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Disassociation between fluctuation shift over frequency and glucose metabolism in motor cortex of Parkinson's disease: a hybrid PET/fMRI study

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机构: [1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China, [2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Xuanwu Hospital, Beijing 100053, China, [3]Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China, [4]Beijing Engineering Research Center of Radiographic Techniques and Equipment, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049, China, [5]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China, [6]Center for Movement Disorders, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China, [7]China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
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关键词: Parkinson's disease hybrid PET MRI motor cortex brain fluctuation glucose metabolism

摘要:
Increased glucose metabolism and decreased low-frequency fluctuation have been consistently reported in the motor area of Parkinson's disease (PD). The reason for such seeming paradox is unclear. Here, we enrolled 34 PD patients and 25 healthy controls (HCs) for hybrid PET/fMRI scan (PET/fMRI((discovery)) dataset). In addition, 2 replication datasets, namely fMRI((validation-1)) and fMRI((validation-2)) dataset, were also included. We computed ratio of standard uptake value (SUVr) to measure FDG-uptake. The amplitude of low-frequency fluctuations (ALFF) for the following 4 frequency bands was calculated: slow-5, slow-4, slow-3, and slow-2. We obtained a significant group-by-frequency interaction effect of ALFF in the paracentral lobule/supplementary motor area (P-FWE = 0.003) and the right sensorimotor area (P-FWE < 0.001) in the PET/fMRI((discovery)) dataset, which could be replicated using fMRI((validation-1)) and fMRI((validation-2)) datasets (P-FWE < 0.05). In detail, HCs exhibited power law-like fluctuation pattern, but PD patients did not. Correlation analyses further revealed significant associations between ALFF and FDG-uptake in HCs (P-values < 0.031), but not in PD (P-values > 0.28). Taken together, this study identified a fluctuation shift over frequency effect in PD patients, which further disassociated with glucose metabolism in the motor cortex.

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大类 | 2 区 医学
小类 | 2 区 神经科学
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大类 | 2 区 医学
小类 | 3 区 神经科学
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Q2 NEUROSCIENCES
最新[2023]版:
Q2 NEUROSCIENCES

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第一作者机构: [1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China, [2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Xuanwu Hospital, Beijing 100053, China,
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通讯机构: [1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China, [2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Xuanwu Hospital, Beijing 100053, China, [*1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Changchun Rd No.45, Beijing 100053, China.
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