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Research ArticleOriginal Articles
Open Access

Developing fMRI protocol for clinical use Comparison of 6 Arabic paradigms for brain language mapping in native Arabic speakers

Rafat S. Mohtasib, Jamaan S. Alghamdi, Salah M. Baz, Haya F. Aljoudi, Ahmed M. Masawi and Aman A. Jobeir
Neurosciences Journal January 2021, 26 (1) 45-55; DOI: https://doi.org/10.17712/nsj.2021.1.20200012
Rafat S. Mohtasib
From Molecular & Functional Imaging (Mohtasib, Masawi, Jobeir), Department of Neuroscience (Baz), School of Medicine (Mohtasib,) Alfaisal University, Riyadh, and from School of Medical Imaging (Alghamdi), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
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  • For correspondence: [email protected]
Jamaan S. Alghamdi
From Molecular & Functional Imaging (Mohtasib, Masawi, Jobeir), Department of Neuroscience (Baz), School of Medicine (Mohtasib,) Alfaisal University, Riyadh, and from School of Medical Imaging (Alghamdi), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
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Salah M. Baz
From Molecular & Functional Imaging (Mohtasib, Masawi, Jobeir), Department of Neuroscience (Baz), School of Medicine (Mohtasib,) Alfaisal University, Riyadh, and from School of Medical Imaging (Alghamdi), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
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Haya F. Aljoudi
From Molecular & Functional Imaging (Mohtasib, Masawi, Jobeir), Department of Neuroscience (Baz), School of Medicine (Mohtasib,) Alfaisal University, Riyadh, and from School of Medical Imaging (Alghamdi), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
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Ahmed M. Masawi
From Molecular & Functional Imaging (Mohtasib, Masawi, Jobeir), Department of Neuroscience (Baz), School of Medicine (Mohtasib,) Alfaisal University, Riyadh, and from School of Medical Imaging (Alghamdi), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
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Aman A. Jobeir
From Molecular & Functional Imaging (Mohtasib, Masawi, Jobeir), Department of Neuroscience (Baz), School of Medicine (Mohtasib,) Alfaisal University, Riyadh, and from School of Medical Imaging (Alghamdi), King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
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  • Figure 1
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    Figure 1

    Statistical grand average map of fMRI response to A) Words Rhyme (RH), B) Symbols Rhyme (RH), C) Semantic Category Generation (SCG) task, D) Silent Word Generation (SWG) task, E) Picture Verb Generation (VGp) task, to F) Verb Generation words (VGw) task, G) Verb Generation audio (VGa) task overlaid on 36 axial slices of the MNI152_T1_2mm standard image included in FSL. The (Red-yellow) color shows fMRI signal level (Z-scores) above the 0.05 significance threshold.

Tables

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    Table 1

    Summary of all 6 tasks; Picture Verb Generation (VGp), Semantic Category Generations (SCG), Silent Word Generation (SWG), Verb Generation words (VGw), Verb Generation audio (VGa), and Rhyming (RH).

