Movie-Watching Functional MRI for Mapping Brain Function in Neurosurgical Patients

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-70
SponsorBrigham and Women's Hospital

About this trial

This research will compare a new type of functional MRI (fMRI) called naturalistic viewing (also called movie watching) to standard clinical fMRI techniques. Standard clinical fMRI currently uses multiple tasks such as reading and responding to words or sentences to determine which areas of the brain are responsible for language. Surgeons can use this information to help plan brain surgeries. This research will help determine if the movie-watching fMRI is equivalent or better than the standard task-based fMRI. If so, it could be useful for planning patients' surgeries in the future, without the need for multiple tasks.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Any sex, age between 21 to 70 years;

Known or suspected glioma (lesion) of the brain;

English speaking;

Patients with clinical fMRI scheduled (or pending scheduling) for presurgical planning at BWH ordered by a BWH clinician;

Disqualifiers

Contraindications to MRI: Note: MRI screening will be performed by radiology staff as part of their standard process for their clinical scans and if subjects do not pass the screen, MRI will not be performed.

Pregnancy or possible pregnancy: Female participants under 55 (or 45 with menstrual cycle in the past 12 months) who may be pregnant. Per policy: potential subjects will be asked if they are pregnant and excluded if they say yes. If unsure, pregnancy testing will be performed. Any subjects with positive result will be excluded.

Trial design

Design model

Single group

Treatments tested in this trial

  • Functional magnetic resonance imaging (fMRI)

    Other intervention

    Functional magnetic resonance imaging (fMRI) is a type of non-invasive imaging that measures blood oxygen level-dependent (BOLD) signal changes in the brain when a task is performed (such as reading) or BOLD signal changes during resting or watching naturalistic stimuli (such as movie clips).

  • Neuropsychological Assessments

    Behavioral

    Neuropsychological assessments are standardized tests used to evaluate cognitive, behavioral, and emotional functions that reflect the performance of different brain systems. These tests can be on paper or on a computer.

Treatment groups

90 Participants
are divided into 1 treatment group
Group A: FMRI and Neuropsychological AssessmentsExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Language localization

Sensitivity and specificity based on the proportion of activation within and outside of language regions-of-interest (ROIs).

Time frame
From enrollment to up to 6 months after brain surgery.
2

Language lateralization

Laterality index (LI) based on proportion of activation in the left vs. right hemisphere in language regions-of-interest (ROIs).

Time frame
From enrollment to up to 6 months after brain surgery.
3

FMRI language activations concordance with language fiber tracts

Concordance with language fiber tracts identified by diffusion MRI in terms of the Euclidean distance between fMRI language activations and the tracts.

Time frame
From enrollment to up to 6 months after brain surgery.

Secondary outcomes

1

Quality metrics based on electrocortical stimulation (ECS)

Sensitivity and specificity computed relative to ECS positive/negative areas.

Time frame
From enrollment to up to 6 months after brain surgery.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Brigham and Women's Hospital

Lead sponsor

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: