Evidence map›Paper›PMID 31920913›Full record

ArticleFrontiers in neurology2019

Diffusion Kurtosis Imaging for Detection of Early Brain Changes in Parkinson's Disease.

Jitian Guan, Xilun Ma, Yiqun Geng, Dan Qi, Yuanyu Shen, Zhiwei Shen, Yanzi Chen, Erxi Wu, Renhua Wu

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Utilizing combined quantitative multiparametric MRI as potential biomarkers for improved early-stage parkinson's disease diagnosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  6. Article
  7. Microstructural brain abnormalities and associated neurocognitive dysfunction in obstructive sleep apnea: a pilot study with diffusion kurtosis imaging.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  8. Article
  9. Article
  10. Observational
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  12. Observational
  13. 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

9 authors at 6 institutions in 2 countries.

Jitian GuanDepartment of Radiology, The Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Xilun MaDepartment of Radiology, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Yiqun GengDepartment of Neurosurgery, Baylor Scott & White Health, Temple, TX, United States.
Dan QiDepartment of Neurosurgery, Baylor Scott & White Health, Temple, TX, United States.
Yuanyu ShenDepartment of Radiology, The Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Zhiwei ShenDepartment of Radiology, The Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Yanzi ChenDepartment of Radiology, The Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Erxi WuDepartment of Neurosurgery, Baylor Scott & White Health, Temple, TX, United States.
Renhua WuDepartment of Radiology, The Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Shantou University · CNSecond Affiliated Hospital of Shantou University Medical College · CNBaylor Scott & White Health · USFirst Affiliated Hospital of Shantou University Medical College · CNShantou University Medical College · CNTexas A&M University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to evaluate microscale changes in the bilateral red nucleus and substantia nigra of patients with Parkinson's disease (PD) using diffusion kurtosis imaging (DKI). Twenty-six patients with PD [mean age, 62.5 ± 8.7 years; Hoehn-Yahr stage, 0-4.0; Unified Parkinson's Disease Rating Scale (UPDRS) scores, 8-43] and 15 healthy controls (mean age, 59.5 ± 9.4 years) underwent DKI of the substantia nigra and red nucleus. Imaging was performed using a General Electric (GE) Signa 3.0-T MRI system. Patients with PD were divided into two groups consisting of 12 patients with UPDRS scores ≥ 30 and 14 patients with UPDRS scores < 30. All DKI data processing operations were performed with commercial workstations (GE, ADW 4.6) using Functool software to generate color-coded and parametric maps of mean kurtosis (MK), fractional anisotropy (FA), and mean diffusivity (MD). MK values in the bilateral substantia nigra were significantly lower in patients with early- and advanced-stage PD than in controls. Moreover, MK values in the left substantia nigra were significantly lower in patients with advanced-stage PD than in those with early-stage PD. Patients with advanced-stage PD also exhibited significant decreases in MK values in the bilateral red nucleus relative to controls. No significant differences in FA or MD values were observed between the PD and control groups. There were no significant correlations between MK, FA, or MD values and UPDRS scores. Our findings suggest that decreased MK values in the substantia nigra may aid in determining the severity of PD and help provide early diagnoses.

Indexed as

diffusion kurtosis imagingmagnetic resonance imagingParkinson's diseasered nucleussubstantia nigra

Identifiers

PMID31920913
PMCPMC6914993
OpenAlexW2996333623

What OpenQuestion holds

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LicenceCC BY
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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.