Evidence map›Paper›PMID 38715714›Full record

ArticleBrain communications2024

Neuroimaging and plasma evidence of early white matter loss in Parkinson's disease with poor outcomes.

Angeliki Zarkali, Naomi Hannaway, Peter McColgan, Amanda J Heslegrave, Elena Veleva, Rhiannon Laban, Henrik Zetterberg, Andrew J Lees, Nick C Fox, Rimona S Weil

Abstract read
In one paragraph

Article in Brain communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Gray Matter Microstructure Measured Using Diffusion Imaging as a Biomarker of Severity in Lewy Body Diseases.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
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  7. Reply: Reconsidering white matter vulnerability and biomarker interpretation across Lewy body dementia subtypes.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  8. Neuroimaging and plasma biomarker differences and commonalities in Lewy body dementia subtypes.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  9. Article
  10. Highlights from the Brain Conference 2025.Brain communications · 2025
    Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Angeliki ZarkaliDementia Research Centre, Institute of Neurology, University College London, London WC1N 3AR, UK.ORCID https://orcid.org/0000-0003-2808-072X
Naomi HannawayDementia Research Centre, Institute of Neurology, University College London, London WC1N 3AR, UK.ORCID https://orcid.org/0000-0001-8608-7757
Peter McColganHuntington's Disease Centre, Institute of Neurology, University College London, London WC1B 5EH, UK.
Amanda J HeslegraveUK DRI Fluid Biomarker Lab and Biomarker Factory, University College London, London WC1E 6BT, UK.
Elena VelevaUK DRI Fluid Biomarker Lab and Biomarker Factory, University College London, London WC1E 6BT, UK.
Rhiannon LabanUK DRI Fluid Biomarker Lab and Biomarker Factory, University College London, London WC1E 6BT, UK.
Henrik ZetterbergDementia Research Centre, Institute of Neurology, University College London, London WC1N 3AR, UK.
Andrew J LeesReta Lila Weston Institute of Neurological Studies, University College London, London WC1N 1PJ, UK.ORCID https://orcid.org/0000-0002-2476-4385
Nick C FoxDementia Research Centre, Institute of Neurology, University College London, London WC1N 3AR, UK.
Rimona S WeilDementia Research Centre, Institute of Neurology, University College London, London WC1N 3AR, UK.ORCID https://orcid.org/0000-0002-5092-6325

Funding

Wellcome Trust 205167/Z/16/Z
6 · The paper itself

Abstract

Parkinson's disease is a common and debilitating neurodegenerative disorder, with over half of patients progressing to postural instability, dementia or death within 10 years of diagnosis. However, the onset and rate of progression to poor outcomes is highly variable, underpinned by heterogeneity in underlying pathological processes. Quantitative and sensitive measures predicting poor outcomes will be critical for targeted treatment, but most studies to date have been limited to a single modality or assessed patients with established cognitive impairment. Here, we used multimodal neuroimaging and plasma measures in 98 patients with Parkinson's disease and 28 age-matched controls followed up over 3 years. We examined: grey matter (cortical thickness and subcortical volume), white matter (fibre cross-section, a measure of macrostructure; and fibre density, a measure of microstructure) at whole-brain and tract level; structural and functional connectivity; and plasma levels of neurofilament light chain and phosphorylated tau 181. We evaluated relationships with subsequent poor outcomes, defined as development of mild cognitive impairment, dementia, frailty or death at any time during follow-up, in people with Parkinson's disease. We show that extensive white matter macrostructural changes are already evident at baseline assessment in people with Parkinson's disease who progress to poor outcomes (

Indexed as

neuroimagingParkinson’s diseaseplasma biomarkerspoor outcomewhite matter

Identifiers

PMID38715714
PMCPMC11073930

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.