Towards individualized Medicine in Stroke – the TiMeS project: protocol of longitudinal, multi-modal, multi-domain study in stroke Article Swipe
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· 2022
· Open Access
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· DOI: https://doi.org/10.1101/2022.05.18.22274612
Despite recent improvements, complete motor recovery occurs in less than 15% of stroke patients. To improve the therapeutic outcomes, there is a strong need to tailor treatments to each individual patient. However, there is a lack of knowledge concerning the precise neuronal mechanisms underlying the degree and course of motor recovery and its individual differences, especially in the view of network properties despite the fact that it became more and more clear that stroke is a network disorder. The TiMeS project is a longitudinal exploratory study aiming at characterizing stroke phenotypes of a large, representative stroke cohort through an extensive, multi-modal and multi-domain evaluation. The ultimate goal of the study is to identify prognostic biomarkers allowing to predict the individual degree and course of motor recovery and its underlying neuronal mechanisms paving the way for novel interventions and treatment stratification for the individual patients. A total of up to 100 patients will be assessed at 4 timepoints over the first year after the stroke: during the first (T1) and third (T2) week, then three (T3) and twelve (T4) months after stroke onset. To assess underlying mechanisms of recovery with a focus on network analyses and brain connectivity, we will apply synergistic state-of-the-art systems neuroscience methods including functional, diffusion, and structural magnetic resonance imaging (MRI), and electrophysiological evaluation based on transcranial magnetic stimulation (TMS) coupled with electroencephalography (EEG) and electromyography (EMG). In addition, an extensive, multi-domain neuropsychological evaluation will be performed at each timepoint, covering all sensorimotor and cognitive domains. This project will significantly add to the understanding of underlying mechanisms of motor recovery with a strong focus on the interactions between the motor and other cognitive domains and multimodal network analyses. The population-based, multi-dimensional dataset will serve as a basis to develop biomarkers to predict outcome and promote personalized stratification towards individually tailored treatment concepts using neuro-technologies, thus paving the way towards personalized precision medicine approaches in stroke rehabilitation.
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- preprint
- Language
- en
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- https://doi.org/10.1101/2022.05.18.22274612
- https://www.medrxiv.org/content/medrxiv/early/2022/05/19/2022.05.18.22274612.full.pdf
- OA Status
- green
- Cited By
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- References
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- Related Works
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- OpenAlex ID
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https://openalex.org/W4281396323Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1101/2022.05.18.22274612Digital Object Identifier
- Title
-
Towards individualized Medicine in Stroke – the TiMeS project: protocol of longitudinal, multi-modal, multi-domain study in strokeWork title
- Type
-
preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
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2022-05-19Full publication date if available
- Authors
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Lisa Fleury, PJ Koch, Maximilian J. Wessel, Christophe Bonvin, Diego San Millán, Christophe Constantin, Philippe Vuadens, Jan Adolphsen, AG Cadic-Melchior, Julia Brügger, Elena Beanato, Martino Ceroni, Pauline Menoud, Diego de León Rodríguez, Valérie Zufferey, Nathalie H. Meyer, Philip Egger, Sylvain Harquel, Traian Popa, Estelle Raffin, Gabriel Girard, Jean‐Philippe Thiran, Claude Vaney, Vincent Alvarez, J-L Turlan, Andreas Mühl, Bertrand Léger, Takuya Morishita, Silvestro Micera, Olaf Blanke, Dimitri Van De Ville, Friedhelm C. HummelList of authors in order
- Landing page
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https://doi.org/10.1101/2022.05.18.22274612Publisher landing page
- PDF URL
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https://www.medrxiv.org/content/medrxiv/early/2022/05/19/2022.05.18.22274612.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://www.medrxiv.org/content/medrxiv/early/2022/05/19/2022.05.18.22274612.full.pdfDirect OA link when available
- Concepts
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Transcranial magnetic stimulation, Stroke (engine), Physical medicine and rehabilitation, Neuropsychology, Neuroscience, Stroke recovery, Medicine, Psychology, Rehabilitation, Neuroimaging, Cognition, Cohort, Pathology, Stimulation, Mechanical engineering, EngineeringTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 1, 2023: 1Per-year citation counts (last 5 years)
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68Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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