PMID- 29602542 OWN - NLM STAT- MEDLINE DCOM- 20190620 LR - 20220408 IS - 1873-5126 (Electronic) IS - 1353-8020 (Linking) VI - 52 DP - 2018 Jul TI - Decreased interhemispheric homotopic connectivity in Parkinson's disease patients with freezing of gait: A resting state fMRI study. PG - 30-36 LID - S1353-8020(18)30130-5 [pii] LID - 10.1016/j.parkreldis.2018.03.015 [doi] AB - INTRODUCTION: Freezing of gait is a common complaint in patients with Parkinson's disease (PD). However, the neural bases of freezing of gait in PD remain uncertain. Existing studies on PD patients with freezing of gait (PD-FOG+) have reported damage of the corpus callosum, the largest commissural bundle of the brain. Thus, in this study we explored homotopic connectivity to investigate FOG-related interehemispheric alterations METHODS: A total of 21 PD-FOG + patients, 33 PD patients without freezing of gait (PD-FOG-), and 24 matched healthy controls were recruited. All PD patients were evaluated via the FOG questionnaire (FOGQ) and all subjects had a resting state functional magnetic resonance imaging (rs-fMRI) scan. The pattern of the homotopic connectivity was measured with the voxel-mirrored homotopic connectivity (VMHC) approach. RESULT: The PD-FOG + patients showed decreased VMHC values in the inferior parietal lobe (IPL) compared to both PD-FOG-patients and healthy controls. In PD-FOG + patients, the mean VMHC values in the IPL were negatively correlated with the FOGQ scores. Receiver operating characteristic curves analyses revealed that the VMHC in the IPL had discriminatory function distinguishing PD-FOG + patients from PD-FOG-patients or healthy controls. CONCLUSION: Decreased VMHC values of PD-FOG + patients relative to PD-FOG- and healthy controls in IPL maybe a unique feature for PD-FOG+ and it may have the ability to separate PD-FOG + patients from PD-FOG- and healthy controls. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Li, Junyi AU - Li J AD - Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. FAU - Yuan, Yongsheng AU - Yuan Y AD - Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. FAU - Wang, Min AU - Wang M AD - Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. FAU - Zhang, Jiejin AU - Zhang J AD - Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. FAU - Zhang, Li AU - Zhang L AD - Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. FAU - Jiang, Siming AU - Jiang S AD - Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. FAU - Wang, Xixi AU - Wang X AD - Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. FAU - Ding, Jian AU - Ding J AD - Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. FAU - Zhang, Kezhong AU - Zhang K AD - Department of Neurology, The First Affiliated Hospital of Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, China. Electronic address: kezhong_zhang1969@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180326 PL - England TA - Parkinsonism Relat Disord JT - Parkinsonism & related disorders JID - 9513583 RN - S88TT14065 (Oxygen) SB - IM MH - Aged MH - Analysis of Variance MH - Brain Mapping MH - Corpus Callosum/*diagnostic imaging MH - Female MH - Gait Disorders, Neurologic/complications/*diagnostic imaging MH - Humans MH - Image Processing, Computer-Assisted MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neural Pathways/diagnostic imaging MH - Oxygen/blood MH - Parkinson Disease/complications/*diagnostic imaging MH - *Rest MH - Severity of Illness Index OTO - NOTNLM OT - Freezing of gait OT - Parkinson's disease OT - Resting-state fMRI OT - Voxel-mirrored homotopic connectivity EDAT- 2018/04/01 06:00 MHDA- 2019/06/21 06:00 CRDT- 2018/04/01 06:00 PHST- 2017/05/18 00:00 [received] PHST- 2018/02/18 00:00 [revised] PHST- 2018/03/14 00:00 [accepted] PHST- 2018/04/01 06:00 [pubmed] PHST- 2019/06/21 06:00 [medline] PHST- 2018/04/01 06:00 [entrez] AID - S1353-8020(18)30130-5 [pii] AID - 10.1016/j.parkreldis.2018.03.015 [doi] PST - ppublish SO - Parkinsonism Relat Disord. 2018 Jul;52:30-36. doi: 10.1016/j.parkreldis.2018.03.015. Epub 2018 Mar 26.