Evidence map›Paper›PMID 40852051›Full record

ArticleClinical neuroimaging (Hoboken, N.J.)2025

A 7-tesla study of cerebellar alterations relating to bladder control in women with multiple sclerosis voiding dysfunction using functional connectivity.

Kevin Colbert, Betsy Salazar, Charles Mazeaud, Kristopher Hoffman, Ahmed Bayoumi, Jessica A Bernard, John Lincoln, Rose Khavari

Abstract read
In one paragraph

Article in Clinical neuroimaging (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Kevin ColbertTexas A&M College of Medicine, Houston, TX, USA.
Betsy SalazarDepartment of Urology, Houston Methodist Hospital, Houston, TX, USA.
Charles MazeaudDepartment of Urology, Nancy University Hospital, Nancy, France.
Kristopher HoffmanDepartment of Urology, Houston Methodist Hospital, Houston, TX, USA.
Ahmed BayoumiDepartment of Neurology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Jessica A BernardDepartment of Psychological and Brain Sciences, Texas A&M University, College Station, Texas, USA.
John LincolnDepartment of Neurology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Rose KhavariDepartment of Urology, Houston Methodist Hospital, Houston, TX, USA.

Funding

A randomized, sham-controlled clinical trial evaluating individualized neuromodulation of cortical regions involved in neurogenic overactive bladder in Multiple SclerosisR01DK134340 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Rose Khavari · 2023 to 2026
$1.4M
SUPRASPINAL TARGETS IN NEUROGENIC VOIDING DYSFUNCTIONK23DK118209 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI KHAVARI, ROSE · 2018 to 2021
$546k
High-resolution mapping of the human brainstem during continence and micturition: noninvasive in vivo 7 Tesla fMRI studyR03DK126994 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI KHAVARI, ROSE · 2021 to 2022
$242k
NIDDK NIH HHS K23 DK118209NIDDK NIH HHS R01 DK134340NIDDK NIH HHS R03 DK126994
6 · The paper itself

Abstract

Background and Purpose: Neurogenic lower urinary tract dysfunction (NLUTD) affects over 80% of individuals with multiple sclerosis (MS), leading to significant morbidity and mortality due to storage and voiding dysfunction. This study aims to investigate the altered functional connectivity (FC) in cerebellar regions involved in bladder control in women with MS and NLUTD, compared to healthy controls, in both empty and full bladder states using concurrent urodynamics and functional magnetic resonance imaging (fMRI). Methods: We recruited 11 women with clinically stable MS and NLUTD and 10 healthy controls. Brain imaging data was collected using 7T MRI scanners, and functional connectivity was analyzed with three cerebellar regions of interest (ROIs) associated with bladder control. Functional connectivity data was processed using the CONN toolbox, and FC patterns were compared between groups during both resting empty and full bladder states. Results: In the empty bladder state, MS patients exhibited stronger intracerebellar FC, particularly in the right Crus 1, suggesting decreased motor control of the pelvic floor. Additionally, decreased FC was observed in the precuneus and prefrontal cortex, regions associated with bladder control. During the full bladder state, MS patients showed decreased FC in temporal, occipital, and prefrontal cortex, indicating impaired executive control over voiding. Conclusion: This study highlights altered cerebellar connectivity in MS patients with NLUTD, providing novel insights into the neural mechanisms underlying bladder dysfunction and identifying potential therapeutic targets for restoring continence.

Indexed as

7-teslafMRIFunctional ConnectivityMultiple SclerosisVoiding dysfunction

Identifiers

PMID40852051
PMCPMC12369983

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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.