No abstract

Evidence from previous voxel-based morphometry (VBM) studies indicates that widespread brain regions are involved in Parkinson's disease with mild cognitive impairment (PD-MCI). However, the spatial localization reported for gray matter (GM) abnormalities is heterogeneous. The aim of the present study was to quantitatively integrate studies on GM abnormalities observed in PD-MCI in order to determine whether a pattern exists. Eligible whole-brain VBM studies were identified by a systematic search of articles in PubMed and EMBASE databases spanning from 1995 to January 1, 2019. A meta-analysis was performed to investigate regional GM abnormalities in PD-MCI. The anisotropic effect size version of seed-based d mapping (AES-SDM) meta-analysis was conducted to explore the GMV differences of PD-MCI compared with PD patients with normal cognitive function (PD-NC). A total of 12 studies comprising 243 PD-MCI patients and 326 PD-NC were included in the metaanalysis. PD-MCI patients showed a robust GM decrease in the left insula and left superior temporal gyrus. Moreover, meta-regression analysis demonstrated that age, PD duration and stage, and Unified Parkinson's Disease Rating Scale III and Mini-Mental State Examination scores might be partly correlated with the GM abnormalities observed in PD-MCI patients. The convergent findings of this quantitative meta-analysis revealed a characteristic neuroanatomical pattern in PD-MCI. The findings provide some evidence that MCI in PD may result in the breakdown of the insula and temporal gyrus, which may serve as specific regions of interest for further investigations.

No abstract

The early diagnosis of Parkinson's disease (PD) has always been a difficult problem to be solved clinically. At present, there is no clinical auxiliary diagnostic index for reference. We attempted to extract potential biomarkers for early PD from the currently used scalp EEG detection methods in clinical practice. We calculated the phase synchronization index to quantify the synchrony of EEG channels in various frequency bands (delta, theta, alpha and beta bands) of early PD. The results showed that the synchronization of early PD in the delta band was significantly lower than the healthy level, and the brain region reflecting the lower synchronization was located in the temporal lobe, the posterior temporal lobe, the parietal lobe (the posterior center) and the occipital lobe. Moreover, this lower synchronicity is consistent with weaker brain functional connections. Besides, by constructing functional brain network, the graph theoretic topological features of each frequency band of early PD are presented. We have found that early PD has characteristics of small world network in the delta and beta bands, and the efficiency of brain functional networks in early PD has significantly increased in the delta, alpha and beta bands. These results indicate that early PD has significant pathological changes from the perspective of brain function network analysis, and its characteristics can be described by multiple features, which may provide auxiliary guidance for the clinical diagnosis of early PD, and also provide theoretical support for the brain function changes of early PD.

No abstract