scholarly journals Longitudinal Changes in Neuromelanin MRI Signal in Parkinson's Disease: A Progression Marker

2021 ◽  
Author(s):  
Rahul Gaurav ◽  
Lydia Yahia‐Cherif ◽  
Nadya Pyatigorskaya ◽  
Graziella Mangone ◽  
Emma Biondetti ◽  
...  

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Galina Gramotnev ◽  
Dmitri K. Gramotnev ◽  
Alexandra Gramotnev

AbstractClinical and biochemical diversity of Parkinson’s disease (PD) presents a major challenge for accurate diagnosis and prediction of its progression. We propose, develop and optimize PD clinical scores as efficient integrated progression biomarkers for prediction of the likely rate of cognitive decline in PD patients. We considered 269 drug-naïve participants from the Parkinson’s Progression Marker Initiative database, diagnosed with idiopathic PD and observed between 4 and 6 years. Nineteen baseline clinical and pathological measures were systematically considered. Relative variable importance and logistic regressions were used to optimize combinations of significant baseline measures as integrated biomarkers. Parkinson’s disease cognitive decline scores were designed as new clinical biomarkers using optimally categorized baseline measures. Specificities and sensitivities of the biomarkers reached ~93% for prediction of severe rate of cognitive decline (with more than 5 points decline in 4 years on the Montreal Cognitive Assessment scale), and up to ~73% for mild-to-moderate decline (between 1 and 5 points decline). The developed biomarkers and clinical scores could resolve the long-standing clinical problem about reliable prediction of PD progression into cognitive deterioration. The outcomes also provide insights into the contributions of individual clinical and pathological measures to PD progression, and will assist with better-targeted treatment regiments, stratification of clinical trial and their evaluation.





2010 ◽  
Vol 37 (2) ◽  
pp. 455-460 ◽  
Author(s):  
Maren Carbon ◽  
Kathrin Reetz ◽  
M. Felice Ghilardi ◽  
Vijay Dhawan ◽  
David Eidelberg


2016 ◽  
Vol 31 (10) ◽  
pp. 1535-1542 ◽  
Author(s):  
Nour K. Majbour ◽  
Nishant N. Vaikath ◽  
Paolo Eusebi ◽  
Davide Chiasserini ◽  
Mustafa Ardah ◽  
...  


2019 ◽  
Vol 12 ◽  
Author(s):  
Óscar Peña-Nogales ◽  
Timothy M. Ellmore ◽  
Rodrigo de Luis-García ◽  
Jessika Suescun ◽  
Mya C. Schiess ◽  
...  


2017 ◽  
Vol 13 ◽  
pp. 405-414 ◽  
Author(s):  
Lucas Nürnberger ◽  
René-Maxime Gracien ◽  
Pavel Hok ◽  
Stephanie-Michelle Hof ◽  
Udo Rüb ◽  
...  


Author(s):  
Naomi Hannaway ◽  
Nicholas P. Lao-Kaim ◽  
Antonio Martín-Bastida ◽  
Andreas-Antonios Roussakis ◽  
Jonathan Howard ◽  
...  


Brain ◽  
2017 ◽  
Vol 140 (8) ◽  
pp. 2183-2192 ◽  
Author(s):  
Roxana G Burciu ◽  
Edward Ofori ◽  
Derek B Archer ◽  
Samuel S Wu ◽  
Ofer Pasternak ◽  
...  




Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2292
Author(s):  
Julius Welzel ◽  
David Wendtland ◽  
Elke Warmerdam ◽  
Robbin Romijnders ◽  
Morad Elshehabi ◽  
...  

Current research on Parkinson’s disease (PD) is increasingly concerned with the identification of objective and specific markers to make reliable statements about the effect of therapy and disease progression. Parameters from inertial measurement units (IMUs) are objective and accurate, and thus an interesting option to be included in the regular assessment of these patients. In this study, 68 patients with PD (PwP) in Hoehn and Yahr (H&Y) stages 1–4 were assessed with two gait tasks—20 m straight walk and circular walk—using IMUs. In an ANCOVA model, we found a significant and large effect of the H&Y scores on step length in both tasks, and only a minor effect on step time. This study provides evidence that from the two potentially most important gait parameters currently accessible with wearable technology under supervised assessment strategies, step length changes substantially over the course of PD, while step time shows surprisingly little change in the progression of PD. These results show the importance of carefully evaluating quantitative gait parameters to make assumptions about disease progression, and the potential of the granular evaluation of symptoms such as gait deficits when monitoring chronic progressive diseases such as PD.



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