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Clinical Article
A resting-state functional MRI study in Parkinson's disease
PENG Shuai  CHEN Min  LI Chun-mei  MA Xin-xin  LOU Bao-hui  LUO Xiao-jie  WANG Rui  SU Wen 

DOI:10.3969/j.issn.1674-8034.2014.05.001.


[Abstract] Objectives: Blood-oxygen-level dependent functional magnetic resonance imaging (BOLD-fMRI) was used to investigate the resting-state brain functional abnormalities in patients with Parkinson's disease (PD).Materials and Methods: Totally 68 clinically diagnosed PD patients with at least 12 hours withdrawal time and age- and gender-matched 36 normal controls (NC) were included to take clinical scale evaluation and resting-state BOLD-fMRI examination. All subjects were scanned with Philips 3.0 Tesla MRI system. The fMRI data were processed and analysed by DPARSF V2.0 soft and REST V1.8 soft. Two-sample t-test was used to examine the mALFF differences between PD group and NC group.Results: Compared to NC group, PD group had significantly decreased mALFF values in extensive brain regions including bilateral SMA, middle and posterior cingulate cortex, precuneus, hippocampus, parahippocampal gyrus, lateral globus pallidus, dorsal thalamus, anterior lobe of cerebellum, and right local primary motor cortex, insular cortex, caudate nucleus, putamen, posterior lobe of cerebellum as well as increased mALFF values in several brain regions including extensive cortex of bilateral anterior frontal, parietal and temporal lobe, and left occipital primary visual cortex (P<0.05, AlphaSim corrected).Conclusions: Resting-state brain functional abnormalities of PD patients are extensive. The neuronal activity decreases mainly in several areas including motor regulation related brain regions, default mode network and limbic system, and increases mainly in extensive cortex of anterior frontal, parietal, temporal lobe and primary visual cortex.
[Keywords] Parkinson disease;Magnetic resonance imaging;Resting-state

PENG Shuai Department of Radiology, Beijing Hospital of the Ministry of Health, Beijing 100730, China

CHEN Min* Department of Radiology, Beijing Hospital of the Ministry of Health, Beijing 100730, China

LI Chun-mei Department of Radiology, Beijing Hospital of the Ministry of Health, Beijing 100730, China

MA Xin-xin Department of Radiology, Beijing Hospital of the Ministry of Health, Beijing 100730, China

LOU Bao-hui Department of Radiology, Beijing Hospital of the Ministry of Health, Beijing 100730, China

LUO Xiao-jie Department of Radiology, Beijing Hospital of the Ministry of Health, Beijing 100730, China

WANG Rui Department of Radiology, Beijing Hospital of the Ministry of Health, Beijing 100730, China

SU Wen Department of Radiology, Beijing Hospital of the Ministry of Health, Beijing 100730, China

*Correspondence to: Chen M, E-mail: cjr.chenmin@vip.163.com

Conflicts of interest   None.

Received  2014-07-18
Accepted  2014-08-10
DOI: 10.3969/j.issn.1674-8034.2014.05.001
DOI:10.3969/j.issn.1674-8034.2014.05.001.

