Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients Based on Connectivity

Background. It is critical to distinguish between Parkinson’s disease (PD) and scans without evidence of dopaminergic deficit (SWEDD), because the two groups are different and require different therapeutic approaches. Objective. The aim of this study was to distinguish SWEDD patients from PD patient...

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Main Authors: Mansu Kim, Hyunjin Park
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2016/8704910
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author Mansu Kim
Hyunjin Park
author_facet Mansu Kim
Hyunjin Park
author_sort Mansu Kim
collection DOAJ
description Background. It is critical to distinguish between Parkinson’s disease (PD) and scans without evidence of dopaminergic deficit (SWEDD), because the two groups are different and require different therapeutic approaches. Objective. The aim of this study was to distinguish SWEDD patients from PD patients using connectivity information derived from diffusion tensor imaging tractography. Methods. Diffusion magnetic resonance images of SWEDD (n=37) and PD (n=40) were obtained from a research database. Tractography, the process of obtaining neural fiber information, was performed using custom software. Group-wise differences between PD and SWEDD patients were quantified using the number of connected fibers between two regions, and correlation analyses were performed based on clinical scores. A support vector machine classifier (SVM) was applied to distinguish PD and SWEDD based on group-wise differences. Results. Four connections showed significant group-wise differences and correlated with the Unified Parkinson’s Disease Rating Scale sponsored by the Movement Disorder Society. The SVM classifier attained 77.92% accuracy in distinguishing between SWEDD and PD using these identified connections. Conclusions. The connections and regions identified represent candidates for future research investigations.
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spelling doaj-art-1e848afd9d2d48a2ba253a7156cebf762025-08-20T03:54:57ZengWileyParkinson's Disease2090-80832042-00802016-01-01201610.1155/2016/87049108704910Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients Based on ConnectivityMansu Kim0Hyunjin Park1Department of Electronic, Electrical and Computer Engineering, Sungkyunkwan University, Suwon 16419, Republic of KoreaSchool of Electronic and Electrical Engineering, Sungkyunkwan University, Suwon 16419, Republic of KoreaBackground. It is critical to distinguish between Parkinson’s disease (PD) and scans without evidence of dopaminergic deficit (SWEDD), because the two groups are different and require different therapeutic approaches. Objective. The aim of this study was to distinguish SWEDD patients from PD patients using connectivity information derived from diffusion tensor imaging tractography. Methods. Diffusion magnetic resonance images of SWEDD (n=37) and PD (n=40) were obtained from a research database. Tractography, the process of obtaining neural fiber information, was performed using custom software. Group-wise differences between PD and SWEDD patients were quantified using the number of connected fibers between two regions, and correlation analyses were performed based on clinical scores. A support vector machine classifier (SVM) was applied to distinguish PD and SWEDD based on group-wise differences. Results. Four connections showed significant group-wise differences and correlated with the Unified Parkinson’s Disease Rating Scale sponsored by the Movement Disorder Society. The SVM classifier attained 77.92% accuracy in distinguishing between SWEDD and PD using these identified connections. Conclusions. The connections and regions identified represent candidates for future research investigations.http://dx.doi.org/10.1155/2016/8704910
spellingShingle Mansu Kim
Hyunjin Park
Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients Based on Connectivity
Parkinson's Disease
title Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients Based on Connectivity
title_full Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients Based on Connectivity
title_fullStr Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients Based on Connectivity
title_full_unstemmed Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients Based on Connectivity
title_short Using Tractography to Distinguish SWEDD from Parkinson’s Disease Patients Based on Connectivity
title_sort using tractography to distinguish swedd from parkinson s disease patients based on connectivity
url http://dx.doi.org/10.1155/2016/8704910
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