Evidence map›Paper›PMID 40972830›Full record

ArticleNeuroImage2025

Motor-cognitive aging: The role of motor cortex and its pathways.

Jiaqi Wen, Zifei Liang, Chenyang Li, Huize Pang, Li Jiang, Jiayi Li, Xiaojun Guan, Jiangyang Zhang, Henry Rusinek, Xiaojun Xu and 1 more

Abstract read
In one paragraph

Article in NeuroImage, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

11 authors.

Jiaqi WenDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA; Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China.
Zifei LiangDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA.
Chenyang LiDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA.
Huize PangDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA.
Li JiangDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA.
Jiayi LiDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA.
Xiaojun GuanDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China.
Jiangyang ZhangDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA.
Henry RusinekDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA.
Xiaojun XuDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, China.
Yulin GeDepartment of Radiology, NYU Grossman School of Medicine, NY, NY 10016, USA. Electronic address: Yulin.Ge@nyulangone.org.

Funding

TR&D 4: Revealing Microstructure: Biophysical modeling and validation for discovery and clinical careP41EB017183 · NIBIB · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Daniel K Sodickson · 2014 to 2026
$19.3M
NIBIB NIH HHS P41 EB017183
6 · The paper itself

Abstract

backgroundMotor and cognitive decline are hallmark features of aging. In the primary motor cortex (M1), pyramidal neurons project to the corticospinal tract (CST), a well-established motor pathway, and send collaterals to the ipsilateral striatum, forming the corticostriatal tract (CStrT). While the CST has been extensively studied, the role of the CStrT in motor and cognitive aging remains poorly understood.

methodsWe analyzed T1- and T2-weighted MRI, multi-delay arterial spin labeling, and multi-shell diffusion MRI data from 339 right-handed healthy adults (aged 36-90 years) in the Human Connectome Project-Aging dataset. Age-related trajectories of M1 structure and hemodynamics, as well as CST and CStrT microstructure, were assessed. Segment-wise along-tract analyses were conducted to identify localized tract degeneration. Mediation analyses were performed to examine whether tract integrity linked M1 atrophy to motor and cognitive performance.

resultsWith age, M1 exhibited reduced volume and hemodynamics, altered T1/T2 ratio, and increased cortical curvature, reflecting structural and hemodynamic alterations. Along-tract analyses revealed localized microstructural degeneration in the CST adjacent to M1, whereas the CStrT showed more extensive degeneration along its trajectory. These tract changes were associated with structural and hemodynamic alterations in M1. Furthermore, integrity of the dominant (left) CST and CStrT mediated the relationship between ipsilateral M1 atrophy and motor decline. Notably, CStrT integrity also mediated the association between M1 atrophy and motor cognition decline.

conclusionThese findings establish age-related structural and functional degeneration of M1 and its pathways, highlighting the CStrT as a critical mediator between motor cortical atrophy and both motor and cognitive decline. These normative imaging markers of healthy aging may help inform the early detection of neurodegenerative diseases.

Indexed as

AgingCognitive AgingMotor CortexPyramidal TractsAdultAgedAged, 80 and overConnectomeFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedAgingHemodynamicsHuman connectome projectMotor CognitionPrimary motor cortexStructureWhite matter tracts

Identifiers

PMID40972830
PMCPMC13060929

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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.