay
Nicholas B. Dadario
Elizabeth H. N. Chong
Si Jie Tang
Isabella M. Young
Michael E. Sughrue
author_sort Onur Tanglay
collection DOAJ
description Improving patient safety and preserving eloquent brain are crucial in neurosurgery. Since there is significant clinical variability in post-operative lesions suffered by patients who undergo surgery in the same areas deemed compensable, there is an unknown degree of inter-individual variability in brain ‘eloquence’. Advances in connectomic mapping efforts through diffusion tractography allow for utilization of non-invasive imaging and statistical modeling to graphically represent the brain. Extending the definition of brain eloquence to graph theory measures of hubness and centrality may help to improve our understanding of individual variability in brain eloquence and lesion responses. While functional deficits cannot be immediately determined intra-operatively, there has been potential shown by emerging technologies in mapping of hub nodes as an add-on to existing surgical navigation modalities to improve individual surgical outcomes. This review aims to outline and review current research surrounding novel graph theoretical concepts of hubness, centrality, and eloquence and specifically its relevance to brain mapping for pre-operative planning and intra-operative navigation in neurosurgery.
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spelling doaj.art-845831f74c054a6c9cdd9697d5231ff02023-11-30T21:35:34ZengMDPI AGCancers2072-66942023-01-0115255610.3390/cancers15020556Graph Theory Measures and Their Application to Neurosurgical EloquenceOnur Tanglay0Nicholas B. Dadario1Elizabeth H. N. Chong2Si Jie Tang3Isabella M. Young4Michael E. Sughrue5UNSW School of Clinical Medicine, Faulty of Medicine and Health, University of New South Wales, Sydney, NSW 2052, AustraliaRobert Wood Johnson Medical School, Rutgers University, 125 Paterson St, New Brunswick, NJ 08901, USAYong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, Singapore 117597, SingaporeSchool of Medicine, University of California Davis, Sacramento, CA 95817, USAOmniscient Neurotechnology, Level 10/580 George Street, Sydney, NSW 2000, AustraliaOmniscient Neurotechnology, Level 10/580 George Street, Sydney, NSW 2000, AustraliaImproving patient safety and preserving eloquent brain are crucial in neurosurgery. Since there is significant clinical variability in post-operative lesions suffered by patients who undergo surgery in the same areas deemed compensable, there is an unknown degree of inter-individual variability in brain ‘eloquence’. Advances in connectomic mapping efforts through diffusion tractography allow for utilization of non-invasive imaging and statistical modeling to graphically represent the brain. Extending the definition of brain eloquence to graph theory measures of hubness and centrality may help to improve our understanding of individual variability in brain eloquence and lesion responses. While functional deficits cannot be immediately determined intra-operatively, there has been potential shown by emerging technologies in mapping of hub nodes as an add-on to existing surgical navigation modalities to improve individual surgical outcomes. This review aims to outline and review current research surrounding novel graph theoretical concepts of hubness, centrality, and eloquence and specifically its relevance to brain mapping for pre-operative planning and intra-operative navigation in neurosurgery.https://www.mdpi.com/2072-6694/15/2/556centralitydMRIeloquencegraph theoryhubnessneurosurgery
spellingShingle Onur Tanglay
Nicholas B. Dadario
Elizabeth H. N. Chong
Si Jie Tang
Isabella M. Young
Michael E. Sughrue
Graph Theory Measures and Their Application to Neurosurgical Eloquence
Cancers
centrality
dMRI
eloquence
graph theory
hubness
neurosurgery
title Graph Theory Measures and Their Application to Neurosurgical Eloquence
title_full Graph Theory Measures and Their Application to Neurosurgical Eloquence
title_fullStr Graph Theory Measures and Their Application to Neurosurgical Eloquence
title_full_unstemmed Graph Theory Measures and Their Application to Neurosurgical Eloquence
title_short Graph Theory Measures and Their Application to Neurosurgical Eloquence
title_sort graph theory measures and their application to neurosurgical eloquence
topic centrality
dMRI
eloquence
graph theory
hubness
neurosurgery
url https://www.mdpi.com/2072-6694/15/2/556
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AT sijietang graphtheorymeasuresandtheirapplicationtoneurosurgicaleloquence
AT isabellamyoung graphtheorymeasuresandtheirapplicationtoneurosurgicaleloquence
AT michaelesughrue graphtheorymeasuresandtheirapplicationtoneurosurgicaleloquence