Insula Volume and Salience Network Are Associated with Memory Decline in Parkinson Disease: Complementary Analyses of Voxel-Based Morphometry versus Volume of Interest

Objective. We investigated structural brain change in subjects with a clinical diagnosis of Parkinson disease with mild cognitive impairment (PD-MCI) and examined its relationship with memory impairment. Methods. Twenty-three PD-MCI patients were enrolled and underwent cognitive evaluation and 3-dim...

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Main Authors: Yan-Ting Lu, Wen-Neng Chang, Chiung-Chih Chang, Cheng-Hsien Lu, Nai-Ching Chen, Chi-Wei Huang, Wei-Che Lin, Ya-Ting Chang
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2016/2939528
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author Yan-Ting Lu
Wen-Neng Chang
Chiung-Chih Chang
Cheng-Hsien Lu
Nai-Ching Chen
Chi-Wei Huang
Wei-Che Lin
Ya-Ting Chang
author_facet Yan-Ting Lu
Wen-Neng Chang
Chiung-Chih Chang
Cheng-Hsien Lu
Nai-Ching Chen
Chi-Wei Huang
Wei-Che Lin
Ya-Ting Chang
author_sort Yan-Ting Lu
collection DOAJ
description Objective. We investigated structural brain change in subjects with a clinical diagnosis of Parkinson disease with mild cognitive impairment (PD-MCI) and examined its relationship with memory impairment. Methods. Twenty-three PD-MCI patients were enrolled and underwent cognitive evaluation and 3-dimensional T1-weighted imaging. Voxel-based morphometry (VBM) was used to assess brain-behavior correlations and examine the relationship between insula and memory score. VOI methods replicated results obtained from VBM. Results. VBM uncovered the notion that memory scores were positively correlated with the gray matter (GM) density in the insular cortex and a significant positive correlation between overall cognitive performance and concentration of GM within the lateral temporal cortex. In VOI analyses, our results suggested a positive correlation between the insula and composite free-recall verbal memory (ρ=0.617, P=0.003) and the delayed free-recall verbal memory subdomain (ρ=0.725, P<0.001). Furthermore, we found a positive correlation between the insula and caudate (σ=0.570, P=0.006) and putamen volume (σ=0.683, P<0.001). Conclusions. In patients with PD-MCI, atrophic changes in the insula may be related to memory deficits, and the brain-behavior correlation may be associated with atrophic change in the striatum within the salience network.
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issn 2090-8083
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series Parkinson's Disease
spelling doaj-art-fd91938c8ded47c28c90ea00385308072025-02-03T01:27:45ZengWileyParkinson's Disease2090-80832042-00802016-01-01201610.1155/2016/29395282939528Insula Volume and Salience Network Are Associated with Memory Decline in Parkinson Disease: Complementary Analyses of Voxel-Based Morphometry versus Volume of InterestYan-Ting Lu0Wen-Neng Chang1Chiung-Chih Chang2Cheng-Hsien Lu3Nai-Ching Chen4Chi-Wei Huang5Wei-Che Lin6Ya-Ting Chang7Department of Neurology, Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Neurology, Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Neurology, Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Neurology, Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Neurology, Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Neurology, Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Radiology, Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Neurology, Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanObjective. We investigated structural brain change in subjects with a clinical diagnosis of Parkinson disease with mild cognitive impairment (PD-MCI) and examined its relationship with memory impairment. Methods. Twenty-three PD-MCI patients were enrolled and underwent cognitive evaluation and 3-dimensional T1-weighted imaging. Voxel-based morphometry (VBM) was used to assess brain-behavior correlations and examine the relationship between insula and memory score. VOI methods replicated results obtained from VBM. Results. VBM uncovered the notion that memory scores were positively correlated with the gray matter (GM) density in the insular cortex and a significant positive correlation between overall cognitive performance and concentration of GM within the lateral temporal cortex. In VOI analyses, our results suggested a positive correlation between the insula and composite free-recall verbal memory (ρ=0.617, P=0.003) and the delayed free-recall verbal memory subdomain (ρ=0.725, P<0.001). Furthermore, we found a positive correlation between the insula and caudate (σ=0.570, P=0.006) and putamen volume (σ=0.683, P<0.001). Conclusions. In patients with PD-MCI, atrophic changes in the insula may be related to memory deficits, and the brain-behavior correlation may be associated with atrophic change in the striatum within the salience network.http://dx.doi.org/10.1155/2016/2939528
spellingShingle Yan-Ting Lu
Wen-Neng Chang
Chiung-Chih Chang
Cheng-Hsien Lu
Nai-Ching Chen
Chi-Wei Huang
Wei-Che Lin
Ya-Ting Chang
Insula Volume and Salience Network Are Associated with Memory Decline in Parkinson Disease: Complementary Analyses of Voxel-Based Morphometry versus Volume of Interest
Parkinson's Disease
title Insula Volume and Salience Network Are Associated with Memory Decline in Parkinson Disease: Complementary Analyses of Voxel-Based Morphometry versus Volume of Interest
title_full Insula Volume and Salience Network Are Associated with Memory Decline in Parkinson Disease: Complementary Analyses of Voxel-Based Morphometry versus Volume of Interest
title_fullStr Insula Volume and Salience Network Are Associated with Memory Decline in Parkinson Disease: Complementary Analyses of Voxel-Based Morphometry versus Volume of Interest
title_full_unstemmed Insula Volume and Salience Network Are Associated with Memory Decline in Parkinson Disease: Complementary Analyses of Voxel-Based Morphometry versus Volume of Interest
title_short Insula Volume and Salience Network Are Associated with Memory Decline in Parkinson Disease: Complementary Analyses of Voxel-Based Morphometry versus Volume of Interest
title_sort insula volume and salience network are associated with memory decline in parkinson disease complementary analyses of voxel based morphometry versus volume of interest
url http://dx.doi.org/10.1155/2016/2939528
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