Article (Scientific journals)
International Multicenter Analysis of Brain Structure Across Clinical Stages of Parkinson's Disease
Laansma, M.A.; Bright, J.K.; Al-Bachari, S. et al.
2021In Movement Disorders, 36 (11), p. 2583 - 2594
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Keywords :
brain; disease severity; ENIGMA; MRI; Parkinson's disease; adult; amygdala; Article; brain size; cohort analysis; controlled study; cortical thickness (brain); female; Hoehn and Yahr scale; human; in vivo study; major clinical study; male; Montreal cognitive assessment; multicenter study; neuroimaging; nuclear magnetic resonance imaging; occipital cortex; parietal cortex; Parkinson disease; putamen; structure analysis; surface area; temporal cortex; thalamus; clinical trial; complication; diagnostic imaging; pathology; Brain; Humans; Magnetic Resonance Imaging; Neuroimaging; Parkinson Disease; Thalamus
Abstract :
[en] Background: Brain structure abnormalities throughout the course of Parkinson's disease have yet to be fully elucidated. Objective: Using a multicenter approach and harmonized analysis methods, we aimed to shed light on Parkinson's disease stage-specific profiles of pathology, as suggested by in vivo neuroimaging. Methods: Individual brain MRI and clinical data from 2357 Parkinson's disease patients and 1182 healthy controls were collected from 19 sources. We analyzed regional cortical thickness, cortical surface area, and subcortical volume using mixed-effects models. Patients grouped according to Hoehn and Yahr stage were compared with age- and sex-matched controls. Within the patient sample, we investigated associations with Montreal Cognitive Assessment score. Results: Overall, patients showed a thinner cortex in 38 of 68 regions compared with controls (dmax = −0.20, dmin = −0.09). The bilateral putamen (dleft = −0.14, dright = −0.14) and left amygdala (d = −0.13) were smaller in patients, whereas the left thalamus was larger (d = 0.13). Analysis of staging demonstrated an initial presentation of thinner occipital, parietal, and temporal cortices, extending toward rostrally located cortical regions with increased disease severity. From stage 2 and onward, the bilateral putamen and amygdala were consistently smaller with larger differences denoting each increment. Poorer cognition was associated with widespread cortical thinning and lower volumes of core limbic structures. Conclusions: Our findings offer robust and novel imaging signatures that are generally incremental across but in certain regions specific to disease stages. Our findings highlight the importance of adequately powered multicenter collaborations. © 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. © 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society
Disciplines :
Neurology
Radiology, nuclear medicine & imaging
Author, co-author :
Laansma, M.A.;  Department of Anatomy & Neurosciences, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
Bright, J.K.;  Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, United States
Al-Bachari, S.;  Faculty of Health and Medicine, The University of Lancaster, Lancaster, United Kingdom, Division of Neuroscience and Experimental Psychology, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, Department of Neurology, Royal Preston Hospital, Preston, United Kingdom
Anderson, T.J.;  Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand
Ard, T.;  Department of Neurology, USC Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, United States
Assogna, F.;  Laboratory of Neuropsychiatry, IRCCS Santa Lucia Foundation, Rome, Italy
Baquero Duarte, Katherine Andrea ;  Université de Liège - ULiège > GIGA
Berendse, H.W.;  Department of Neurology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands
Blair, J.;  Department of Medical Imaging, University of Virginia Health System, Charlottesville, VA, United States
Cendes, F.;  Neuroimaging Laboratory, Department of Neurology, University of Campinas, Campinas, Brazil
Dalrymple-Alford, J.C.;  New Zealand Brain Research Institute, Christchurch, New Zealand, School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand, Brain Research New Zealand - Rangahau Roro Aotearoa, Centre of Research Excellence, Auckland, New Zealand
de Bie, R.M.A.;  Department of Neurology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands
