Motor network degeneration in amyotrophic lateral sclerosis: a structural and functional connectivity study

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterised by motor neuron degeneration. How this disease affects the central motor network is largely unknown. Here, we combined for the first time structural and functional imaging measures on the motor network in patients with...

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Veröffentlicht in:PloS one 2010-10, Vol.5 (10), p.e13664-e13664
Hauptverfasser: Verstraete, Esther, van den Heuvel, Martijn P, Veldink, Jan H, Blanken, Niels, Mandl, René C, Hulshoff Pol, Hilleke E, van den Berg, Leonard H
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container_title PloS one
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creator Verstraete, Esther
van den Heuvel, Martijn P
Veldink, Jan H
Blanken, Niels
Mandl, René C
Hulshoff Pol, Hilleke E
van den Berg, Leonard H
description Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterised by motor neuron degeneration. How this disease affects the central motor network is largely unknown. Here, we combined for the first time structural and functional imaging measures on the motor network in patients with ALS and healthy controls. Structural measures included whole brain cortical thickness and diffusion tensor imaging (DTI) of crucial motor tracts. These structural measures were combined with functional connectivity analysis of the motor network based on resting state fMRI. Focal cortical thinning was observed in the primary motor area in patients with ALS compared to controls and was found to correlate with disease progression. DTI revealed reduced FA values in the corpus callosum and in the rostral part of the corticospinal tract. Overall functional organisation of the motor network was unchanged in patients with ALS compared to healthy controls, however the level of functional connectedness was significantly correlated with disease progression rate. Patients with increased connectedness appear to have a more progressive disease course. We demonstrate structural motor network deterioration in ALS with preserved functional connectivity measures. The positive correlation between functional connectedness of the motor network and disease progression rate could suggest spread of disease along functional connections of the motor network.
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Patients with increased connectedness appear to have a more progressive disease course. We demonstrate structural motor network deterioration in ALS with preserved functional connectivity measures. The positive correlation between functional connectedness of the motor network and disease progression rate could suggest spread of disease along functional connections of the motor network.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>21060689</pmid><doi>10.1371/journal.pone.0013664</doi><tpages>e13664</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Amyotrophic lateral sclerosis
Amyotrophic Lateral Sclerosis - pathology
Anisotropy
Brain
Brain - pathology
Brain mapping
Case-Control Studies
Comparative analysis
Connectivity analysis
Corpus callosum
Correlation analysis
Cortex
Degeneration
Development and progression
Disease
Disease control
Disease Progression
Disease transmission
Female
Functional magnetic resonance imaging
Humans
Magnetic Resonance Imaging
Male
Medical prognosis
Middle Aged
Motor Neurons - pathology
Nervous system diseases
Neural networks
Neurodegeneration
Neuroimaging
Neurological Disorders/Neuroimaging
Neurological Disorders/Neuromuscular Diseases
Neurology
Neurons
Neuroscience/Motor Systems
Neurosciences
NMR
Nuclear magnetic resonance
Patients
Physiological aspects
Psychiatry
Pyramidal tracts
Radiology and Medical Imaging/Magnetic Resonance Imaging
Structure-function relationships
Studies
title Motor network degeneration in amyotrophic lateral sclerosis: a structural and functional connectivity study
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