Evidence map›Paper›PMID 36670121›Full record

ArticleNPJ Parkinson's disease2023

MRI data-driven clustering reveals different subtypes of Dementia with Lewy bodies.

Anna Inguanzo, Konstantinos Poulakis, Rosaleena Mohanty, Christopher G Schwarz, Scott A Przybelski, Patricia Diaz-Galvan, Val J Lowe, Bradley F Boeve, Afina W Lemstra, Marleen van de Beek and 16 more

Open access · goldAbstract read
In one paragraph

Article in NPJ Parkinson's disease, 2023. 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
6.5field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Brain patterns and risk factors in the FINGER RCT multimodal lifestyle intervention.The journal of prevention of Alzheimer's disease · 2025
    Trial
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  6. Regional brain aging patterns reveal disease-specific pathways of neurodegeneration.medRxiv : the preprint server for health sciences · 2025
    Article
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  14. Sex differences in brain atrophy in dementia with Lewy bodies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  15. Article
  16. Article
  17. Occipital atrophy signature in prodromal Lewy bodies disease.Alzheimer's & dementia (Amsterdam, Netherlands)
    Article
  18. Article
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

26 authors at 11 institutions in 8 countries.

Anna InguanzoDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-0879-5875
Konstantinos PoulakisDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-6600-8086
Rosaleena MohantyDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.
Christopher G SchwarzDepartment of Radiology, Mayo Clinic, Rochester, MN, US.ORCID http://orcid.org/0000-0002-1466-8357
Scott A PrzybelskiQuantitative Health Sciences, Mayo Clinic, Rochester, MN, US.
Patricia Diaz-GalvanDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-6155-5585
Val J LoweDepartment of Radiology, Mayo Clinic, Rochester, MN, US.
Bradley F BoeveDepartment of Radiology, Mayo Clinic, Rochester, MN, US.ORCID http://orcid.org/0000-0002-4153-8187
Afina W LemstraDepartment of Neurology and Alzheimer Center, VU University Medical Center, Amsterdam, Netherlands.
Marleen van de BeekDepartment of Neurology and Alzheimer Center, VU University Medical Center, Amsterdam, Netherlands.
Wiesje van der FlierDepartment of Neurology and Alzheimer Center, VU University Medical Center, Amsterdam, Netherlands.
Frederik BarkhofDepartment of Neurology and Alzheimer Center, VU University Medical Center, Amsterdam, Netherlands.
Frederic BlancDay Hospital of Geriatrics, Memory Resource and Research Center (CM2R) of Strasbourg, Department of Geriatrics, Hopitaux Universitaires de Strasbourg, Strasbourg, France.
Paulo Loureiro de SousaDay Hospital of Geriatrics, Memory Resource and Research Center (CM2R) of Strasbourg, Department of Geriatrics, Hopitaux Universitaires de Strasbourg, Strasbourg, France.
Nathalie PhilippiDay Hospital of Geriatrics, Memory Resource and Research Center (CM2R) of Strasbourg, Department of Geriatrics, Hopitaux Universitaires de Strasbourg, Strasbourg, France.ORCID http://orcid.org/0000-0002-6483-9222
Benjamin CretinDay Hospital of Geriatrics, Memory Resource and Research Center (CM2R) of Strasbourg, Department of Geriatrics, Hopitaux Universitaires de Strasbourg, Strasbourg, France.
Catherine DemuynckDay Hospital of Geriatrics, Memory Resource and Research Center (CM2R) of Strasbourg, Department of Geriatrics, Hopitaux Universitaires de Strasbourg, Strasbourg, France.
Zuzana NedelskaDepartment of Radiology, Mayo Clinic, Rochester, MN, US.ORCID http://orcid.org/0000-0002-3269-2115
Jakub HortDepartment of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic.
Barbara SeguraMedical Psychology Unit, Institute of Neurosciences, University of Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-9673-5479
Carme JunqueMedical Psychology Unit, Institute of Neurosciences, University of Barcelona, Barcelona, Spain.
Ketil OppedalCenter for Age-Related Medicine, Stavanger University Hospital, Stavanger, Norway.
Dag AarslandDepartment of Neuroimaging, Center for Neuroimaging Sciences, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.ORCID http://orcid.org/0000-0001-6314-216X
Eric WestmanDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-3115-2977
Kejal KantarciDepartment of Radiology, Mayo Clinic, Rochester, MN, US.
Daniel FerreiraDivision of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden. daniel.ferreira.padilla@ki.se.ORCID http://orcid.org/0000-0001-9522-4338
Mayo Clinic · USCentre National de la Recherche Scientifique · FRAmsterdam UMC Location Vrije Universiteit Amsterdam · NLKarolinska Institutet · SEConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESWellcome Centre for Human Neuroimaging · GBCharles University · CZMayo Clinic in Florida · USStavanger University Hospital · NOUniversity College London · GBWinnMed · US

