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Aberrant Fiber Coherence of Amygdala−Accumbens−Pallidum Pathway Is Associated With Disorganized Nigrostriatal−Nigropallidal Pathway in Parkinson's Disease
Author(s) -
Guo Tao,
Wu Jingjing,
Zhou Cheng,
Guan Xiaojun,
Gao Ting,
Bai Xueqin,
Song Zhe,
Xuan Min,
Gu Quanquan,
Huang Peiyu,
Zhang Baorong,
Pu Jiali,
Xu Xiaojun,
Xu Duan,
Zhang Minming
Publication year - 2020
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.27273
Subject(s) - fractional anisotropy , basal ganglia , white matter , neuroscience , subthalamic nucleus , parkinson's disease , nucleus accumbens , diffusion mri , motor cortex , amygdala , psychology , medicine , magnetic resonance imaging , dopamine , deep brain stimulation , central nervous system , disease , stimulation , radiology
Background Motor disturbances in Parkinson's disease (PD) mainly result from the degeneration of classic motor pathways. Given that the specific limbic pathway participates in movements, it is reasonable to consider that limbic pathway have the pathologic potential of motor disturbance in PD. Purpose To explore the white matter changes of limbic and motor pathways and their relations in PD patients. Study Type Prospective. Population 39 PD patients and 55 normal controls. Sequence Sagittal 3D T 1 ‐weighted fast spoiled gradient recalled sequence, diffusion‐weighted spin echo‐echo planar imaging sequence on a 3T scanner. Assessment Probabilistic tractography was used to reconstruct the motor pathways (nigrostriatal−nigropallidal and basal ganglia−motor cortex pathways) and limbic pathway (amygdala−accumbens−pallidum pathway). White matter alterations of these pathways were evaluated by fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), radial diffusivity (RD), neurite density (NDI), and orientation dispersion (ODI). Clinical assessment was conducted by a neurologist. Statistical Tests Group comparisons were performed using unpaired t ‐tests. Pearson or Spearman correlation was used to explore the relationships between variables. Results Compared with normal controls, PD patients showed decreased ODI as well as increased MD and AD in the bilateral nigrostriatal−nigropallidal pathway ( P < 0.05), decreased FA in left basal ganglia−motor cortex pathway ( P < 0.05), and decreased ODI in left limbic pathway ( P < 0.05). MD and AD in the left nigrostriatal−nigropallidal pathway was negatively correlated with FA in left basal ganglia−motor cortex pathway ( r = −0.597, P < 0.05 and r = −0.433, P < 0.05, respectively). MD in the left nigrostriatal−nigropallidal pathway was significantly correlated with ODI in the left limbic pathway ( r = −0.404, P < 0.05). ODI was associated with AD within each hemisphere of the nigrostriatal−nigropallidal pathway ( r = −0.591, P < 0.05 for left; r = −0.589, P < 0.05 for right). Data Conclusion The relationship between the degenerated motor pathways and aberrant limbic pathway suggest the existence of neuronal modulation between motor and limbic pathways, providing novel evidence of the neuromechanism for motor disruption in PD patients. Level of Evidence 2 Technical Efficacy Stage 1 J. MAGN. RESON. IMAGING 2020;52:1799–1808.