Identifying mild-moderate Parkinson's disease using whole-brain functional connectivity

Yan Tang1, Bailin Liu2, Yuan Yang3

  • 1School of Information Science and Engineering, Central South University, Changsha, Hunan 410083, China; Department of Neurology, Xiangya Hospital, Central South University, Changsha, 410008 Hunan, China.

Abstract

Insights

This study identifies distinct brain connectivity patterns in mild-moderate Parkinson's disease (PD) patients. These findings aid in distinguishing PD from healthy individuals using functional MRI data.

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Systems Biology

Background:

  • Parkinson's disease (PD) diagnosis often relies on clinical motor symptoms, which may appear after significant neurodegeneration.
  • Understanding early functional brain changes is crucial for timely diagnosis and intervention in PD.

Purpose of the Study:

  • To identify significant disorder-associated patterns in whole-brain functional connectivity.
  • To differentiate individuals with mild-to-moderate Parkinson's disease (PD) from healthy controls using neuroimaging data.

Main Methods:

  • Resting-state functional magnetic resonance imaging (fMRI) data were acquired from 36 PD patients and 35 healthy controls.
  • Multivariate pattern analysis was employed to analyze whole-brain functional connectivity patterns.
  • The relationship between functional connectivity asymmetry and the initial symptom side was investigated.

Main Results:

  • A classification accuracy of 80.28% was achieved in distinguishing PD patients from controls using leave-one-out cross-validation.
  • Discriminative functional connectivity was primarily observed within cortical networks, including the default mode, sensorimotor, and attention networks.
  • Patients with initial right-sided symptoms exhibited greater abnormal functional connectivity compared to those with initial left-sided symptoms.

Conclusions:

  • Discriminative functional connectivity patterns are associated with disruptions in cortical networks critical for sensorimotor control and attention.
  • Motor symptom asymmetry in early PD may reflect underlying lateralized brain dysfunction.
  • This research provides novel insights into functional brain alterations in early-stage PD, particularly concerning unilateral motor symptoms.