Evidence map›Paper›PMID 28653210›Full record

ArticleJournal of neurology2017

Lateralized microstructural changes in early-stage Parkinson's disease in anterior olfactory structures, but not in substantia nigra.

N Joshi, T M Rolheiser, J D Fisk, J R McKelvey, K Schoffer, G Phillips, M Armstrong, M N Khan, R A Leslie, B Rusak and 2 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

N JoshiDepartment of Psychiatry, IWK Hospital, Halifax, NS, Canada.
T M RolheiserDepartment of Psychiatry, Dalhousie University, 4064 AJLB, 5909 Veterans Memorial Lane, Halifax, NS, Canada.
J D FiskDepartment of Psychology, Nova Scotia Health Authority, Central Zone, Halifax, NS, Canada.
J R McKelveyDivision of Neurology, Department of Medicine, Nova Scotia Health Authority, Halifax, NS, Canada.
K SchofferDivision of Neurology, Department of Medicine, Nova Scotia Health Authority, Halifax, NS, Canada.
G PhillipsDivision of Respirology, Department of Medicine, Nova Scotia Health Authority, Halifax, NS, Canada.
M ArmstrongFaculty of Medicine, Dalhousie University, Halifax, NS, Canada.
M N KhanDepartment of Radiology, IWK Hospital, Halifax, NS, Canada.
R A LeslieDepartment of Medical Neurosciences, Dalhousie University, Halifax, NS, Canada.
B RusakDepartment of Psychiatry, Dalhousie University, 4064 AJLB, 5909 Veterans Memorial Lane, Halifax, NS, Canada.
H A RobertsonDepartment of Psychiatry, Dalhousie University, 4064 AJLB, 5909 Veterans Memorial Lane, Halifax, NS, Canada.
K P GoodDepartment of Psychiatry, Dalhousie University, 4064 AJLB, 5909 Veterans Memorial Lane, Halifax, NS, Canada. Kim.Good@Dal.Ca.ORCID http://orcid.org/0000-0003-2129-2375
Dalhousie University · CANova Scotia Health Authority · CAIzaak Walton Killam Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Parkinson's disease (PD) is a progressive neurological disorder characterized by motor symptoms as well as severe deficits in olfactory function and microstructural changes in olfactory brain regions. Because of the evidence of asymmetric neuropathological features in early-stage PD, we examined whether lateralized microstructural changes occur in olfactory brain regions and the substantia nigra in a group of early-stage PD patients. Using diffusion tensor imaging (DTI) and the University of Pennsylvania Smell Identification Test (UPSIT), we assessed 24 early-stage PD patients (Hoehn and Yahr stage 1 or 2) and 26 healthy controls (HC). We used DTI and a region of interest (ROI) approach to study the microstructure of the left and right anterior olfactory structures (AOS; comprising the olfactory bulbs and anterior end of the olfactory tracts) and the substantia nigra (SN). PD patients had reduced UPSIT scores relative to HC and showed increased mean diffusivity (MD) in the SN, with no lateralized differences. Significant group differences in fractional anisotropy (FA) and MD were seen in the AOS, but these differences were restricted to the right side and were not associated with the primary side of motor symptoms amongst PD patients. No associations were observed between lateralized motor impairment and lateralized microstructural changes in AOS. Impaired olfaction and microstructural changes in AOS are useful for early identification of PD but asymmetries in AOS microstructure seem unrelated to the laterality of PD motor symptoms.

Indexed as

Diffusion Magnetic Resonance ImagingDiffusion Tensor ImagingFemaleFunctional LateralityHumansMaleMiddle AgedNeural PathwaysOlfaction DisordersOlfactory BulbOrgan SizeParkinson DiseaseSubstantia NigraAnterior olfactory structuresDiffusion tensor imagingOlfactionParkinson’sSubstantia nigra

Identifiers

PMID28653210
OpenAlexW2635553938

What OpenQuestion holds

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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.