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Widespread increase of functional connectivity in Parkinson's disease with tremor: a resting-state fMRI study

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机构: [1]Department of Radiology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China [2]Guangzhou University of Chinese Medicine Postdoctoral Mobile Research Station, Guangzhou, China [3]Center for Cognition and Brain Disorders, Hangzhou Normal University, Hangzhou, China [4]Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments, Hangzhou, China
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关键词: Parkinson's disease tremor connectome centrality resting functional connectivity

摘要:
Parkinson's disease (PD) is a clinically heterogeneous disease in the symptomatology dominated by tremor, akinesia, or rigidity. Focusing on PD patients with tremor, this study investigated their discoordination patterns of spontaneous brain activity by combining voxel-wise centrality, seed-based functional connectivity, and network efficiency methods. Sixteen patients and 20 matched healthy controls (HCs) were recruited and underwent structural and resting-state functional MRI scan. Compared with the HCs, the patients exhibited increased centrality in the frontal, parietal, and occipital regions while decreased centrality in the cerebellum anterior lobe and thalamus. Seeded at these regions, a distributed network was further identified that encompassed cortical (default mode network, sensorimotor cortex, prefrontal and occipital areas) and subcortical (thalamus and basal ganglia) regions and the cerebellum and brainstem. Graph-based analyses of this network revealed increased information transformation efficiency in the patients. Moreover, the identified network correlated with clinical manifestations in the patients and could distinguish the patients from HCs. Morphometric analyses revealed decreased gray matter volume in multiple regions that largely accounted for the observed functional abnormalities. Together, these findings provide a comprehensive view of network disorganization in PD with tremor and have important implications for understanding neural substrates underlying this specific type of PD.

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基金编号: Nos. 81301284 and 31371049

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出版当年[2014]版:
大类 | 2 区 医学
小类 | 2 区 老年医学 3 区 神经科学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 老年医学 3 区 神经科学
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出版当年[2013]版:
Q2 GERIATRICS & GERONTOLOGY Q3 NEUROSCIENCES
最新[2023]版:
Q2 GERIATRICS & GERONTOLOGY Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2013版] 出版当年五年平均 出版前一年[2012版] 出版后一年[2014版]

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第一作者机构: [1]Department of Radiology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China [2]Guangzhou University of Chinese Medicine Postdoctoral Mobile Research Station, Guangzhou, China
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通讯作者:
通讯机构: [1]Department of Radiology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China [3]Center for Cognition and Brain Disorders, Hangzhou Normal University, Hangzhou, China [4]Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments, Hangzhou, China [*1]Department of Radiology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China [*2]Center for Cognition and Brain Disorders, Hangzhou Normal University, Hangzhou 311121, China
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