Parkinson's disease may disrupt overlapping subthalamic nucleus and pallidal motor networks.

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Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_956D6ACA8067
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Parkinson's disease may disrupt overlapping subthalamic nucleus and pallidal motor networks.
Journal
NeuroImage. Clinical
Author(s)
Santos A.N., Kherif F., Melie-Garcia L., Lutti A., Chiappini A., Rauschenbach L., Dinger T.F., Riess C., El Rahal A., Darkwah Oppong M., Sure U., Dammann P., Draganski B.
ISSN
2213-1582 (Electronic)
ISSN-L
2213-1582
Publication state
Published
Issued date
05/2023
Peer-reviewed
Oui
Volume
38
Pages
103432
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
There is an ongoing debate about differential clinical outcome and associated adverse effects of deep brain stimulation (DBS) in Parkinson's disease (PD) targeting the subthalamic nucleus (STN) or the globus pallidus pars interna (GPi). Given that functional connectivity profiles suggest beneficial DBS effects within a common network, the empirical evidence about the underlying anatomical circuitry is still scarce. Therefore, we investigate the STN and GPi-associated structural covariance brain patterns in PD patients and healthy controls. We estimate GPi's and STN's whole-brain structural covariance from magnetic resonance imaging (MRI) in a normative mid- to old-age community-dwelling cohort (n = 1184) across maps of grey matter volume, magnetization transfer (MT) saturation, longitudinal relaxation rate (R1), effective transversal relaxation rate (R2*) and effective proton density (PD*). We compare these with the structural covariance estimates in patients with idiopathic PD (n = 32) followed by validation using a reduced size controls' cohort (n = 32). In the normative data set, we observed overlapping spatially distributed cortical and subcortical covariance patterns across maps confined to basal ganglia, thalamus, motor, and premotor cortical areas. Only the subcortical and midline motor cortical areas were confirmed in the reduced size cohort. These findings contrasted with the absence of structural covariance with cortical areas in the PD cohort. We interpret with caution the differential covariance maps of overlapping STN and GPi networks in patients with PD and healthy controls as correlates of motor network disruption. Our study provides face validity to the proposed extension of the currently existing structural covariance methods based on morphometry features to multiparameter MRI sensitive to brain tissue microstructure.
Keywords
Humans, Subthalamic Nucleus, Parkinson Disease/diagnostic imaging, Parkinson Disease/therapy, Globus Pallidus/diagnostic imaging, Deep Brain Stimulation/methods, Basal Ganglia, Magnetic resonance imaging, Multi-parameter mapping, Parkinson’s disease, Structural covariance, Voxel-based morphometry, Voxel-based quantification
Pubmed
Web of science
Open Access
Yes
Create date
30/05/2023 11:26
Last modification date
21/10/2023 7:16
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