    #TaskTask descriptionDurationImages
    •Alternating 4-ON/5-OFF blocks with 30 s per block.
    •In each ON block; 6 black/white images were presented.
    1VGp•Participant was asked to think of as much as he/she can of (action words) from each image that showed during the scan. And to relax when the crosshair appeared on the screen, with his/her eyes kept open.270 secEmbedded Image
    •Alternating 4-ON/5-OFF blocks with 30 s per block.
    •It consisted of different categories displayed during ON blocks.
    2SCG•The participant was asked to think as much as he/she can about names in the same category displayed (animals, furniture, fruit & vegetable, cloths).270 secEmbedded Image
    •Alternating 4-ON/5-OFF blocks with 30 s per block.
    •Three Arabic letters were displayed in each ON block
    3SWG•Participant was asked to think about words starting with the letter displayed, and to do nothing at rest with keeping his/her eyes open.270 secEmbedded Image
    •Alternating 4-ON/5-OFF blocks with 30 s per block.
    •In each ON block; six nouns were presented.
    4VGw•Participant instructed to think of a verb that is associated with the noun that showed during the scan. For example, the word “ball” might generate the verb “hit”. And to relax when the crosshair appeared on the screen, with his/her eyes kept open.270 secEmbedded Image
    •It is similar to VGw, although stimuli were presented in different order through the headphones.
    5VGa•Patients were instructed to think of the response, but not to vocalize it.270 secEmbedded Image
    •This paradigm started and ended with 12 sec rest moment.
    •Consisted of 16 blocks, 8 blocks of pair words and 8 blocks of pair symbols interleaved to each other.
    6RH•Total of 64 pairs of word and 64 pairs of symbols, where pairs remained for 3 sec.408 secEmbedded Image
    •Participant was asked to press the button on the response pad when non-rhyme.
    • VGp - Verb Generation - Picture Format, SCG - Semantic Category Generations, SWG - Silent Word Generation, VGw - Verb Generation words, VGa - Verb Generation audio, RH - rhyming, sec - second

    • View popup
    Table 2

    Lateralization of brain activity has been assessed for each participant by calculating the laterality index (LI) across these region of interest (ROI).

    IFG (POP)Inferior Frontal Gyrus (Pars Opercularis)
    IFG (PTR)Inferior Frontal Gyrus (Pars Triangularis)
    AGAngular Gyrus
    SMGSupramarginal Gyrus
    MTGMiddle Temporal Gyrus
    STGSuperior Temporal Gyrus
    • View popup
    Table 3

    Details of activated cerebral areas in 24 volunteers (mean values) during the Verb Generation audio (VGa) task.

    Cluster IndexVoxelsP-log10(P)Z MAXZ-MAX X (mm)Z-MAX Y (mm)Z-MAX Z (mm)Region Name
    1138980.00080.57.3-441826L Inferior Frontal Gyrus (pars opercularis)
    6.68-66-1810L Superior Temporal Gyrus
    6.65-34202L Insular Cortex
    6.45-442622L Inferior Frontal Gyrus (pars triangularis)
    231160.00028.86.54-21448L Paracingulate Gyrus
    6.11-4658L Supplementary Motor Cortex
    5.9422048R Paracingulate Gyrus
    5.62-10464L Superior Frontal Gyrus
    5.57-121438L Paracingulate Gyrus
    317770.00019.36.3262-146R Planum Temporale
    5.294022-2R Frontal Operculum Cortex
    5.21624-2R Superior Temporal Gyrus
    5.1964-84R Planum Temporale
    4.930284R Frontal Orbital Cortex
    4.87604-10R Superior Temporal Gyrus
    49670.00012.45.87-28-6648L Lateral Occipital cortex (superior division)
    5.64-32-5844L Superior Parietal Lobule
    4.92-40-5048
    4.29-30-7442L Lateral Occipital Cortex
    4.28-32-7040
    4.05-30-4640L Superior Parietal Lobule
    53170.0005.134.68-28-22-2L Left Putamen
    4.6-10-28-6Brain-Stem
    61800.0013.063.8118416R Caudate
    3.7418104R Putamen
    3.57181216R Caudate
    71700.0012.894.34464430R Frontal Pole
    4.06385030
    3.83423630
    3.75383622
    81370.0052.314.132-60-12Cerebellum (R V)
    4.04-2-54-14Cerebellum (L I-IV)
    3.962-52-6Cerebellum (R I-IV)
    3.760-50-14Cerebellum (L I-IV)
    3.31-8-52-14Cerebellum (L V)
    91210.0102.014.078-24-12Brain-Stem
    3.816-30-4
    3.4310-32-6
    10890.0431.373.6314-7814R Intracalcarine Cortex
    3.5210-8010
    • View popup
    Table 4

    Details of activated cerebral areas in 24 volunteers (mean values) during the Silent Word Generation (SWG) task.

