Evidence map›Paper›PMID 42204598›Full record

ArticleAnnals of neurology2026

Frequency- and Network-Specific Changes in Functional Connectivity Reflect Pathophysiological Mechanisms across Parkinson's Disease Stages.

Matteo Conti, Valentina D'Onofrio, Luca Lorenzon, Laura Ludovica Grassi, Davide Mascioli, Valerio Ferrari, Clara Simonetta, Sofia Pavan, Francesca Di Giuliano, Mariangela Pierantozzi and 6 more

Abstract read
In one paragraph

Article in Annals of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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. Article
4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Matteo ContiDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.ORCID https://orcid.org/0000-0003-2879-2209
Valentina D'OnofrioPadova Neuroscience Center, University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0002-5898-0967
Luca LorenzonDepartment of Neuroscience, University of Padua, Padua, Italy.
Laura Ludovica GrassiDepartment of Neuroscience, University of Padua, Padua, Italy.
Davide MascioliDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Valerio FerrariDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Clara SimonettaDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Sofia PavanDepartment of Neuroscience, University of Padua, Padua, Italy.
Francesca Di GiulianoNeuroradiology Unit, Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
Mariangela PierantozziDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Tommaso SchirinziDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.ORCID https://orcid.org/0000-0002-2517-6278
Diego CentonzeDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.ORCID https://orcid.org/0000-0002-8390-8545
Maurizio CorbettaPadova Neuroscience Center, University of Padua, Padua, Italy.
Angelo AntoniniDepartment of Neuroscience and Padova Neuroscience Center (PNC), University of Padova, Padova, Italy.
Alessandro StefaniDepartment of Systems Medicine, University of Rome "Tor Vergata", Rome, Italy.
Andrea GuerraPadova Neuroscience Center, University of Padua, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveParkinson's disease (PD) is increasingly conceptualized as a disorder of large-scale brain networks, yet whether and how frequency-specific functional connectivity reorganizes across stages remains poorly understood. In this study, we used high-density electroencephalography (EEG) to characterize cortico-cortical functional connectivity across the clinical spectrum of PD.

methodsWe performed high-density EEG in a cross-sectional cohort of 140 PD patients spanning early, intermediate, and advanced stages and 57 healthy controls. Cortico-cortical functional connectivity was reconstructed in source space across multiple frequency bands and analyzed using network-based statistics combined with machine-learning models to identify stage-dependent network alterations and evaluate their diagnostic and prognostic relevance.

resultsWe detected 3 distinct large-scale networks showing divergent trajectories across disease stages. An α-band network involving prefrontal and parieto-temporal regions exhibited progressive hypoconnectivity and was associated with cognitive and axial impairment. A β-band sensorimotor network showed progressive hyperconnectivity, paralleling bradykinesia severity. A high-γ network demonstrated increased connectivity in early PD, followed by a progressive connectivity breakdown, and was inversely associated with motor complications. Multiband integration achieved near-perfect discrimination between early PD and healthy controls and robust stratification across disease stages. Band-specific networks also predicted clinical milestones of disease progression, with preserved α connectivity identifying patients at lower risk for cognitive and axial impairment, and stronger high-γ connectivity indicating reduced vulnerability to motor complications.

interpretationTogether, these results identify frequency-specific cortical networks as markers of disease stage and clinical vulnerability and support high-density EEG connectivity as a scalable systems-level biomarker for diagnosis, staging, and risk stratification in PD. ANN NEUROL 2026;100:319-333.

Indexed as

Cerebral CortexNerve NetParkinson DiseaseAgedCross-Sectional StudiesDisease ProgressionElectroencephalographyFemaleHumansMaleMiddle AgedNeural Pathways

Identifiers

PMID42204598
PMCPMC13387975

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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.