No evidence for an association of voxel-based morphometry with short-term non-motor outcomes in deep brain stimulation for Parkinson’s disease

Abstract: Deep brain stimulation of the subthalamic nucleus (STN-DBS) is an established therapy in advanced Parkinson’s disease (PD). Motor and non-motor outcomes, however, show considerable inter-individual variability. Preoperative morphometry-based metrics have recently received increasing attention to explain treatment effects. As evidence for the prediction of non-motor outcomes is limited, we sought to investigate the association between metrics of voxel-based morphometry and short-term non-motor outcomes following STN-DBS in this prospective open-label study. Forty-nine PD patients underwent structural MRI and a comprehensive clinical assessment at preoperative baseline and 6-month follow-up. Voxel-based morphometry was used to assess associations between cerebral volume and non-motor outcomes corrected for multiple comparisons using a permutation-based approach. We replicated existing results associating volume loss of the superior frontal cortex with subpar motor outcomes. Overall non-motor burden, however, was not significantly associated with morphometric features, limiting its use as a marker to inform patient selection and holistic preoperative counselling

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch
Anmerkungen
npj Parkinson's Disease. - 10, 1 (2024) , 91, ISSN: 2373-8057

Klassifikation
Medizin, Gesundheit

Ereignis
Veröffentlichung
(wo)
Freiburg
(wer)
Universität
(wann)
2024
Urheber
Loehrer, Philipp Alexander
Schumacher, Wibke
Jost, Stefanie T.
Silverdale, Monty
Petry-Schmelzer, Jan Niklas
Sauerbier, Anna
Gronostay, Alexandra
Visser-Vandewalle, Veerle
Fink, Gereon R.
Evans, Julian
Krause, Max
Rizos, Alexandra
Antonini, Angelo
Ashkan, Keyoumars
Martinez-Martin, Pablo
Gaser, Christian
Chaudhuri, K. Ray
Timmermann, Lars
Baldermann, Juan Carlos
Dafsari, Haidar Salimi

DOI
10.1038/s41531-024-00695-1
URN
urn:nbn:de:bsz:25-freidok-2494454
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:57 MESZ

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  • 2024

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