title: Clinical utility of the Boston Naming Test in predicting ultimate side of surgery in patients with medically intractable temporal lobe epilepsy: A double cross-validation study.
abstract: The Boston Naming Test (BNT) is often used in the evaluation of surgical epilepsy patients to assess left temporal lobe function. In 2005, Busch et al. demonstrated the diagnostic utility of the BNT in predicting ultimate side of surgery in patients with temporal lobe epilepsy. BNT raw score significantly predicted ultimate side of surgery, moderated by Full Scale IQ (FSIQ), age at seizure onset, and duration of epilepsy. The final regression equation correctly predicted side of surgery in 69.5% of the sample. The current study demonstrated excellent cross-validation of this equation in an independent sample of 104 patients who eventually underwent temporal lobectomies, correctly predicting side of surgery in 67.3% of patients. The combination of the two samples resulted in a new, more-stable regression equation that correctly predicted side of surgery in 68.8% of the combined sample. These results further support the clinical utility of the BNT in predicting side of surgery.
authors.affiliation: Cleveland Clinic Epilepsy Center, Neurological Institute, 9500 Euclid Avenue, P57, Cleveland, OH 44195, USA. buschr@ccf.org
authors.forename: Robyn M
authors.initials: RM
authors.lastname: Busch
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Frazier
authors.forename: Mary C
authors.initials: MC
authors.lastname: Iampietro
authors.forename: Jessica S
authors.initials: JS
authors.lastname: Chapin
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Kubu
mesh_terms: D000328:Adult; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014888:Wechsler Scales; D055815:Young Adult