[1]
Mhyre TR, Boyd JT, Hamill RW, et al. Parkinson’s disease. Subcell Biochem, 2012, 65(1): 389-455.
[2]
王波,戴敏方.帕金森病的MRI研究进展.磁共振成像, 2013, 4(6): 459-462.
[3]
Lees AJ. The relevance of the Lewy Body to the pathogenesis of idiopathic Parkinson's disease: accuracy of clinical diagnosis of idiopathic Parkinson's disease. J Neurol Neurosurg Psychiatry, 2012, 83(10): 954-955.
[4]
Yu H, Sternad D, Corcos DM, et al. Role of hyperactive cerebellum and motor cortex in Parkinson's disease. Neuroimage, 2007, 35(1): 222-233.
[5]
Wu T, Chan P, Hallett M. Effective connectivity of neural networks in automatic movements in Parkinson's disease. Neuroimage, 2010, 49(3): 2581-2587.
[6]
Lewis MM, Du G, Sen S, et al. Differential involvement of striato- and cerebello-thalamo-cortical pathways in tremor- and akinetic/rigid-predominant Parkinson's disease. Neuroscience, 2011, 177(6): 230-239.
[7]
杨正汉,冯逢,王霄英,等.磁共振成像技术指南. 2版.北京:人民军医出版社, 2011: 303-307.
[8]
Biswal B, Yetkin FZ, Haughton VM, et al. Functional connectivity in the motor cortex of resting human brain using echo-planar MRI. Magn Reson Med, 1995, 34(4): 537-541.
[9]
Skidmore FM, Yang M, Baxter L, et al. Reliability analysis of the resting state can sensitively and specifically identify the presence of Parkinson's disease. Neuroimage, 2011, 75(14): 249-261.
[10]
Skidmore FM, Yang M, Baxter L, et al. Apathy, depression and motor symptoms have distinct and separable resting activity patterns in idiopathic Parkinson disease. Neuroimage, 2013, 81(21): 484-495.
[11]
Nachev P, Kennard C, Husain M. Functional role of the supplementary and pre-supplementary motor areas. Nat Rev Neurosci, 2008, 9(11): 856-869.
[12]
Palmer SJ, Li J, Wang ZJ, et al. Joint amplitude and connectivity compensatory mechanisms in Parkinson's disease. Neuroscience, 2010, 166(4): 1110-1118.
[13]
Wu T, Long X, Zang Y, et al. Regional homogeneity changes in patients with Parkinson's disease. Hum Brain Mapp, 2009, 30(5): 1502-1510.
[14]
Raichle ME, Macleod AM, Snyder AZ, et al. A default mode of brain function. Proc Natl Acad Sci U S A, 2001, 98(2): 676-682.
[15]
Buckner RL, Andrews-Hanna JR, Schacter DL. The brain’s default network: anatomy, function, and relevance to disease. Ann N Y Acad Sci, 2008(1124): 1-38.
[16]
Fox MD, Snyder AZ, Vincent JL, et al. The human brain is intrinsically organized into dynamic, anticorrelated functional networks. Proc Natl Acad Sci U S A, 2005, 102(27): 9673-9678.
[17]
Fransson P. Spontaneous low-frequency BOLD signal fluctuations: an fMRI investigation of the resting-state default mode of brain function hypothesis. Hum Brain Mapp, 2005, 26(1): 15-29.
[18]
刘虎,范国光,徐克,等.帕金森病患者静息态下脑活动的局部一致性.中国医学影像技术,2011, 27(10): 1167-1171.
[19]
Delaveau P, Salgado-Pineda P, Fossati P, et al. Dopaminergic modulation of the default mode network in Parkinson's disease. Eur Neuropsychopharmacol, 2010, 20(11): 784-792.
[20]
He Y, Wang L, Zang YF, et al. Regional coherence changes in the early stages of Alzheimer's disease: a combined structural and resting-state functional MRI study. Neuroimage, 2007, 35(2): 488-500.
[21]
钟世镇,徐达传.系统解剖学. 2版.北京:高等教育出版社, 2007: 302-305, 308-317.
[22]
Han Y, Wang J, Zhao Z, et al. Frequency-dependent changes in the amplitude of low-frequency fluctuations in amnestic mild cognitive impairment: a resting-state fMRI study. Neuroimage, 2011, 55(1): 287-295.
[23]
刘波,陈俊,刘岘,等.帕金森病静息态脑默认状态网络的观察.中国医学影像技术, 2009, 25(7): 1156-1159.
[24]
Mallol R, Barrós-Loscertales A, López M, et al. Compensatory cortical mechanisms in Parkinson’s disease evidenced with fMRI during the performance of pre-learned sequential movements. Brain Res, 2007(1147): 265-271.
[25]
曹恒毅,赵艺蕾,郑旭宁,等.早期帕金森病触觉刺激异常激活脑区意义初探.浙江大学学报(医学版), 2010, 39(2): 136-142.
[26]
Wu T, Hallett M. A functional MRI study of automatic movements in patients with Parkinson's disease. Brain, 2005, 128(10): 2250-2259.
[27]
Helmich RC, de Lange FP, Bloem BR, et al. Cerebral compensation during motor imagery in Parkinson's disease. Neuropsychologia, 2007, 45(10): 2201-2215.
[28]
Iseki K, Hanakawa T. The functional significance of the basal ganglia-thalamo-cortical loop in gait control in humans: a neuroimaging approach. Brain Nerve, 2010, 62(11): 1157-1164.

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