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首页> 外文期刊>Journal of neurosurgical sciences >Advantages and disadvantages of intraoperative language tasks in awake surgery: a three-task approach for prefrontal tumors
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Advantages and disadvantages of intraoperative language tasks in awake surgery: a three-task approach for prefrontal tumors

机译：清醒手术中术中语言任务的优缺点：前额叶肿瘤的三任务方法

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Multidisciplinary efforts are being made to provide surgical teams with sensitive and specific tasks for language mapping in awake surgery. Researchers and clinicians have elaborated different tasks over time. A fair amount of work has been directed to study the neurofunctional correlates of some of these tasks, and there is recent interest in their standardization. However, little discussion exists on the advantages and disadvantages that each task poses from the perspective of the cognitive neuroscience of language. Such an approach may be a relevant step to assess task validity, to avoid using tasks that tap onto similar processes, and to provide patients with a surgical treatment that ensures maximal tumor resection while avoiding postoperative language deficits. An understanding of the language components that each task entails may also be relevant to improve the current assessments and the ways in which tasks are administered, and to disentangle neurofunctional questions. We reviewed 17 language mapping tasks that have been used in awake surgery. Overt production tasks have been a preferred choice over comprehension tasks. Tasks tapping lexico-semantic processes, particularly object-naming, maintain their role as gold standards. Automated speech tasks are used to detect speech errors and to set the amplitude of the stimulator. Comprehension tasks, reading and writing tasks, and tasks that assess grammatical aspects of language may be regularly administered in the near future. We provide examples of a three-task approach we are administering to patients with prefrontal lesions. We believe that future advances in this area are contingent upon reviewing gold standards and introducing new assessment tools.
机译：正在进行多学科的努力，以为手术团队提供醒目的特定任务，以便在清醒手术中进行语言映射。随着时间的推移，研究人员和临床医生已经制定了不同的任务。已经进行了大量工作来研究其中一些任务的神经功能相关性，并且最近对其标准化感兴趣。但是，从语言的认知神经科学的角度，几乎没有讨论每个任务的利弊。这种方法可能是评估任务有效性，避免使用利用相似过程的任务以及为患者提供确保最大程度切除肿瘤，同时避免术后语言缺陷的外科治疗的重要步骤。对每个任务所需要的语言成分的理解也可能与改进当前的评估和管理任务的方式以及解开神经功能性问题有关。我们回顾了清醒手术中使用的17种语言映射任务。公开的生产任务已成为理解任务的首选。利用词汇语义过程（尤其是对象命名）的任务将保持其作为黄金标准的作用。自动语音任务用于检测语音错误并设置刺激器的幅度。理解任务，阅读和写作任务以及评估语言语法方面的任务可能会在不久的将来定期进行管理。我们提供了一种三任务方法的示例，该方法将用于前额叶病变患者。我们认为，这方面的未来进展取决于审查黄金标准和引入新的评估工具。

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