    Cluster IndexVoxelsP-log10(P)Z MAXZ-MAX X (mm)Z-MAX Y (mm)Z-MAX Z (mm)Region Names
    1131180.00081.86.57-44-68-20L Occipital Fusiform Gyrus
    6.4-40-78-2L Lateral Occipital Cortex
    6.3326-8814R Lateral Occipital Cortex
    286450.00061.67.05-4460L Supplementary Motor Cortex
    6.72-442024L Inferior Frontal Gyrus (pars opercularis)
    6.63-32202L Insular Cortex
    6.52-81834L Cingulate Gyrus
    6.28-21448L Para-Cingulate Gyrus
    6.18-28242L Insular Cortex
    315190.00018.46.16-40-4246L Superior Parietal Lobule
    5.33-28-6436L Lateral Occipital Cortex
    5.32-28-6450
    5.2-28-5650L Superior Parietal Lobule
    4.98-26-6044L Lateral Occipital Cortex
    4.95-34-4438L Supramarginal Gyrus
    48450.000125.7234182R Insular cortex
    5.4930280R Frontal Orbital Cortex
    54620-4R Frontal Operculum Cortex
    4.8652162R Inferior Frontal Gyrus (pars opercularis)
    4.7440282R Frontal Operculum Cortex
    4.346188R Inferior Frontal Gyrus (pars opercularis)
    53820.0006.535.142286R Putamen
    4.2916-222R Caudate
    4.23181018
    4.152640R Putamen
    4.131268R Caudate
    62420.0004.434.49443218R Middle Frontal Gyrus
    4423822R Frontal Pole
    3.89424034
    3.55404828
    72240.0004.143.982-52-12Cerebellum (R I-IV)
    3.892-46-8
    3.848-40-22
    3.832-40-20
    3.83-2-48-20Cerebellum (L I-IV)
    81080.0092.014.69421228R Inferior Frontal Gyrus (pars opercularis)
    9980.0161.83.4734-28-26Temporal Fusiform Cortex
    • View popup
    Table 5

    Details of activated cerebral areas in 24 volunteers (mean values) during the Verb Generation words (VGw) task.

    Cluster IndexVoxelsP-log10(P)Z MAXZ-MAX X (mm)Z-MAX Y (mm)Z-MAX Z (mm)Region Name
    178130.00057.76.27-421824L Inferior Frontal Gyrus (pars opercularis)
    6.1-502026
    6.04-6658L Supplementary Motor Cortex
    5.73-44826L Inferior Frontal Gyrus (pars opercularis)
    5.72-21648L Para-cingulate Gyrus
    5.67-501816L Inferior Frontal Gyrus (pars opercularis)
    255270.00045.66.3734-60-26Cerebellum (R VI)
    6.2140-64-28Cerebellum (R Crus)
    6.1218-960R Occipital Pole
    6.0820-988
    6.0416-86-6R Lingual Gyrus
    5.9926-968R Occipital Pole
    351720.00043.56.29-18-946L Occipital Pole
    6.14-16-980
    6.14-16-1008
    6.02-50-66-12L Lateral Occipital Cortex
    5.97-18-90-12L Occipital Fusiform Gyrus
    5.94-34-36-24L Temporal Fusiform Cortex
    413180.00016.75-30-4838L Supramarginal Gyrus (posterior division)
    4.88-28-7052L Lateral Occipital Cortex
    4.87-26-6044
    4.82-28-6448
    4.72-34-5646L Superior Parietal Lobule
    4.66-24-6644L Lateral Occipital Cortex
    52570.0004.694.3640184R Frontal Operculum Cortex
    4.2930244R Insular Cortex
    3.67461810R Inferior Frontal Gyrus (pars opercularis)
    3.283632-2R Frontal Orbital Cortex
    • View popup
    Table 6

    Details of activated cerebral areas in 24 volunteers (mean values) during the Picture Verb Generation (VGp) task.

