Evidence map›Paper›PMID 40322896›Full record

ArticleMovement disorders clinical practice2025

Functional Connectivity and Volumetrics Improve Outcome Prediction for Deep Brain Stimulation in Parkinson's Disease.

John R Younce, Scott A Norris, Mwiza Ushe, Joel S Perlmutter

Abstract read
In one paragraph

Article in Movement disorders clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

John R YounceDepartment of Neurology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID https://orcid.org/0000-0003-4822-9608
Scott A NorrisDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.ORCID https://orcid.org/0000-0002-3835-0976
Mwiza UsheDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.
Joel S PerlmutterDepartment of Neurology, Washington University in St Louis, St Louis, MO, USA.

Funding

MECHANISMS OF DEEP BRAIN STIMULATIONR01NS041509 · NINDS · WASHINGTON UNIVERSITY · PI PERLMUTTER, JOEL SYNES · 2001 to 2015
$6.8M
The Role of Striatal Cholinergic Interneurons in DystoniaR01NS124789 · NINDS · WASHINGTON UNIVERSITY · PI Scott Allen Norris · 2022 to 2026
$3.0M
Prediction of outcomes for deep brain stimulation using multimodal MRIK23NS121630 · NINDS · WASHINGTON UNIVERSITY · PI John Robert Younce · 2022 to 2026
$907k
American Parkinson Disease AssociationFixel FoundationFoundation for Barnes-Jewish HospitalJo Oertli FundNIH HHS K23 NS121630NIH HHS R01 NS041509NINDS NIH HHS K23 NS121630NINDS NIH HHS R01 NS041509NINDS NIH HHS R01 NS124789Paula and Rodger Riney Fund
6 · The paper itself

Abstract

backgroundDeep brain stimulation (DBS) targeting the subthalamic nucleus (STN) can effectively treat motor symptoms of Parkinson's disease (PD). However, optimal patient selection remains challenging due to the inadequacy of outcome predictors. Most clinicians rely on levodopa response to predict DBS motor outcomes, yet previous studies have identified other MRI-based predictors including resting-state functional connectivity (FC) and volumetric measures.

objectivesTo compare the predictive value of functional and volumetric MRI data with levodopa response alone for motor outcomes in STN DBS for PD.

methodsWe analyzed 65 participants who underwent STN DBS for PD at Washington University in St. Louis. We used relaxed LASSO regression to select factors including clinical, volumetric, and FC measures to generate predictive models for relative changes in motor scores post-DBS and assessed cross-validated performance. We then compared the relative influence of the predictive factors with standardized regression coefficients.

resultsAddition of MRI predictors (FC and volumetric) improved model fit and cross-validated model performance over levodopa response alone (levodopa alone: R

conclusionsIncluding MRI-based predictors significantly enhances the prediction of motor outcomes in STN DBS compared to levodopa response alone, with FC predictors demonstrating the greatest influence in the optimized model. External validation studies are necessary to confirm the clinical utility of these predictors in routine practice.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusAgedAntiparkinson AgentsFemaleHumansLevodopaMagnetic Resonance ImagingMaleMiddle AgedTreatment OutcomeAntiparkinson AgentsLevodopaclinical predictiondeep brain stimulationfunctional connectivityParkinson's diseasevolumetric MRI

Identifiers

PMID40322896
PMCPMC12481425

What OpenQuestion holds

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LicenceCC BY
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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.