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Progression of grey and white matter brain damage in Parkinson's disease: a critical review of structural MRI literature
Sarasso E, Agosta F, Piramide N, Filippi M.. Journal of neurology, 2020-05-06
Topic: Brain proteins, microglia and lab models
Plain-language summary
The current review summarizes the current knowledge on longitudinal cortical and subcortical grey and white matter MRI findings assessed using T1-weighted and one-tensor diffusion-weighted MRI in Parkinson's disease (PD) patients. Results were reviewed according to disease duration, disease severity and cognitive impairment. The most consistent findings are those showing a progressive cortical atrophy accumulation in caudate, putamen, temporal/hippocampal, frontal and parietal areas in de novo PD cases and in the early/middle phase of the disease, with the achievement of a plateau in the later stage. Analyzing results according to the patient cognitive status, only a few studies used longitudinal MRI metrics to predict mild cognitive impairment or dementia conversion in PD patients, suggesting that atrophy of the hippocampus, fronto-temporal areas, caudate, thalamus and accumbens might play a role in this process. Stratifying patients according to disease severity, findings appear partially controversial, although showing a progressive atrophy of basal ganglia over 1 year of follow up and a widespread cortical thinning over 3-6 years in mild to moderate PD patients. Finally, microstructural damage of the main motor and associative WM tracts seems to be present, and rapidly progress, even in the early phase of PD. The utility of structural MRI metrics as biomarkers of PD progression and their role in improving the accuracy of disease progression prediction is still debated.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Sarasso, E., Agosta, F., Piramide, N., & Filippi, M. (2021). Progression of grey and white matter brain damage in Parkinson's disease: a critical review of structural MRI literature. Journal of neurology. https://doi.org/10.1007/s00415-020-09863-8
Vancouver
Sarasso E, Agosta F, Piramide N, Filippi M. Progression of grey and white matter brain damage in Parkinson's disease: a critical review of structural MRI literature. Journal of neurology. 2021. doi:10.1007/s00415-020-09863-8. PMID: 32378035.
BibTeX
@article{sarasso2021-32378035,
author = {Sarasso, E. and Agosta, F. and Piramide, N. and Filippi, M.},
title = {{Progression of grey and white matter brain damage in Parkinson's disease: a critical review of structural MRI literature}},
journal = {Journal of neurology},
year = {2021},
doi = {10.1007/s00415-020-09863-8},
pmid = {32378035},
url = {https://doi.org/10.1007/s00415-020-09863-8}
}
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Key findings
- Results were reviewed according to disease duration, disease severity and cognitive impairment.
- Analyzing results according to the patient cognitive status, only a few studies used longitudinal MRI metrics to predict mild cognitive impairment or dementia conversion in PD patients, suggesting that atrophy of the hippocampus, fronto-temporal areas, caudate, thalamus and accumbens might play a role in this process.
Why it matters
This review of MRI studies in Parkinson's disease describes progressive brain atrophy and notes that only a few studies used MRI to predict cognitive impairment or dementia conversion. It concerns Parkinson's disease and reports no treatment or prevention results.
Study details
- Study designlongitudinal study
- Evidence strengthModerate
How this study scored 54/100
Published in a peer-reviewed journal, and it is a longitudinal study following the same people over time. Scored zero for sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of neurology) |
| Journal's citation record | 2 / 4 | Journal of Neurology: journal h-index 208 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A longitudinal study following the same people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2021 — within 6 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 5 / 7 | Cited 116 times (OpenAlex, 2026-10-10) |
| Citations per year | 3 / 5 | 16.6 citations a year over 7 year(s) since 2021 |
| Impact for its field and year | 3 / 6 | Cited 5.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 3 / 4 | Cited 54 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Massimo Filippi: h-index 156 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | IRCCS Ospedale San Raffaele: institution h-index 731 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 32378035) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 54 / 100 | — |
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