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Research ArticleFunctional

Disrupted Resting-State Functional Connectivity in Progressive Supranuclear Palsy

M.C. Piattella, F. Tona, M. Bologna, E. Sbardella, A. Formica, N. Petsas, N. Filippini, A. Berardelli and P. Pantano
American Journal of Neuroradiology May 2015, 36 (5) 915-921; DOI: https://doi.org/10.3174/ajnr.A4229
M.C. Piattella
aFrom the Department of Neurology and Psychiatry (M.C.P., F.T., E.S., A.F., N.P., A.B., P.P.), Sapienza, University of Rome, Italy
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F. Tona
aFrom the Department of Neurology and Psychiatry (M.C.P., F.T., E.S., A.F., N.P., A.B., P.P.), Sapienza, University of Rome, Italy
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M. Bologna
bNeuromed Institute Istituto Di Ricovero e Cura a Carattere Scientifico (M.B., A.B., P.P.), Pozzilli, Italy
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E. Sbardella
aFrom the Department of Neurology and Psychiatry (M.C.P., F.T., E.S., A.F., N.P., A.B., P.P.), Sapienza, University of Rome, Italy
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A. Formica
aFrom the Department of Neurology and Psychiatry (M.C.P., F.T., E.S., A.F., N.P., A.B., P.P.), Sapienza, University of Rome, Italy
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N. Petsas
aFrom the Department of Neurology and Psychiatry (M.C.P., F.T., E.S., A.F., N.P., A.B., P.P.), Sapienza, University of Rome, Italy
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N. Filippini
cDepartment of Psychiatry and FMRIB Centre (N.F.), University of Oxford, United Kingdom.
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A. Berardelli
aFrom the Department of Neurology and Psychiatry (M.C.P., F.T., E.S., A.F., N.P., A.B., P.P.), Sapienza, University of Rome, Italy
bNeuromed Institute Istituto Di Ricovero e Cura a Carattere Scientifico (M.B., A.B., P.P.), Pozzilli, Italy
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P. Pantano
aFrom the Department of Neurology and Psychiatry (M.C.P., F.T., E.S., A.F., N.P., A.B., P.P.), Sapienza, University of Rome, Italy
bNeuromed Institute Istituto Di Ricovero e Cura a Carattere Scientifico (M.B., A.B., P.P.), Pozzilli, Italy
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    Fig 1.

    Maps of functional connectivity obtained from 5 seeds, ie, the dorsal midbrain tegmentum (yellow), thalamus (red), caudate (pink), putamen (green), and pallidum (blue)—in 12 healthy subjects (1-sample t test, P < .05, corrected for family-wise error). The images are presented according to radiologic orientation.

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    Fig 2.

    Differences between 19 patients with progressive supranuclear palsy and 12 healthy subjects in functional connectivity obtained from 5 seeds (2-sample t test, P < .05, corrected for family-wise error). Patients with PSP had significantly lower FC than healthy subjects in all 5 FC maps—that is, the dorsal midbrain tegmentum (yellow), thalamus (red), caudate (pink), putamen (green), and pallidum (blue). The images are presented according to radiologic orientation.

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    Fig 3.

    Images showing common areas of functional abnormalities shared by the 5 maps of FC. Different colors show the number of abnormal FC maps: in yellow, voxels of decreased FC in 4 maps; and in orange, voxels of decreased FC in 3 maps. Voxels of decreased FC in 2 maps are not shown. No focus of decreased FC in any of the 5 maps was identified. The images are presented according to radiologic orientation.

Tables

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    Table 1:

    Clinical and radiologic characteristics of 19 patients with PSP and of 12 healthy subjects

    Healthy Subjectsa (n = 12)Patients with PSPa (n = 19)P Valueb
    Age (yr)69.172 ± 5.20170.933 ± 5.196.356
    Male/femalec3/910/9.158
    UPDRS–27.625 ± 17.952NA
    FAB–11.187 ± 3.799NA
    H&Y–2.9 ± 1.065NA
    MMSE29.135 ± 0.824.325 ± 3.886NA
    PSPRS–35.823 ± 16.994NA
        History–7.706 ± 3.820NA
        Mentation–3.647 ± 2.597NA
        Bulbar–3.117 ± 1.996NA
        Ocular–7.706 ± 2.932NA
        Limb–4.176 ± 3.486NA
        Gait–9.235 ± 5.750NA
    Thalamus V (mm3)9.483 ± 0.8408.005 ± 0.657<.0001d
    Caudate V (mm3)4.380 ± 0.3733.962 ± 0.477.015
    Putamen V (mm3)5.992 ± 0.4724.835 ± 0.575<.0001d
    Pallidum V (mm3)2.404 ± 0.4721.857 ± 0.293.0004d
    Brain stem V (mm3)14.906 ± 1.65212.618 ± 1.603.0006d
    Intracranial V (mm3)1620.661 ± 163.4821549.769 ± 114.184.165
    Cortical V (mm3)600.423 ± 41.923576.789 ± 49.823.167
    Mean FA0.508 ± 0.0190.441 ± 0.030<.0001d
    Mean MD (mm × sec−2) × 10−30.689 ± 0.0260.762 ± 0.030<.0001d
    Mean RD (mm × sec−2) × 10−30.478 ± 0.0290.561 ± 0.034<.0001d
    Mean AD (mm × sec−2) × 10−31.049 ± 0.0321.154 ± 0.056<.0001d
    • Note:—UPDRS indicates Unified Parkinson's Disease Rating Scale; FAB, Frontal Assessment Battery; H&Y, Hoehn and Yahr Scale; MMSE, Mini-Mental State Examination; PSPRS, PSP Rating Scale; V, volume (left and right values of subcortical volumes are averaged); RD, radial diffusivity; AD, axial diffusivity; –, not available; NA = not applicable.

    • ↵a Values are reported as mean ± SD.

    • ↵b Differences between groups were assessed by t test.

    • ↵c Differences between groups were assessed by χ2.

    • ↵d Statistically significant values after Bonferroni correction for multiple comparisons.

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    Table 2:

    Significant correlations between parameter estimates of FC maps and clinical scores in patients with PSP

    Clinical ScalesaβP Value95% CIR2
    ThalamusBulbar−5.89.04−11.57 to −0.200.19
    ThalamusMentation−8.02.05−16.20 to −0.150.27
    ThalamusH&Y−3.51.03−6.60 to −0.400.53
    PallidumMMSE12.23.031.19–23.270.52
    dMTFAB42.16.042.24–82.080.26
    • Note:—FAB indicates Frontal Assessment Battery; H&Y, Hoehn and Yahr Scale; MMSE, Mini-Mental State Examination.

    • ↵a Bulbar and Mentation are subitems of the PSP Rating Scale.

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American Journal of Neuroradiology: 36 (5)
American Journal of Neuroradiology
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1 May 2015
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M.C. Piattella, F. Tona, M. Bologna, E. Sbardella, A. Formica, N. Petsas, N. Filippini, A. Berardelli, P. Pantano
Disrupted Resting-State Functional Connectivity in Progressive Supranuclear Palsy
American Journal of Neuroradiology May 2015, 36 (5) 915-921; DOI: 10.3174/ajnr.A4229

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Disrupted Resting-State Functional Connectivity in Progressive Supranuclear Palsy
M.C. Piattella, F. Tona, M. Bologna, E. Sbardella, A. Formica, N. Petsas, N. Filippini, A. Berardelli, P. Pantano
American Journal of Neuroradiology May 2015, 36 (5) 915-921; DOI: 10.3174/ajnr.A4229
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