Distribution pattern of iron deposition in the basal ganglia of different motor subtypes of Parkinson's disease

Copyright © 2023 Elsevier B.V. All rights reserved..

OBJECTIVE: The quantitative susceptibility mapping (QSM) technique was used to analyze the distribution pattern of iron deposition in the basal ganglia region of patients with motor subtypes of Parkinson's disease (PD) and to explore the difference in iron content in the basal ganglia region of PD motor subtypes on the major motor symptomatic side.

METHODS: The study included 76 patients with PD and 37 healthy controls (HC). Patients with PD were divided into two groups: postural instability/gait disorder (PIGD)(n = 48), and tremor dominance (TD)(n = 28). We classified patients with PD according to the side of the major motor symptoms as left PIGD (n = 23), left TD (n = 14), right PIGD (n = 25), and right TD (n = 14). All subjects underwent brain magnetic resonance scanning to obtain QSM and susceptibility values in the corresponding regions of interest (ROI).

RESULTS: (1) Compared with the HC, the bilateral SN in the PD-PIGD and TD group showed greater susceptibility values. The susceptibility values in the left CN, bilateral PUT were also greater in the PD-PIGD group than the HC. (2) Compared with the TD, the left PUT susceptibility values were greater in the PIGD group, especially in patients whose major symptomatic side were on the right limb. (3) Correlation analysis showed that in the PD group, bilateral SN was positively correlated with the unified Parkinson's disease rating scale III part scores of the Movement Disorder Society (MDS-UPDRS III) and the Hoehn-Yahr stage. Bilateral dentate nucleus (DN) susceptibility values were significantly positively correlated with TD scores, and left PUT susceptibility values were positively correlated with PIGD scores. The left SN within the PIGD group was positively correlated with the PIGD score.

CONCLUSION: There were different iron deposition patterns in the basal ganglia between the PD-PIGD and TD groups. There also seems to be a difference in iron deposition in PD motor subtypes on different major motor symptom sides.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:807

Enthalten in:

Neuroscience letters - 807(2023) vom: 11. Juni, Seite 137249

Sprache:

Englisch

Beteiligte Personen:

Zhang, Xun [VerfasserIn]
Li, Lei [VerfasserIn]
Qi, Longxiu [VerfasserIn]
Fu, Yigang [VerfasserIn]
Sun, Dingming [VerfasserIn]
Chen, Songjie [VerfasserIn]
Xu, Weihu [VerfasserIn]
Liu, Changxia [VerfasserIn]
Zhou, Xiao [VerfasserIn]
He, Guojun [VerfasserIn]

Links:

Volltext

Themen:

Basal ganglia
E1UOL152H7
Iron
Iron deposition
Journal Article
Motor subtype
Parkinson's disease
Quantitative susceptibility mapping
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 10.05.2023

Date Revised 18.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.neulet.2023.137249

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355651459