Evidence map›Paper›PMID 30772280›Full record

ArticleParkinsonism & related disorders2019

Altered functional network topology correlates with clinical measures in very early-stage, drug-naïve Parkinson's disease.

Karthik Sreenivasan, Virendra Mishra, Christopher Bird, Xiaowei Zhuang, Zhengshi Yang, Dietmar Cordes, Ryan R Walsh

Abstract read
In one paragraph

Article in Parkinsonism & related disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
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14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

14 citing papers in PubMed.

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  13. Structural Imaging in Parkinson's Disease: New Developments.Current neurology and neuroscience reports · 2019
    Review
  14. Topological reorganization of functional hubs in patients with Parkinson's disease with freezing of gait.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Karthik SreenivasanCleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, 89106, USA.
Virendra MishraCleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, 89106, USA.
Christopher BirdCleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, 89106, USA.
Xiaowei ZhuangCleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, 89106, USA.
Zhengshi YangCleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, 89106, USA.
Dietmar CordesCleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, 89106, USA; University of Colorado, Boulder, CO, 80309, USA.
Ryan R WalshMuhammad Ali Parkinson Center at Barrow Neurological Institute, Phoenix, AZ, USA. Electronic address: Ryan.Walsh@BarrowNeuro.org.

Funding

Renewal of Centers of Biomedical Research Excellence (COBRE) (Phase 2) CNTN - ResubmissionP20GM109025 · NIGMS · CLEVELAND CLINIC FOUNDATION · PI JESSICA KIRKLAND CALDWELL · 2015 to 2026
$22.8M
Improving the Detection of Activation in High Resolution fMRI using MultivariateR01EB014284 · NIBIB · TORONTO METROPOLITAN UNIVERSITY · PI CORDES, DIETMAR · 2013 to 2015
$750k
NIBIB NIH HHS R01 EB014284NIGMS NIH HHS P20 GM109025
6 · The paper itself

Abstract

introductionThe aim of the study was to identify abnormalities of whole-brain network functional organization and their relation to clinical measures in a well-characterized, multi-site cohort of very early-stage, drug-naïve Parkinson's Disease (PD) patients.

methodsFunctional-MRI data for 16 healthy controls and 20 very early-stage, drug-naïve patients with PD were obtained from the Parkinson's Progression Markers Initiative database after controlling for strict inclusion/exclusion imaging criteria. Connectivity between regions of interest was estimated using Pearson's correlation between averaged time-series, and subsequently a connectivity matrix was obtained for each subject. These connectivity matrices were then used in an unbiased, whole-brain graph theoretical approach to investigate the functional connectome and its correlation with disease severity in very early PD.

resultsThe current study revealed altered network topology which correlated with multiple clinical measures in very early drug-naïve PD. Decreased functional segregation and integration (both globally and locally) were evident in PD. Importantly, our results demonstrated that most of the cortical regions hypothesized to be involved early in PD manifested decreased graph theoretical measures, despite utilizing a whole-brain analytic approach that is free from prior assumptions regarding cortical region involvement.

conclusionGraph theoretical investigation of very early drug-naïve PD revealed disrupted topological organization. These findings are evident in a stringently homogeneous group of very early-stage, medication-naive, and non-tremor dominant PD patients by using a whole-brain unbiased approach. These results provide an important unbiased and rigorously controlled baseline for understanding further studies of PD functional connectivity investigating response to treatment, symptom development, and disease progression.

Indexed as

Magnetic Resonance ImagingBrainCohort StudiesConnectomeDisease ProgressionFemaleHumansMaleMiddle AgedParkinson DiseaseParkinsonian DisordersFunctional connectivityFunctional magnetic resonance imagingGraph theoryParkinson's diseasePPMI

Identifiers

PMID30772280
PMCPMC6589361

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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.