The Functional and Structural Changes of the Brain in Parkinson's Disease Patients with Mild Cognitive Impairment
Bibliographic record
Abstract
Abstract Background: Parkinson's disease (PD) is often associated with cognitive impairment. However, the neural mechanism of cognitive impairment is not clear. The present study investigated the functional and anatomic changes in PD patients with mild cognitive impairment (MCI) and their correlations with cognitive functions by the application of combined functional and structural analysis. Methods: T1-weighted magnetic resonance imaging (MRI) and resting-state functional MRI data were acquired from 23 PD patients with MCI (PD-MCI), 23 PD patients with normal cognitive function (PD-NCI), and 23 matched healthy controls (HC). The structural imaging data was analyzed by voxel-based morphometry (VBM) and surfaced-based morphometry (SBM) methods to assess the changes of gray matter density and cortical thickness, respectively. And the amplitude of low-frequency fluctuations (ALFF) analysis using resting-state functional imaging data to measure the spontaneous changes of brain activity. Their Correlations with neuropsychological assessments (e.g., Montreal cognitive assessment, MOCA; Mini-mental state examination, MMSE) were also examined. Results: Compared to the HC group, the PD-MCI patient group showed both decreased ALFF in the occipital regions (i.e., left middle occipital gyrus) and parietal regions (i.e., left precuneus) and increased ALFF in the right inferior frontal gyrus and bilateral hippocampus. Also, the PD-MCI patient group showed reduced gray matter density in the right inferior frontal gyrus and middle frontal gyrus. Cortical thinning in the left middle temporal gyrus and right superior temporal gyrus was found in the PD_MCI patient group relative to the control group. Furthermore, ALFF of the right hippocampus and gray matter density of right frontal gyrus was correlated with cognitive impairment (e.g., MOCA ), respectively. Cortical thickness of right superior temporal gyrus was also associated with cognitive deficit (e.g., MMSE ). Conclusion: MCI in PD is associated with widespread brain functional and structural alternations. The combination of functional and structural abnormalities may be related to subtle cognitive impairment in PD.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".