Increased prevalence of vertebrobasilar dolichoectasia in Parkinson's disease and its effect on white matter microstructure and network

作者全名：Li, Sichen; Zhu, Yuxia; Lai, Hongyu; Da, Xiaohui; Liao, Ting; Liu, Xi; Deng, Fen; Chen, Lifen

作者地址：[Li, Sichen; Zhu, Yuxia; Lai, Hongyu; Da, Xiaohui; Liao, Ting; Liu, Xi; Deng, Fen; Chen, Lifen] Chongqing Med Univ, Affiliated Hosp 2, Dept Neurol, 74 Linjiang Rd, Chongqing 400010, Peoples R China

通信作者：Liu, X (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Neurol, 74 Linjiang Rd, Chongqing 400010, Peoples R China.

来源：NEUROREPORT

ESI学科分类：NEUROSCIENCE & BEHAVIOR

WOS号：WOS:001235645100006

JCR分区：Q4

影响因子：1.6

年份：2024

卷号：35

期号：10

开始页：627

结束页：637

文献类型：Article

关键词：diffusion tensor imaging; Parkinson's disease; structural brain network; vertebrobasilar dolichoectasia; voxel-based morphometry

摘要：This study aimed to investigate the prevalence of vertebrobasilar dolichoectasia (VBD) in Parkinson's disease (PD) patients and analyze its role in gray matter changes, white matter (WM) microstructure and network alterations in PD. This is a cross-sectional study including 341 PD patients. Prevalence of VBD in these PD patients was compared with general population. Diffusion tensor imaging and T1-weighted imaging analysis were performed among 174 PD patients with or without VBD. Voxel-based morphometry analysis was used to estimate gray matter volume changes. Tract-based spatial statistics and region of interest-based analysis were used to evaluate WM microstructure changes. WM network analysis was also performed. Significantly higher prevalence of VBD in PD patients was identified compared with general population. Lower fractional anisotropy and higher diffusivity, without significant gray matter involvement, were found in PD patients with VBD in widespread areas. Decreased global and local efficiency, increased hierarchy, decreased degree centrality at left Rolandic operculum, increased betweenness centrality at left postcentral gyrus and decreased average connectivity strength between and within several modules were identified in PD patients with VBD. VBD is more prevalent in PD patients than general population. Widespread impairments in WM microstructure and WM network involving various motor and nonmotor PD symptom-related areas are more prominent in PD patients with VBD compared with PD patients without VBD.

基金机构：National Natural Science Foundation of China [82371262]; Natural Science Foundation of Chongqing [cstc2021jcyj-msxmX0180]; Kuanren Talent Program of The Second Affiliated Hospital of Chongqing Medical University

基金资助正文：This study is supported by National Natural Science Foundation of China (grant number: 82371262, receiver: L.C.), Natural Science Foundation of Chongqing (grant number: cstc2021jcyj-msxmX0180, receiver: X.L.) and Kuanren Talent Program of The Second Affiliated Hospital of Chongqing Medical University (receiver: X.L.).