Grey matter volume differences across Parkinson’s disease motor subtypes in the supplementary motor cortex
2024

Differences in Brain Volume in Parkinson's Disease Subtypes

Sample size: 600 publication 10 minutes Evidence: high

Author Information

Author(s): Martin A., Nassif J., Chaluvadi L., Schammel C., Newman-Norlund R., Bollmann S., Absher J.

Primary Institution: University of South Carolina

Hypothesis

SMC volume will be smaller in PIGD than TD and SMC patterns in the TD/PIGD system will differ from those of the TD/AR system.

Conclusion

The study found that grey matter volume in the supplementary motor cortex varies between Parkinson's disease subtypes and differs by sex.

Supporting Evidence

  • Neuroimaging biomarkers can differentiate PD subtypes and improve treatments.
  • The supplementary motor cortex is related to PD symptomology like freezing of gait.
  • SMC volume differs in females between the TD and PIGD subtypes.
  • In PD vs HC men and women show differences in SMC volume across sex and subtypes.
  • PD subtypes may need to be reevaluated to include sex and biomarkers.

Takeaway

This study looked at how the size of a part of the brain called the supplementary motor cortex is different in people with different types of Parkinson's disease, and it found that these differences can also depend on whether the person is male or female.

Methodology

Voxel-based processing was used to segment grey matter volume and extract region of interest values, with multi-factor ANCOVAs and Tukey Honest Significance Test for volumetric analyses.

Potential Biases

Potential selection bias due to exclusion of subjects with indeterminate MDS-UPDRS scores.

Limitations

The study's data quality and measures could not be controlled, and the sample was predominantly white, limiting generalizability.

Participant Demographics

Mean age was 63.1 years, with 36.8% female and 63.2% male participants, predominantly white (96.3%).

Statistical Information

P-Value

p=0.01

Confidence Interval

[-0.481, -0.0696]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.nicl.2024.103724

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