Evidence map›Paper›PMID 41619801›Full record

ArticleThe British journal of radiology2026

Fronto-caudate and callosal microstructural alterations: unveiling multimodal MRI biomarkers in early Parkinson's disease.

Ángela Bernabéu-Sanz, Sandra Morales, Valery Naranjo, Eduardo Fernández

Abstract read
In one paragraph

Article in The British journal of radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ángela Bernabéu-SanzMagnetic Resonance Department, Inscanner SL, Calle San Pedro Poveda 10, Alicante, CP 03010, Spain.ORCID 0000-0003-2506-7626
Sandra MoralesInstituto Universitario de Investigación en Tecnología Centrada en el Ser Humano, HUMAN-tech, Universitat Politècnica de València (UPV), Camino de Vera s/n, Valencia, CP 46022, Spain.
Valery NaranjoInstituto Universitario de Investigación en Tecnología Centrada en el Ser Humano, HUMAN-tech, Universitat Politècnica de València (UPV), Camino de Vera s/n, Valencia, CP 46022, Spain.ORCID 0000-0002-0181-3412
Eduardo FernándezInstituto de Bioingeniería, Universidad Miguel Hernández de Elche, Avenida de la Universidad s/n, CP 03202 Elche, Spain.ORCID 0000-0002-7052-6011

Funding

BRAIM IDI-20130020BRAIM PDC2022-133952-I00BRAIM PID2022-141606OB-I00Centro para el Desarrollo Tecnológico IndustrialCRUE-Universitat Politècnica de ValènciaGeneralitat ValencianaSpanish Ministerio de Ciencia, Innovación y Universidades CIPROM/2023/25
6 · The paper itself

Abstract

objectivesThis study investigated grey and white matter alterations and their association with motor and cognitive symptoms in early-stage Parkinson's disease (PD).

methodsThirty-one early-stage PD patients and 30 matched healthy controls underwent multimodal MRI (VBM, DTI) and comprehensive clinical/neuropsychological assessments. We assessed grey matter atrophy, white matter microstructure, and caudate-cortical connectivity.

resultsParkinson's disease (PD) patients showed selective deficits in memory (FCSRT total recall, P-FDR = .014) and processing speed (SDMT, P-FDR = .025). Voxel-based morphometry (VBM) revealed bilateral caudate atrophy (left, P-FDR = .024; right, P-FDR = .026). Diffusion tensor imaging (DTI) demonstrated widespread microstructural alterations in corpus callosum and major association tracts. Disease duration negatively correlated with corpus callosum streamline counts (superior parietal P-FDR = .02; posterior parietal P-FDR = .004). UPDRS negatively correlated with fractional anisotropy (FA) in occipital (P-FDR = .002) and temporal (P-FDR = .0017) corpus callosum segments. Reduced caudate-cortical streamline density in frontal regions correlated with UPDRS/FCSRT scores; caudate-cingulum streamlines correlated with Mini-Mental State Examination (MMSE) attention/calculation.

conclusionsOur findings suggest early functionally relevant degeneration of fronto-caudate and interhemispheric pathways in PD. These structural changes correlate with specific cognitive and motor impairments, and are candidate imaging biomarkers for early PD progression and/or cognitive vulnerability. ADVANCES IN KNOWLEDGE: This is the first tractography study to evaluate connectivity between the caudate nuclei and different frontal lobe regions, unveiling specific white matter alterations in early PD. Our findings suggest that caudate atrophy, though not directly correlated with clinical variables, may underlie or result from impaired caudate-cortical connectivity, potentially accounting for some of the multifaceted PD symptoms.

Indexed as

Caudate NucleusCorpus CallosumMagnetic Resonance ImagingParkinson DiseaseAgedAtrophyBiomarkersCase-Control StudiesDiffusion Tensor ImagingFemaleGray MatterHumansMaleMiddle AgedMultimodal ImagingNeuropsychological TestsBiomarkersbraincaudate connectivitydiffusion tensor imagingParkinson’s disease

Identifiers

PMID41619801
PMCPMC13070641

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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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.