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Within- and across-network alterations of the sensorimotor network in Parkinson’s disease

Authors: Bernd Turowski; Simon B. Eickhoff; Simon B. Eickhoff; Christian Mathys; Christian Mathys; Julian Caspers; Julian Caspers; +9 Authors

Within- and across-network alterations of the sensorimotor network in Parkinson’s disease

Abstract

Abstract Purpose Parkinson’s disease (PD) is primarily defined by motor symptoms and is associated with alterations of sensorimotor areas. Evidence for network changes of the sensorimotor network (SMN) in PD is inconsistent and a systematic evaluation of SMN in PD yet missing. We investigate functional connectivity changes of the SMN in PD, both, within the network, and to other large-scale connectivity networks. Methods Resting-state fMRI was assessed in 38 PD patients under long-term dopaminergic treatment and 43 matched healthy controls (HC). Independent component analysis (ICA) into 20 components was conducted and the SMN was identified within the resulting networks. Functional connectivity within the SMN was analyzed using a dual regression approach. Connectivity between the SMN and the other networks from group ICA was investigated with FSLNets. We investigated for functional connectivity changes between patients and controls as well as between medication states (OFF vs. ON) in PD and for correlations with clinical parameters. Results There was decreased functional connectivity within the SMN in left inferior parietal and primary somatosensory cortex in PD OFF. Across networks, connectivity between SMN and two motor networks as well as two visual networks was diminished in PD OFF. All connectivity decreases partially normalized in PD ON. Conclusion PD is accompanied by functional connectivity losses of the SMN, both, within the network and in interaction to other networks. The connectivity changes in short- and long-range connections are probably related to impaired sensory integration for motor function in PD. SMN decoupling can be partially compensated by dopaminergic therapy.

Country
Germany
Keywords

Brain Mapping, Neural Pathways, Humans, Parkinson Disease, Sensorimotor integration ; Dopaminergic therapy ; Humans [MeSH] ; Functional Neuroradiology ; Neural Pathways/diagnostic imaging [MeSH] ; Parkinson Disease/drug therapy [MeSH] ; Magnetic Resonance Imaging [MeSH] ; Parkinson Disease/diagnostic imaging [MeSH] ; Sensorimotor Cortex/diagnostic imaging [MeSH] ; Resting-state fMRI ; Brain Mapping [MeSH] ; Functional connectivity ; Parkinson’s disease, Functional Neuroradiology, Sensorimotor Cortex, Magnetic Resonance Imaging, info:eu-repo/classification/ddc/610

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
66
Top 1%
Top 10%
Top 1%
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