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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleAdult Brain
Open Access

Substantia Nigra Free Water Increases Longitudinally in Parkinson Disease

T. Guttuso, N. Bergsland, J. Hagemeier, D.G. Lichter, O. Pasternak and R. Zivadinov
American Journal of Neuroradiology March 2018, 39 (3) 479-484; DOI: https://doi.org/10.3174/ajnr.A5545
T. Guttuso Jr
aFrom the Movement Disorder Center (T.G., D.G.L.)
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N. Bergsland
bBuffalo Neuroimaging Analysis Center (N.B., J.H., R.Z.), Department of Neurology
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J. Hagemeier
bBuffalo Neuroimaging Analysis Center (N.B., J.H., R.Z.), Department of Neurology
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D.G. Lichter
aFrom the Movement Disorder Center (T.G., D.G.L.)
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O. Pasternak
dDepartments of Psychiatry and Radiology (O.P.), Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
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R. Zivadinov
bBuffalo Neuroimaging Analysis Center (N.B., J.H., R.Z.), Department of Neurology
cMR Imaging Clinical and Translational Research Center (R.Z.), Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York
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  • Fig 1.
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    Fig 1.

    Substantia nigra ROIs. Representative b=0 s/mm2 images linearly registered to the MNI atlas are shown demonstrating the placement of the substantia nigra ROIs. Z-coordinates refer to the slice shown in MNI space. See the “Materials and Methods” section for a more detailed description of how ROIs were placed.

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    Fig 2.

    Longitudinal changes in SN FW in patients with later-stage IPD and HCs. aSN and pSN FW group and group × time interaction intergroup differences were P < .001, = 0.021, and P = .014, = 0.651, respectively. Follow-up was approximately 3 years from baseline. Error bars are ± 1 standard error of mean.

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    Fig 3.

    Change in the in bi-temporal lobe white matter FW-corrected mean diffusivity of subjects with IPD and corresponding changes in the MMSE and MoCA scores over 3 years. R2 indicates coefficient of determination.

Tables

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    Table 1:

    Subject demographic and clinical informationa

    HC (n = 19)IPD (n = 19)Between Groups
    BLF/UBLF/UP Value within BLP Value within F/U
    Age (yr)56.5 (10.1)59.6 (10.3)59.8 (8.4)63.2 (8.4).276.251
    Male sex (No.) (%)5 (26)–12 (63)–.022–
    Disease duration (yr)––7.1 (5.1)10.4 (5.3)––
    Time to F/U (mo)–36.2 (5.4)–43.8 (7.8)–.001
    MMSE score29.4 (0.9)29.5 (0.9)29.4 (1.0)27.6 (4.8).586.862
    MoCA score27.3 (2.4)27.9 (2.1)24.4 (4.2)24.3 (6.9).095.046
    CDR score (mean, median) (IQR)0, 0 (0–0)0.1, 0 (0–0)0.2, 0 (0–0.5)0.3, 0 (0–0.5).053.317
    UPDRS-III score0.8 (1.2)1.3 (2.3)18.8 (7.3)22.1 (9.2)<.001<.001
    H&Y (mean, median) (IQR)0, 0 (0–0)0, 0 (0)1.9, 2 (1–2.5)2.4, 2.5 (2–3)<.001<.001
    S&E score100 (0)100 (0)91.3 (9.3)79.5 (21.8).001.001
    GDS score1.9 (2.9)1.2 (1.9)2.3 (2.1)5.2 (7.9).615.044
    • Note:—H&Y indicates Hoehn and Yahr scale; S&E, Schwab and England Activities of Daily Living Scale; GDS, Geriatric Depression Scale; IQR, interquartile range; BL, baseline; F/U, follow up; CDR, Clinical Dementia Rating; UPDRS III, Unified Parkinson's Disease Rating Scale, Part III.

    • ↵a Results are presented as mean (SD), unless otherwise noted.

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    Table 2:

    SN FW outcomes over 3 years of follow-up in HC and IPD groupsa

    HC (n = 19)IPD (n = 19)Group EffectTime EffectInteraction
    BaselineFollow-UpBaselineFollow-Up
    aSN FW.2301 (.0243).2361 (.0351).2713 (.0535).2989 (.0364)<.001.112.021
    pSN FW.2221 (.0349).2452 (.0367).2691 (.0513).2955 (.0441).014.246.651
    • ↵a Values are mean (SD). Group, time, and group × time interaction effect values are P values.

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American Journal of Neuroradiology: 39 (3)
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T. Guttuso, N. Bergsland, J. Hagemeier, D.G. Lichter, O. Pasternak, R. Zivadinov
Substantia Nigra Free Water Increases Longitudinally in Parkinson Disease
American Journal of Neuroradiology Mar 2018, 39 (3) 479-484; DOI: 10.3174/ajnr.A5545

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Substantia Nigra Free Water Increases Longitudinally in Parkinson Disease
T. Guttuso, N. Bergsland, J. Hagemeier, D.G. Lichter, O. Pasternak, R. Zivadinov
American Journal of Neuroradiology Mar 2018, 39 (3) 479-484; DOI: 10.3174/ajnr.A5545
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