Funding

SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
THE PGRN/TDP-43 AXIS IN ALZHEIMER?S DISEASE AND NEURODEGENERATIONP50AG016574 · NIA · MAYO CLINIC ROCHESTER · PI PETERSEN, RONALD C · 1999 to 2018
$36.9M
Longitudinal Imaging Biomarkers of Prodromal DLBU01NS100620 · NINDS · MAYO CLINIC ROCHESTER · PI Bradley F Boeve, KEJAL KANTARCI · 2017 to 2026
$19.2M
Disease pathways in the population determined by amyloid, tau, and neurodegeneration imaging biomarkersR37AG011378 · NIA · MAYO CLINIC ROCHESTER · PI CLIFFORD R. JACK · 2018 to 2026
$6.8M
Validating the New Criteria for Preclinical Alzheimer's diseaseR01AG041851 · NIA · MAYO CLINIC ROCHESTER · PI JACK, CLIFFORD R., KNOPMAN, DAVID S · 2012 to 2021
$6.3M
EXTRAMURAL RES FACIL IMPROVEMENT PROG: POLYCYSTIC KIDNEY DISEASE, RENAL STUDIES,C06RR018898 · NCRR · MAYO CLINIC · PI BURNETT, JOHN C · 2004 to 2004
$2.3M
Gene discovery in PSP by transcriptome, neuropathology and sequence analysisR01NS080820 · NINDS · MAYO CLINIC JACKSONVILLE · PI ERTEKIN-TANER, NILUFER · 2013 to 2017
$1.8M
Pathological basis of MRS and DTI changes in neurodegenerative dementiaR01AG040042 · NIA · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2011 to 2015
$1.6M
NCRR NIH HHS C06 RR018898NIA NIH HHS P50 AG016574NIA NIH HHS R01 AG040042NIA NIH HHS R01 AG041851NIA NIH HHS R37 AG011378NIA NIH HHS U01 AG006786NINDS NIH HHS R01 NS080820NINDS NIH HHS U01 NS100620
6 · The paper itself

Abstract

Dementia with Lewy bodies (DLB) is a neurodegenerative disorder with a wide heterogeneity of symptoms, which suggests the existence of different subtypes. We used data-driven analysis of magnetic resonance imaging (MRI) data to investigate DLB subtypes. We included 165 DLB from the Mayo Clinic and 3 centers from the European DLB consortium and performed a hierarchical cluster analysis to identify subtypes based on gray matter (GM) volumes. To characterize the subtypes, we used demographic and clinical data, as well as β-amyloid, tau, and cerebrovascular biomarkers at baseline, and cognitive decline over three years. We identified 3 subtypes: an older subtype with reduced cortical GM volumes, worse cognition, and faster cognitive decline (n = 49, 30%); a subtype with low GM volumes in fronto-occipital regions (n = 76, 46%); and a subtype of younger patients with the highest cortical GM volumes, proportionally lower GM volumes in basal ganglia and the highest frequency of cognitive fluctuations (n = 40, 24%). This study shows the existence of MRI subtypes in DLB, which may have implications for clinical workout, research, and therapeutic decisions.

Identifiers

PMID36670121
PMCPMC9859778
OpenAlexW4317566674

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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.