    Cluster IndexVoxelsP-log10(P)Z MAXZ-MAX X (mm)Z-MAX Y (mm)Z-MAX Z (mm)Region Name
    1245240.0001117.028-84-4R Lingual Gyrus
    6.9816-9614R Occipital Pole
    6.968-90-4
    6.7912-82-10R Lingual Gyrus
    6.7730-52-18R Temporal Occipital Fusiform Cortex
    6.66-14-1008R Occipital Pole
    277980.00050.96.11-462026L Middle Frontal Gyrus
    5.39-21448L Para-Cingulate Gyrus
    5.31-30284L Insular Cortex
    5.27-421028L Inferior Frontal Gyrus (pars opercularis)
    5.25-3826-4L Frontal Orbital Cortex
    33510.0005.34.983028-2R Frontal Orbital Cortex
    4.7236200R Insular Cortex
    4.024028-6R Frontal Orbital Cortex
    3.8444160R Frontal Operculum Cortex
    3.2248260R Inferior Frontal Gyrus (pars triangularis)
    43170.0004.864.86-18018L Caudate
    4.22-181212
    4.18-1886L Putamen
    4.08-14108L Caudate
    51620.0022.646.43-22-300L Thalamus
    5.02-6-30-2Brain-Stem
    3.78-16-32-8L Para-hippocampal Gyrus
    61590.0032.594.6240630R Precentral Gyrus
    71450.0042.364.3118218R Caudate
    4.08181218
    3.7220126R Putamen
    8900.0431.375.8122-282R Thalamus
    5.5424-288
    • View popup
    Table 7

    Details of activated cerebral areas in 24 volunteers (mean values) during the Semantic Category Generation (SCG) task.

    Cluster IndexVoxelsP-log10(P)Z MAXZ-MAX X (mm)Z-MAX Y (mm)Z-MAX Z (mm)Region Name
    165830.000456.7318-944R Occipital Pole
    6.01-16-9812
    5.91-14-982L Occipital Pole
    5.75-16-986
    235130.00029.26.43-34244L Frontal Operculum Cortex
    5.86-18-822L Caudate
    5.48-402024
    5.42-462224L Middle Frontal Gyrus
    5.3-461828
    5.16-483816L Frontal Pole
    326020.00023.65.83-41448L Para-Cingulate Gyrus
    5.8-6660
    5.69-2460L Supplementary Motor Cortex
    5.23-22244L Para-Cingulate Gyrus
    5.234860R Supplementary Motor Cortex
    5.134462
    95110.0007.224.93-26-6244
    4.13-28-7044L Lateral Occipital cortex (superior division)
    4.04-28-7052
    54680.0006.625.2832202R Insular cortex
    4.9730280R Frontal Orbital Cortex
    62160.0003.454.818618
    4.7918-224R Caudate
    4.718-824
    3.612466R Putamen
    71810.0012.924.02424824R Frontal Pole
    3.64484820
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Developing fMRI protocol for clinical use Comparison of 6 Arabic paradigms for brain language mapping in native Arabic speakers
Rafat S. Mohtasib, Jamaan S. Alghamdi, Salah M. Baz, Haya F. Aljoudi, Ahmed M. Masawi, Aman A. Jobeir
Neurosciences Journal Jan 2021, 26 (1) 45-55; DOI: 10.17712/nsj.2021.1.20200012

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Developing fMRI protocol for clinical use Comparison of 6 Arabic paradigms for brain language mapping in native Arabic speakers
Rafat S. Mohtasib, Jamaan S. Alghamdi, Salah M. Baz, Haya F. Aljoudi, Ahmed M. Masawi, Aman A. Jobeir
Neurosciences Journal Jan 2021, 26 (1) 45-55; DOI: 10.17712/nsj.2021.1.20200012
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