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Record W4417023565 · doi:10.1002/mdc3.70462

Brain Imaging Changes Following Deep Brain Stimulation Patients with Parkinson's Disease: A Literature Review

2025· review· en· W4417023565 on OpenAlexaff
Suraiya Mangra, Stanisław Szlufik, Chao‐Kai Hu, Alexandre Boutet, Jürgen Germann, Andrés M. Lozano

Bibliographic record

VenueMovement Disorders Clinical Practice · 2025
Typereview
Languageen
FieldMedicine
TopicNeurological disorders and treatments
Canadian institutionsUniversity Health NetworkOntario Brain InstituteToronto Western HospitalUniversity of Toronto
Fundersnot available
KeywordsDeep brain stimulationNeuroimagingBrain functionBrain stimulationBrain Structure and FunctionFunctional Brain ImagingFunctional neuroimaging

Abstract

fetched live from OpenAlex

BACKGROUND: Parkinson's Disease (PD) is a progressive neurodegenerative disorder primarily characterized by motor symptoms such as tremors, rigidity, and bradykinesia. Structural brain changes, including atrophy in the midbrain, basal ganglia, and cortical regions such as the frontal and temporal lobes, are observed in advanced stages. Deep brain stimulation (DBS) is an established treatment for motor symptoms in advanced PD, significantly improving motor function and quality of life. However, its effects on brain structure and function remain poorly understood, with conflicting cognitive outcomes and growing interest in potential disease-modifying effects. OBJECTIVES: This review aims to summarize published neuroimaging studies investigating structural and functional brain changes following DBS treatment in PD patients. METHODS: A literature search was conducted to identify neuroimaging studies that examined post-DBS brain changes in PD patients. Studies reporting findings on metabolism, blood flow, functional connectivity, and structural atrophy were reviewed. RESULTS: Published findings indicate increased metabolism, blood flow, and connectivity in multiple motor-related regions following DBS. Structural atrophy in the hippocampus and midbrain structures has also been reported. However, findings on functional connectivity changes in non-motor cortical regions remain inconsistent. Study limitations include small sample sizes, variability in imaging techniques, and differences in assessment conditions. CONCLUSIONS: While DBS produces measurable neuroimaging changes in PD patients, definitive conclusions regarding its effects on brain structure and function remain elusive. Future research with larger, well-controlled cohorts and standardized methodologies is necessary to clarify the impact of DBS beyond symptomatic relief.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.013
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.928
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.013
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0030.001
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.028
GPT teacher head0.399
Teacher spread0.371 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designOther design
Domainnot available
GenreReview

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".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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