Evidence map›Paper›PMID 29923666›Full record

ArticleHuman brain mapping2018

Regional structural hypo- and hyperconnectivity of frontal-striatal and frontal-thalamic pathways in behavioral variant frontotemporal dementia.

David Jakabek, Brian D Power, Matthew D Macfarlane, Mark Walterfang, Dennis Velakoulis, Danielle van Westen, Jimmy Lätt, Markus Nilsson, Jeffrey C L Looi, Alexander F Santillo

Abstract read
In one paragraph

Article in Human brain mapping, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

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  17. FTD spectrum: Neuroimaging across the FTD spectrum.Progress in molecular biology and translational science · 2019
    Review
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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

10 authors.

David JakabekGraduate School of Medicine, University of Wollongong, Wollongong, Australia.ORCID 0000-0001-7670-0175
Brian D PowerSchool of Medicine, The University of Notre Dame Australia, Fremantle, Australia; Clinical Research Centre, North Metropolitan Health Service - Mental Health, Perth, Australia.
Matthew D MacfarlaneGraduate School of Medicine, University of Wollongong, Wollongong, Australia.
Mark WalterfangNeuropsychiatry Unit, Royal Melbourne Hospital, Melbourne Neuropsychiatry Centre, Department of Psychiatry, Melbourne Medical School, University of Melbourne, Melbourne, Australia.
Dennis VelakoulisNeuropsychiatry Unit, Royal Melbourne Hospital, Melbourne Neuropsychiatry Centre, Department of Psychiatry, Melbourne Medical School, University of Melbourne, Melbourne, Australia.
Danielle van WestenCentre for Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.
Jimmy LättCentre for Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.
Markus NilssonDepartment of Radiology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID 0000-0002-3140-8223
Jeffrey C L LooiNeuropsychiatry Unit, Royal Melbourne Hospital, Melbourne Neuropsychiatry Centre, Department of Psychiatry, Melbourne Medical School, University of Melbourne, Melbourne, Australia.ORCID 0000-0003-3351-6911
Alexander F SantilloClinical Memory Research Unit, Department of Clinical Sciences, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Behavioral variant frontotemporal dementia (bvFTD) has been predominantly considered as a frontotemporal cortical disease, with limited direct investigation of frontal-subcortical connections. We aim to characterize the grey and white matter components of frontal-thalamic and frontal-striatal circuits in bvFTD. Twenty-four patients with bvFTD and 24 healthy controls underwent morphological and diffusion imaging. Subcortical structures were manually segmented according to published protocols. Probabilistic pathways were reconstructed separately from the dorsolateral, orbitofrontal and medial prefrontal cortex to the striatum and thalamus. Patients with bvFTD had smaller cortical and subcortical volumes, lower fractional anisotropy, and higher mean diffusivity metrics, which is consistent with disruptions in frontal-striatal-thalamic pathways. Unexpectedly, regional volumes of the striatum and thalamus connected to the medial prefrontal cortex were significantly larger in bvFTD (by 135% in the striatum, p = .032, and 217% in the thalamus, p = .004), despite smaller dorsolateral prefrontal cortex connected regional volumes (by 67% in the striatum, p = .002, and 65% in the thalamus, p = .020), and inconsistent changes in orbitofrontal cortex connected regions. These unanticipated findings may represent compensatory or maladaptive remodeling in bvFTD networks. Comparisons are made to other neuropsychiatric disorders suggesting a common mechanism of changes in frontal-subcortical networks; however, longitudinal studies are necessary to test this hypothesis.

Indexed as

AgedAged, 80 and overCorpus StriatumDiffusion Tensor ImagingFemaleFrontotemporal DementiaHumansMagnetic Resonance ImagingMaleMiddle AgedNerve NetNeural PathwaysPrefrontal CortexThalamusbehavioral variant frontotemporal dementiaconnectivityDTIMRIprobabilistic tractography

Identifiers

PMID29923666
PMCPMC6866429

What OpenQuestion holds

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Registered trials

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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.