Debove, I.;  Department of Neurology, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland
Dirkx, M.F.;  Department of Neurology and Center of Expertise for Parkinson & Movement Disorders, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands
Druzgal, J.;  Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, United States
Emsley, H.C.A.;  Division of Neuroscience and Experimental Psychology, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, Lancaster Medical School, Lancaster University, Preston, United Kingdom
Garraux, Gaëtan  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de neurologie
Guimarães, R.P.;  Neuroimaging Laboratory, Department of Neurology, University of Campinas, Campinas, Brazil
Gutman, B.A.;  Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, United States
Helmich, R.C.;  Department of Neurology and Center of Expertise for Parkinson & Movement Disorders, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands
Klein, J.C.;  Department of Clinical Neurosciences, Division of Clinical Neurology, Oxford Parkinson's Disease Centre, Nuffield, University of Oxford, Oxford, United Kingdom
Mackay, C.E.;  Department of Psychiatry, University of Oxford, Oxford, United Kingdom
McMillan, C.T.;  University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States
Melzer, T.R.;  Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand, New Zealand Brain Research Institute, Christchurch, New Zealand, Brain Research New Zealand - Rangahau Roro Aotearoa, Centre of Research Excellence, Auckland, New Zealand
Parkes, L.M.;  Division of Neuroscience and Experimental Psychology, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom
Piras, F.;  Laboratory of Neuropsychiatry, IRCCS Santa Lucia Foundation, Rome, Italy
Pitcher, T.L.;  Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand, New Zealand Brain Research Institute, Christchurch, New Zealand, Brain Research New Zealand - Rangahau Roro Aotearoa, Centre of Research Excellence, Auckland, New Zealand
Poston, K.L.;  Department of Neurology & Neurological Sciences, Stanford University, Palo Alto, CA, United States
Rango, M.;  Excellence Center for Advanced MR Techniques and Parkinson's Disease Center, Neurology Unit, Fondazione IRCCS Cà Granda Maggiore Policlinico Hospital, University of Milan, Milan, Italy
Ribeiro, L.F.;  Neuroimaging Laboratory, Department of Neurology, University of Campinas, Campinas, Brazil
Rocha, C.S.;  Neuroimaging Laboratory, Department of Neurology, University of Campinas, Campinas, Brazil, Department of Medical Genetics, University of Campinas, Campinas, Brazil
Rummel, C.;  Support Center for Advanced Neuroimaging (SCAN), University Institute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Bern, Switzerland
Santos, L.S.R.;  Neuroimaging Laboratory, Department of Neurology, University of Campinas, Campinas, Brazil
Schmidt, R.;  Department of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Graz, Austria
Schwingenschuh, P.;  Department of Neurology, Medical University of Graz, Graz, Austria
Spalletta, G.;  Laboratory of Neuropsychiatry, IRCCS Santa Lucia Foundation, Rome, Italy
Squarcina, L.;  Excellence Center for Advanced MR Techniques and Parkinson's Disease Center, Neurology Unit, Fondazione IRCCS Cà Granda Maggiore Policlinico Hospital, University of Milan, Milan, Italy
van den Heuvel, O.A.;  Department of Anatomy & Neurosciences, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands, Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
Vriend, C.;  Department of Anatomy & Neurosciences, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands, Psychiatry, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
Wang, J.-J.;  Department of Medical Imaging and Radiological Sciences, Chang Gung University, Taoyuan City, Taiwan, Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Keelung Branch, Keelung City, Taiwan
Weintraub, D.;  Department of  Psychiatry, University of Pennsylvania  Perelman School of Medicine, Philadelphia, PA, United States
Wiest, R.;  Support Center for Advanced Neuroimaging (SCAN), University Institute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Bern, Switzerland
Yasuda, C.L.;  Neuroimaging Laboratory, Department of Neurology, University of Campinas, Campinas, Brazil
