Evidence map›Paper›PMID 37975786›Full record

ArticleEuropean journal of neurology2024

Microstructural and functional alterations of the ventral pallidum are associated with levodopa-induced dyskinesia in Parkinson's disease.

Yawen Gan, Dongning Su, Zhe Zhang, Zhijin Zhang, Rui Yan, Zhu Liu, Zhan Wang, Junhong Zhou, Joyce S T Lam, Tao Wu and 2 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pharmacologic MRI Brain Imaging Studies of Serotonin 5-HTPharmacology research & perspectives · 2026
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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

12 authors at 3 institutions in 3 countries.

Yawen GanDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Dongning SuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zhe ZhangChina National Clinical Research Center for Neurological Diseases, Beijing, China.
Zhijin ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Rui YanDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zhu LiuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zhan WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Junhong ZhouHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Roslindale, Massachusetts, USA.ORCID 0000-0002-7931-7646
Joyce S T LamPacific Parkinson's Research Centre, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.
Tao WuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jing JingDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-9822-5758
Tao FengDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-8530-4622
Capital Medical University · CNHarvard University · USUniversity of British Columbia · CA

Funding

Beijing Municipal Natural Science Foundation 7212031National Natural Science Foundation of ChinaNatural Science Foundation of Beijing MunicipalityNatural Science Foundation of China 82071422Natural Science Foundation of China 82271459
6 · The paper itself

Abstract

background and purposeThe ventral pallidum (VP) regulates involuntary movements, but it is unclear whether the VP regulates the abnormal involuntary movements in Parkinson's disease (PD) patients who have levodopa-induced dyskinesia (LID). To further understand the role of the VP in PD patients with LID (PD-LID), we explored the structural and functional characteristics of the VP in such patients using multimodal magnetic resonance imaging (MRI).

methodsThirty-one PD-LID patients, 39 PD patients without LID (PD-nLID), and 28 healthy controls (HCs) underwent T1-weighted MRI, quantitative susceptibility mapping, multi-shell diffusion MRI, and resting-state functional MRI (rs-fMRI). Different measures characterizing the VP were obtained using a region-of-interest-based approach.

resultsThe left VP in the PD-LID group showed significantly higher intracellular volume fraction (ICVF) and isotropic volume fraction (IsoVF) compared with the PD-nLID and HC groups. Rs-MRI revealed that, compared with the PD-nLID group, the PD-LID group in the medication 'off' state had higher functional connectivity (FC) between the left VP and the left anterior caudate, left middle frontal gyrus and left precentral gyrus, as well as between the right VP and the right posterior ventral putamen and right mediodorsal thalamus. In addition, the ICVF values of the left VP, the FC between the left VP and the left anterior caudate and left middle frontal gyrus were positively correlated with Unified Dyskinesia Rating Scale scores.

conclusionOur multimodal imaging findings show that the microstructural changes of the VP (i.e., the higher ICVF and IsoVF) and the functional change in the ventral striatum-VP-mediodorsal thalamus-cortex network may be associated with pathophysiological mechanisms of PD-LID.

Indexed as

Basal ForebrainDyskinesia, Drug-InducedParkinson DiseaseHumansLevodopaMagnetic Resonance ImagingLevodopalevodopa-induced dyskinesiaMRImultimodalParkinson's diseaseventral pallidum

Identifiers

PMID37975786
PMCPMC11235694
OpenAlexW4388783209

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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.