Evidence map›Paper›PMID 27266635›Full record

ArticleCortex; a journal devoted to the study of the nervous system and behavior2016

Default mode network differences between rigidity- and tremor-predominant Parkinson's disease.

Prasanna R Karunanayaka, Eun-Young Lee, Mechelle M Lewis, Suman Sen, Paul J Eslinger, Qing X Yang, Xuemei Huang

Open access · greenAbstract read
In one paragraph

Article in Cortex; a journal devoted to the study of the nervous system and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  17. Cortico-striatal functional connectivity and cerebral small vessel disease: Contribution to mild Parkinsonian signs.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2022
    Article
  18. Article
  19. Different functional connectivity modes of the right fronto-insular cortex in akinetic-rigid and tremor-dominant Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Prasanna R KarunanayakaRadiology, Center for NMR Research, Penn State University College of Medicine, Hershey, PA, USA; Neural & Behavioral Sciences, Penn State University College of Medicine, Hershey, PA, USA. Electronic address: pkarunanayaka@hmc.psu.edu.
Eun-Young LeeNeurology, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Mechelle M LewisNeurology, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA; Pharmacology, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Suman SenNeurology, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Paul J EslingerRadiology, Center for NMR Research, Penn State University College of Medicine, Hershey, PA, USA; Neural & Behavioral Sciences, Penn State University College of Medicine, Hershey, PA, USA; Neurology, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Qing X YangRadiology, Center for NMR Research, Penn State University College of Medicine, Hershey, PA, USA; Neurosurgery, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Xuemei HuangRadiology, Center for NMR Research, Penn State University College of Medicine, Hershey, PA, USA; Neurology, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA; Pharmacology, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA; Neurosurgery, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA; Kinesiology, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
WRITING AND THE DAILY EXPERIENCE OF ILLNESSM01RR010732 · NCRR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI DONG, CHENG · 1995 to 2009
$29.8M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
Multimodal MRI Markers of Nigrostriatal Pathology in Parkinson's DiseaseU01NS082151 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2012 to 2016
$4.2M
Structural MRI marker(s) of Parkinson's Disease's ProgressionR01NS060722 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HUANG, XUEMEI · 2009 to 2013
$2.9M
GCRC RELOCATION AND EXPANSION PROJECTC06RR016499 · NCRR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KIRCH, DARRELL G · 2001 to 2001
$707k
NCATS NIH HHS UL1 TR000127NCATS NIH HHS UL1 TR002014NCRR NIH HHS C06 RR016499NCRR NIH HHS M01 RR010732NINDS NIH HHS R01 NS060722NINDS NIH HHS U01 NS082151
6 · The paper itself

Abstract

backgroundParkinson's disease (PD) traditionally is characterized by tremor, rigidity, and bradykinesia, although cognitive impairment also is a common symptom. The clinical presentation of PD is heterogeneous and associated with different risk factors for developing cognitive impairment. PD patients with primary akinetic/rigidity (PDAR) are more likely to develop cognitive deficits compared to those with tremor-predominant symptoms (PDT). Because cognitive impairment in PD appears to be related to changes in the default mode network (DMN), this study tested the hypothesis that DMN integrity is different between PDAR and PDT subtypes.

methodResting state fMRI (rs-fMRI) and whole brain volumetric data were obtained from 17 PDAR, 15 PDT and 24 healthy controls (HCs) using a 3T scanner. PD patients were matched closely to HCs for demographic and cognitive variables, and showed no symptoms of dementia. Voxel-based morphometry (VBM) was used to examine brain gray matter (GM) volume changes between groups. Independent component analysis (ICA) interrogated differences in the DMN among PDAR, PDT, and HC.

resultsThere was decreased activity in the left inferior parietal cortex (IPC) and the left posterior cingulate cortex (PCC) within the DMN between PDAR and both HC and PDT subjects, even after controlling for multiple comparisons, but not between PDT and HC. GM volume differences between groups were detected at a lower threshold (p < 0.001, uncorrected). Resting state activity in IPC and PCC were correlated with some measures of cognitive performance in PD but not in HC.

conclusionThis is the first study to demonstrate DMN differences between cognitively comparable PDAR and PDT subtypes. The DMN differences between PD and HC appear to be driven by the PDAR subtype. Further studies are warranted to understand the underlying neural mechanisms and their relevance to clinical and cognitive outcomes in PDAR and PDT subtypes.

Indexed as

Brain MappingAdultAgedCognition DisordersFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysNeuropsychological TestsParkinson DiseaseRestTremorCognitive impairmentIndependent component analysis (ICA)Parkinson's diseaseResting state fMRI

Identifiers

PMID27266635
PMCPMC5375103
OpenAlexW2347197552

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.