Jahanshad, N.;  Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, United States
Thompson, P.M.;  Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, United States
van der Werf, Y.D.;  Department of Anatomy & Neurosciences, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
The ENIGMA-Parkinson's Study
More authors (37 more) Less
Language :
English
Title :
International Multicenter Analysis of Brain Structure Across Clinical Stages of Parkinson's Disease
Publication date :
2021
Journal title :
Movement Disorders
ISSN :
0885-3185
eISSN :
1531-8257
Publisher :
John Wiley and Sons Inc
Volume :
36
Issue :
11
Pages :
2583 - 2594
Peer reviewed :
Peer Reviewed verified by ORBi
Funding text :
Y.D.v.d.W.: none. M.A.L.: none. J.K.B.: none. S.A.: grant from the Dowager Countess Eleanor Peel Trust Medical Research Grant. T.J.A.: none. T.A.: grants from Alzheimer's Disease Neuroimaging Initiative (U01AG02490), Neurodegeneration in Aging Down Syndrome (U01AG051406). F.A.: none. K.A.B.: none. H.W.B.: grants from ZonMw, Michael J. Fox Foundation. J.B.: none. F.C.: Employment at National Council for Scientific and Technological Development (CNPq). J.C.D.: grants from New Zealand Neurological Foundation, Health Research Council of New Zealand, Brain Research New Zealand, School of Psychology, Speech and Hearing. R.M.A.d.B.: research support paid to the institution from Medtronic, Lysosomal Therapeutics, Neuroderm, ZonMw, Parkinson Vereniging, Stichting Parkinson Nederland. I.D.: grants from Boston Scientific, AbbVie, Medtronic, UCB, Bial. Reimbursement: Zambon, Boston Scientific. M.F.D.: none. J.D.: none. H.C.A.E.: grants from NIHR, EPSRC, MRC. G.G.: none. R.P.G.: Employment at National Council for Scientific and Technological Development (CNPq). B.A.G.: grant from Alzheimer's Association Grant 2018‐AARG‐592081. R.C.H.: grants from the Michael J. Fox Foundation (grants 16048 and 15581), Netherlands Organization for Scientific Research (VENI grant 91617077). J.C.K.: none. C.E.M.: none. C.T.M.: none. T.R.M.: none. L.M.P.: grants from Alzheimer's Society, EPSRC UK, EU. F.P.: grants from Italian Ministry of Health RC 19, RC 20. T.L.P.: grant from New Zealand Brain Research Institute; honorarium from Stata Australia Ltd. K.L.P.: grants from the Michael J. Fox Foundation for Parkinson's Research, NIH; honoraria from invited scientific presentations to universities and professional societies not exceeding $5000/year; reimbursement from Sanofi, AstraZeneca, Sangamo BioSciences; consultancies from Allergan, Curasen. M.R.: none. L.F.R.: employment at National Council for Scientific and Technological Development (CNPq). C.S.R.: employment at National Council for Scientific and Technological Development (CNPq). C.R.: grants from Swiss National Science Foundation (projects CRSK‐3_190817/1 and CRSII5_180365), Novartis AG (FreeNovation research grant). L.S.R.S.: employment at National Council for Scientific and Technological Development (CNPq). R.S.: none. P.S.: honoraria from AbbVie, GmbH. G.S.: none. L.S.: none. O.A.v.d.H.: VIDI grant from The Netherlands Organization for Health Research (ZonMw; project number: 91717306); consultancy from Lundbeck. C.V.: none. J.W.: grants MOST 109‐2314‐B‐182‐021‐MY3, MOST 109‐2221‐E‐182‐009‐MY3, MOST 106‐2314‐B‐182‐018‐MY3. D.W.: grants from Michael J. Fox Foundation for Parkinson's Research, Alzheimer's Therapeutic Research Initiative (ATRI), Alzheimer's Disease Cooperative Study (ADCS), the International Parkinson and Movement Disorder Society (IPMDS), the National Institute on Aging (NIA); honoraria from Acadia, Aptinyx, CHDI Foundation, Clintrex LLC (Alkahest, Aptinyx, Avanir, Otsuka), Eisai, Enterin, Great Lake Neurotechnologies, Janssen, Sage, Scion, Signant Health, Sunovion, and Vanda. license fee payments from the University of Pennsylvania for the QUIP and QUIP‐RS. R.W.: grants from the Swiss National Science Foundation (projects CRSII5_180365, 320030L_170060), Swiss Personalized Health Network (driver project 2018DRI10), Swiss Innovation Council (project 43087.1 IP‐LS) University of Bern (sitem‐insel Support Funds 2019), Biogen (research project CHE‐TYS‐18‐11,316). C.L.Y.: employment at National Council for Scientific and Technological Development (CNPq). N.J.: grants from Biogen Inc. P.M.T.: NIH grants U01AG024904, R01MH111671.
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