Patterns of diffusion kurtosis changes in Parkinson's disease subtypes

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F20%3A00074045" target="_blank" >RIV/00159816:_____/20:00074045 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14740/20:00118221 RIV/00216305:26220/20:PU137578

Result on the web

<a href="https://www.sciencedirect.com/science/article/pii/S1353802020308257" target="_blank" >https://www.sciencedirect.com/science/article/pii/S1353802020308257</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.parkreldis.2020.10.032" target="_blank" >10.1016/j.parkreldis.2020.10.032</a>

Result language

angličtina

Original language name

Patterns of diffusion kurtosis changes in Parkinson's disease subtypes

Original language description

Background: Diffusion kurtosis imaging has been applied to evaluate white matter and basal ganglia microstructure in mixed Parkinson&apos;s disease (PD) groups with inconclusive results. Objectives: To evaluate specific patterns of kurtosis changes in PD and to assess the utility of diffusion imaging in differentiating between healthy subjects and cognitively normal PD, and between PD with and without mild cognitive impairment. Methods: Diffusion scans were obtained in 92 participants using 3T MRI. Differences in white matter were tested by tract-based spatial statistics. Gray matter was evaluated in basal ganglia, thalamus, hippocampus, and motor and premotor cortices. Brain atrophy was also assessed. Multivariate logistic regression was used to identify a combination of diffusion parameters with the highest discrimination power between groups. Results: Diffusion kurtosis metrics showed a significant increase in substantia nigra (p = 0.037, Hedges&apos; g = 0.89), premotor (p = 0.009, Hedges&apos; g = 0.85) and motor (p = 0.033, Hedges&apos; g = 0.87) cortices in PD with normal cognition compared to healthy participants. Combined diffusion markers in gray matter reached 81% accuracy in differentiating between both groups. Significant white matter microstructural changes, and kurtosis decreases in the cortex were present in cognitively impaired versus cognitively normal PD. Diffusion parameters from white and gray matter differentiated between both PD phenotypes with 78% accuracy. Conclusions: Increased kurtosis in gray matter structures in cognitively normal PD reflects increased hindrance to water diffusion caused probably by alpha-synuclein-related microstructural changes. In cognitively impaired PD, the changes are mostly driven by decreased white matter integrity. Our results support the utility of diffusion kurtosis imaging for PD diagnostics.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30210 - Clinical neurology

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Parkinsonism &amp; Related Disorders

ISSN

1353-8020

e-ISSN

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Volume of the periodical

81

Issue of the periodical within the volume

DEC 2020

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

96-102

UT code for WoS article

000603067300023

EID of the result in the Scopus database

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