Evidence map›Paper›PMID 38762510›Full record

ArticleNPJ Parkinson's disease2024

Microstructure predicts non-motor outcomes following deep brain stimulation in Parkinson's disease.

Philipp A Loehrer, Miriam H A Bopp, Haidar S Dafsari, Sieglinde Seltenreich, Susanne Knake, Christopher Nimsky, Lars Timmermann, David J Pedrosa, Marcus Belke

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Diffusion tensor imaging in chronic tension-type headache.Frontiers in pain research (Lausanne, Switzerland) · 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

9 authors.

Philipp A LoehrerDepartment of Neurology, Philipps-University Marburg, Marburg, Germany. Loehrer@staff.uni-marburg.de.ORCID http://orcid.org/0000-0002-5279-2156
Miriam H A BoppDepartment of Neurosurgery, Philipps-University Marburg, Marburg, Germany.ORCID http://orcid.org/0000-0003-1574-7572
Haidar S DafsariDepartment of Neurology, University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-8849-4233
Sieglinde SeltenreichDepartment of Neurology, Philipps-University Marburg, Marburg, Germany.
Susanne KnakeDepartment of Neurology, Philipps-University Marburg, Marburg, Germany.
Christopher NimskyDepartment of Neurosurgery, Philipps-University Marburg, Marburg, Germany.ORCID http://orcid.org/0000-0002-8216-9410
Lars TimmermannDepartment of Neurology, Philipps-University Marburg, Marburg, Germany.
David J Pedrosa *Department of Neurology, Philipps-University Marburg, Marburg, Germany.ORCID http://orcid.org/0000-0002-5403-1959
Marcus Belke *Department of Neurology, Philipps-University Marburg, Marburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep brain stimulation of the subthalamic nucleus (STN-DBS) effectively treats motor and non-motor symptoms in advanced Parkinson's disease (PD). As considerable interindividual variability of outcomes exists, neuroimaging-based biomarkers, including microstructural metrics, have been proposed to anticipate treatment response. In this prospective open-label study, we sought to detect microstructural properties of brain areas associated with short-term non-motor outcomes following STN-DBS. Thirty-seven PD patients underwent diffusion MRI and clinical assessments at preoperative baseline and 6-month follow-up. Whole brain voxel-wise analysis assessed associations between microstructural metrics and non-motor outcomes. Intact microstructure within specific areas, including the right insular cortex, right putamen, right cingulum, and bilateral corticospinal tract were associated with greater postoperative improvement of non-motor symptom burden. Furthermore, microstructural properties of distinct brain regions were associated with postoperative changes in sleep, attention/memory, urinary symptoms, and apathy. In conclusion, diffusion MRI could support preoperative patient counselling by identifying patients with above- or below-average non-motor responses.

Identifiers

PMID38762510
PMCPMC11102428

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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.