Evidence map›Paper›PMID 33402689›Full record

ArticleNPJ Parkinson's disease2021

Multimodal phenotypic axes of Parkinson's disease.

Ross D Markello, Golia Shafiei, Christina Tremblay, Ronald B Postuma, Alain Dagher, Bratislav Misic

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

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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

6 authors.

Ross D MarkelloMcConnell Brain Imaging Centre, Montréal Neurological Institute, McGill University, Montréal, QC, Canada. ross.markello@mail.mcgill.ca.ORCID http://orcid.org/0000-0003-1057-1336
Golia ShafieiMcConnell Brain Imaging Centre, Montréal Neurological Institute, McGill University, Montréal, QC, Canada.ORCID http://orcid.org/0000-0002-2036-5571
Christina TremblayMcConnell Brain Imaging Centre, Montréal Neurological Institute, McGill University, Montréal, QC, Canada.
Ronald B PostumaMcConnell Brain Imaging Centre, Montréal Neurological Institute, McGill University, Montréal, QC, Canada.
Alain DagherMcConnell Brain Imaging Centre, Montréal Neurological Institute, McGill University, Montréal, QC, Canada.
Bratislav MisicMcConnell Brain Imaging Centre, Montréal Neurological Institute, McGill University, Montréal, QC, Canada. bratislav.misic@mcgill.ca.ORCID http://orcid.org/0000-0003-0307-2862

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals with Parkinson's disease present with a complex clinical phenotype, encompassing sleep, motor, cognitive, and affective disturbances. However, characterizations of PD are typically made for the "average" patient, ignoring patient heterogeneity and obscuring important individual differences. Modern large-scale data sharing efforts provide a unique opportunity to precisely investigate individual patient characteristics, but there exists no analytic framework for comprehensively integrating data modalities. Here we apply an unsupervised learning method-similarity network fusion-to objectively integrate MRI morphometry, dopamine active transporter binding, protein assays, and clinical measurements from n = 186 individuals with de novo Parkinson's disease from the Parkinson's Progression Markers Initiative. We show that multimodal fusion captures inter-dependencies among data modalities that would otherwise be overlooked by field standard techniques like data concatenation. We then examine how patient subgroups derived from the fused data map onto clinical phenotypes, and how neuroimaging data is critical to this delineation. Finally, we identify a compact set of phenotypic axes that span the patient population, demonstrating that this continuous, low-dimensional projection of individual patients presents a more parsimonious representation of heterogeneity in the sample compared to discrete biotypes. Altogether, these findings showcase the potential of similarity network fusion for combining multimodal data in heterogeneous patient populations.

Identifiers

PMID33402689
PMCPMC7785730

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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.