Surface-based morphometry reveals caudate subnuclear structural damage in patients with premotor Huntington disease.

In patients with premotor Huntington's disease (pmHD), literature has reported decreases in caudate volume. However, the regional vulnerability of the caudate nucleus to pmHD remains to be clarified. We aimed to determine whether regional structural damage of the caudate nucleus was present in pmHD...

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Publicado en:Brain Imaging & Behavior Vol. 11; no. 5; pp. 1365 - 1373
Autores principales: Kim, Hosung, Kim, Ji-hoon, Possin, Katherine, Winer, Joseph, Geschwind, Michael, Xu, Duan, Hess, Christopher, Possin, Katherine L, Geschwind, Michael D, Hess, Christopher P
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Oct2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2017
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      pub: Springer Nature
      place: New York, New York
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        atl: Surface-based morphometry reveals caudate subnuclear structural damage in patients with premotor Huntington disease.
      aug:
        au:
          Kim, Hosung
          Kim, Ji-hoon
          Possin, Katherine
          Winer, Joseph
          Geschwind, Michael
          Xu, Duan
          Hess, Christopher
          Possin, Katherine L
          Geschwind, Michael D
          Hess, Christopher P
        affil: Department of Radiology and Biomedical Imaging , University of California San Francisco , San Francisco USA
      sug:
        subj:
          Basal Ganglia
          Magnetic Resonance Imaging Methods
          Huntington's Disease
          Neuropsychological Tests
          Middle Age
          Memory, Short Term
          Image Processing, Computer Assisted Methods
          Huntington's Disease Pathology
          Economic Aspects of Illness
          Disease Progression
          Adult
          Body Weights and Measures
          Male
          Basal Ganglia Pathology
          Atrophy
          Executive Function
          Female
          Huntington's Disease Psychosocial Factors
          DNA
          Human
          Funding Source
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: In patients with premotor Huntington's disease (pmHD), literature has reported decreases in caudate volume. However, the regional vulnerability of the caudate nucleus to pmHD remains to be clarified. We aimed to determine whether regional structural damage of the caudate nucleus was present in pmHD and was correlated with clinical profile using a surface-based morphometric technique applied to T1-weighted MRI. The study cohort consisted of 14 volunteers with genetically confirmed pmHD (6 males; 41.8 ± 13.2 years) and 11 age- and sex-matched controls (5 males; 46.2 ± 11.9 years, p > 0.3). On 3-T T1-weighted images, bilateral caudate volumes were manually delineated. The resulting labels were converted to a surface, triangulated with 1002 points equally distributed across subjects using SPHARM-PDM. Displacement vectors were then computed between each individual and a template surface representing the whole cohort. Computing point-wise Jacobian determinants (JD) from these vectors quantified local volumes. We found decreases in bilateral global caudate volumes in the pmHD group compared to controls (t = 3.4; p = 0.002). Point-wise analysis of local volumes mapped caudate atrophy in pmHD primarily onto medial surface (t > 2.7; FDR < 0.05), with most pronounced changes in anteromedial subdivision. In a combined group of patients and controls, volume within the area presenting significant group difference was positively correlated with scores of executive function (r = 0.7; p < 0.001) and working memory (r = 0.6; p = 0.002). In patients, the caudate atrophy was associated with increase in disease burden (r = 0.7; p = 0.005). Caudate subnuclear atrophy measured using our surface-based morphometric technique is evident in pmHD, correlates with clinical variables, and may provide a more sensitive biomarker than global volumes.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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