Evidence map›Paper›PMID 32079673›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2020

Brain iron deposition is linked with cognitive severity in Parkinson's disease.

George Edward Calver Thomas, Louise Ann Leyland, Anette-Eleonore Schrag, Andrew John Lees, Julio Acosta-Cabronero, Rimona Sharon Weil

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 3 pooled it
10.9field-weighted citation impact, top 1% 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

135 citing papers in PubMed, 3 syntheses or guidelines pooled it, 210 citations in OpenAlex.

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75 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 1 country.

George Edward Calver ThomasDementia Research Centre, UCL Institute of Neurology, London, UK.ORCID 0000-0001-6107-0326
Louise Ann LeylandDementia Research Centre, UCL Institute of Neurology, London, UK.
Anette-Eleonore SchragDepartment of Clinical Neuroscience, UCL Institute of Neurology, London, UK.ORCID 0000-0002-9872-6680
Andrew John LeesReta Lila Institute for Brain Studies, University College London, London, UK.
Julio Acosta-CabroneroTenoke Ltd, Cambridge, UK.ORCID 0000-0003-1174-5983
Rimona Sharon WeilDementia Research Centre, UCL Institute of Neurology, London, UK r.weil@ucl.ac.uk.ORCID 0000-0002-5092-6325
UK Dementia Research Institute · GBUniversity College London · GBWellcome Centre for Human Neuroimaging · GB

Funding

Medical Research Council MR/N013867/1Wellcome Trust 203147/Z/16/ZWellcome Trust 205167/Z/16/Z
6 · The paper itself

Abstract

backgroundDementia is common in Parkinson's disease (PD) but measures that track cognitive change in PD are lacking. Brain tissue iron accumulates with age and co-localises with pathological proteins linked to PD dementia such as amyloid. We used quantitative susceptibility mapping (QSM) to detect changes related to cognitive change in PD.

methodsWe assessed 100 patients with early-stage to mid-stage PD, and 37 age-matched controls using the Montreal Cognitive Assessment (MoCA), a validated clinical algorithm for risk of cognitive decline in PD, measures of visuoperceptual function and the Movement Disorders Society Unified Parkinson's Disease Rating Scale part 3 (UPDRS-III). We investigated the association between these measures and QSM, an MRI technique sensitive to brain tissue iron content.

resultsWe found QSM increases (consistent with higher brain tissue iron content) in PD compared with controls in prefrontal cortex and putamen (p<0.05 corrected for multiple comparisons). Whole brain regression analyses within the PD group identified QSM increases covarying: (1) with lower MoCA scores in the hippocampus and thalamus, (2) with poorer visual function and with higher dementia risk scores in parietal, frontal and medial occipital cortices, (3) with higher UPDRS-III scores in the putamen (all p<0.05 corrected for multiple comparisons). In contrast, atrophy, measured using voxel-based morphometry, showed no differences between groups, or in association with clinical measures.

conclusionsBrain tissue iron, measured using QSM, can track cognitive involvement in PD. This may be useful to detect signs of early cognitive change to stratify groups for clinical trials and monitor disease progression.

Indexed as

AgedBrainCognition DisordersDisease ProgressionFemaleHumansIronMagnetic Resonance ImagingMaleMental Status and Dementia TestsMiddle AgedParkinson DiseaseSeverity of Illness IndexIron

Identifiers

PMID32079673
PMCPMC7147185
OpenAlexW3008921454

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.