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Research ArticleBrain

Changes in the Thalamus in Atypical Parkinsonism Detected Using Shape Analysis and Diffusion Tensor Imaging

C.P. Hess, C.W. Christine, A.C. Apple, W.P. Dillon and M.J. Aminoff
American Journal of Neuroradiology May 2014, 35 (5) 897-903; DOI: https://doi.org/10.3174/ajnr.A3832
C.P. Hess
aFrom the Departments of Radiology and Biomedical Imaging (C.P.H., A.C.A., W.P.D.)
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C.W. Christine
bNeurology (C.W.C., W.P.D., M.J.A.), University of California, San Francisco, San Francisco, California.
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A.C. Apple
aFrom the Departments of Radiology and Biomedical Imaging (C.P.H., A.C.A., W.P.D.)
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W.P. Dillon
aFrom the Departments of Radiology and Biomedical Imaging (C.P.H., A.C.A., W.P.D.)
bNeurology (C.W.C., W.P.D., M.J.A.), University of California, San Francisco, San Francisco, California.
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M.J. Aminoff
bNeurology (C.W.C., W.P.D., M.J.A.), University of California, San Francisco, San Francisco, California.
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    Fig 1.

    A, Boxplots of left (white) and right (gray) thalamic volumes in milliliters in healthy controls and patients with PD, CBS, and PSP. Vertical lines illustrate the range in calculated volume for each group, and upper and lower box boundaries correspond to 75th and 25th percentiles for volumes, respectively. Dark horizontal lines represent median values. B–E, Statistical maps of shape difference displayed on the average left (B and D) and right (C and E) thalami. Note relatively the symmetric shape difference in the lateral thalamus, with relative sparing of the medial thalamus. Only white met statistical significance. Yellow indicates areas with trends toward significance (P < .25), seen clustered more extensively around regions in the expected location of the ventral anterior and ventral lateral thalamic nuclei. A similar pattern of difference in shape is observed when the atypical group (CBD+PSP) is compared with the healthy control group (B and C) and patients with PD (D and E).

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    Fig 2.

    Correspondence between thalamic surface templates and DTI estimates of the location of thalamic nuclei, as viewed from a level superior to the thalami. The right and left thalamic motor nuclear groups, parcellated from the nonmotor regions of the thalamus by using probabilistic DTI tractography, are depicted in red. The contours of the thalami, shaded gray, were delineated automatically from the T1-weighted anatomic images. A indicates anterior; P, posterior.

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    Fig 3.

    A, Boxplots of left (white) and right (gray) thalamic ADC in mm2/s (×10−3) in control, PD, CBS, and PSP groups. Nonparametric tests of intergroup equivalence demonstrate significant differences in thalamic ADC in the PSP group compared with both healthy controls and patients with PD (see text). B, Boxplots of mean ADC in mm2/s (×10−3) within nonmotor (white) and motor (gray) thalamic nuclei in healthy controls and patients with PD and atypical PD (CBS+PSP).

Tables

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  • Baseline characteristics for study participants

    NCPDPSPCBDP Value
    No.12956
    Age (yr)68.6 ± 5.566.3 ± 7.969.2 ± 3.070.5 ± 4.8.67
    Sex (F/M)4:82:73:25:1.09
    Disease duration (yr)N/A8.6 ± 4.23.8 ± 1.45.5 ± 1.4.03a
    Side of main symptomsN/A5 left; 4 rightN/A3 left; 3 right.24
    eTIV (L)1.59 ± 0.181.53 ± 0.101.43 ± 0.271.58 ± 0.32.24
    • Note:—NC indicates healthy control; L, liters; NA, not applicable; eTIV, estimated total intracranial volume.

    • ↵a Statistically significant (P < .05).

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American Journal of Neuroradiology: 35 (5)
American Journal of Neuroradiology
Vol. 35, Issue 5
1 May 2014
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Cite this article
C.P. Hess, C.W. Christine, A.C. Apple, W.P. Dillon, M.J. Aminoff
Changes in the Thalamus in Atypical Parkinsonism Detected Using Shape Analysis and Diffusion Tensor Imaging
American Journal of Neuroradiology May 2014, 35 (5) 897-903; DOI: 10.3174/ajnr.A3832

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Changes in the Thalamus in Atypical Parkinsonism Detected Using Shape Analysis and Diffusion Tensor Imaging
C.P. Hess, C.W. Christine, A.C. Apple, W.P. Dillon, M.J. Aminoff
American Journal of Neuroradiology May 2014, 35 (5) 897-903; DOI: 10.3174/ajnr.A3832
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