Patterns of grey matter loss associated with motor subscores in early Parkinson's disease

Classical motor symptoms of Parkinson's disease (PD) such as tremor, rigidity, bradykinesia, and axial symptoms are graded in the Movement Disorders Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) III. It is yet to be ascertained whether parkinsonian motor symptoms are associa...

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Main Authors: Li, Xingfeng, Xing, Yue, Martin-Bastida, Antonio, Piccini, Paola, Auer, Dorothee P.
Format: Article
Published: Elsevier 2017
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Online Access:https://eprints.nottingham.ac.uk/48360/
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author Li, Xingfeng
Xing, Yue
Martin-Bastida, Antonio
Piccini, Paola
Auer, Dorothee P.
author_facet Li, Xingfeng
Xing, Yue
Martin-Bastida, Antonio
Piccini, Paola
Auer, Dorothee P.
author_sort Li, Xingfeng
building Nottingham Research Data Repository
collection Online Access
description Classical motor symptoms of Parkinson's disease (PD) such as tremor, rigidity, bradykinesia, and axial symptoms are graded in the Movement Disorders Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) III. It is yet to be ascertained whether parkinsonian motor symptoms are associated with different anatomical patterns of neurodegeneration as reflected by brain grey matter (GM) alteration. This study aimed to investigate associations between motor subscores and brain GM at voxel level. High resolution structural MRI T1 scans from the Parkinson's Progression Markers Initiative (PPMI) repository were employed to estimate brain GM intensity of PD subjects. Correlations between GM intensity and total MDS-UPDRS III and its four subscores were computed. The total MDS-UPDRS III score was significantly negatively correlated bilaterally with putamen and caudate GM density. Lower anterior striatal GM intensity was significantly associated with higher rigidity subscores, whereas left-sided anterior striatal and precentral cortical GM reduction were correlated with severity of axial symptoms. No significant morphometric associations were demonstrated for tremor subscores. In conclusion, we provide evidence for neuroanatomical patterns underpinning motor symptoms in early PD.
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spelling nottingham-483602020-05-04T19:16:55Z https://eprints.nottingham.ac.uk/48360/ Patterns of grey matter loss associated with motor subscores in early Parkinson's disease Li, Xingfeng Xing, Yue Martin-Bastida, Antonio Piccini, Paola Auer, Dorothee P. Classical motor symptoms of Parkinson's disease (PD) such as tremor, rigidity, bradykinesia, and axial symptoms are graded in the Movement Disorders Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) III. It is yet to be ascertained whether parkinsonian motor symptoms are associated with different anatomical patterns of neurodegeneration as reflected by brain grey matter (GM) alteration. This study aimed to investigate associations between motor subscores and brain GM at voxel level. High resolution structural MRI T1 scans from the Parkinson's Progression Markers Initiative (PPMI) repository were employed to estimate brain GM intensity of PD subjects. Correlations between GM intensity and total MDS-UPDRS III and its four subscores were computed. The total MDS-UPDRS III score was significantly negatively correlated bilaterally with putamen and caudate GM density. Lower anterior striatal GM intensity was significantly associated with higher rigidity subscores, whereas left-sided anterior striatal and precentral cortical GM reduction were correlated with severity of axial symptoms. No significant morphometric associations were demonstrated for tremor subscores. In conclusion, we provide evidence for neuroanatomical patterns underpinning motor symptoms in early PD. Elsevier 2017-11-10 Article PeerReviewed Li, Xingfeng, Xing, Yue, Martin-Bastida, Antonio, Piccini, Paola and Auer, Dorothee P. (2017) Patterns of grey matter loss associated with motor subscores in early Parkinson's disease. NeuroImage: Clinical, 17 . pp. 498-504. ISSN 2213-1582 Parkinson's disease; MDS-UPDRS III; Motor symptoms; MRI grey matter; PD subtypes https://doi.org/10.1016/j.nicl.2017.11.009 doi:10.1016/j.nicl.2017.11.009 doi:10.1016/j.nicl.2017.11.009
spellingShingle Parkinson's disease; MDS-UPDRS III; Motor symptoms; MRI grey matter; PD subtypes
Li, Xingfeng
Xing, Yue
Martin-Bastida, Antonio
Piccini, Paola
Auer, Dorothee P.
Patterns of grey matter loss associated with motor subscores in early Parkinson's disease
title Patterns of grey matter loss associated with motor subscores in early Parkinson's disease
title_full Patterns of grey matter loss associated with motor subscores in early Parkinson's disease
title_fullStr Patterns of grey matter loss associated with motor subscores in early Parkinson's disease
title_full_unstemmed Patterns of grey matter loss associated with motor subscores in early Parkinson's disease
title_short Patterns of grey matter loss associated with motor subscores in early Parkinson's disease
title_sort patterns of grey matter loss associated with motor subscores in early parkinson's disease
topic Parkinson's disease; MDS-UPDRS III; Motor symptoms; MRI grey matter; PD subtypes
url https://eprints.nottingham.ac.uk/48360/
https://eprints.nottingham.ac.uk/48360/
https://eprints.nottingham.ac.uk/48360/