Predictive Value of Multimodal MRI in Parkinson's Disease

NCT ID: NCT05003206

Last Updated: 2021-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-19

Study Completion Date

2025-07-01

Brief Summary

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Deep brain stimulation (DBS) is recognized as the most safe and effective neurosurgical method for the treatment of advanced Parkinson's disease. However, the mechanism of relieving motor and non-motor symptoms of Parkinson's disease has not been fully clarified, and the prognosis is significantly different. This study is based on multimodal MRI technique to clarify the mechanism of DBS in relieving motor and non-motor symptoms of Parkinson's disease, and to explore imaging indicators that can predict prognosis, so as to guide the individual and accurate treatment of Parkinson's disease (PD).

Detailed Description

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1. Preoperative and postoperative multimodal MRI scanning 1) equipment: 3TGE 750 MRI 2) sequence: resting state fMRI, DTI, 3DTI, ESWAN, ASL 3) scan status: drug shutdown period ( discontinuation of drugs for Parkinson's disease for at least 12 hours), for patients who can not adhere to MRI scanning after drug withdrawal. Record the dosage of drugs before scanning
2. Evaluation of motor and non-motor symptoms: pre-operation and 1-year post-operation 1) motor symptoms: pre-operation medication opening and closing period. Postoperative medication off/stimulation off (Med-OFF/DBS-OFF);Med-ON/DBS-OFF;Med-OFF/DBS-ON;Med-ON/DBS-ON

1. overall evaluation of motor function: MDS-UPRDS, H\&Y stage
2. balance: Berg balance scale
3. dyskinesia: abnormal involuntary movement scale(AIMS)
4. end-of-dose phenomenon: WOQ19 end-of-dose phenomenon questionnaire
5. daily activity ability: SCHWAB\&ENGLAND daily activity scale 2) non-motor symptoms: preoperative drug shutdown period. Postoperative drug shutdown / DBS opening

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1. Cognitive function: Mini Mental State Examination scale (MMSE), Montreal Cognitive Assessment scale (MoCA)
2. emotion: Hamilton Depression scale (HAMD), Hamilton anxiety scale (HAMA)
3. Sleep: PD Sleep scale (PDSS), Appleworth sleepiness scale (ESS), REM Sleep Behavioral Disorder questionnaire-Hong Kong (RBDQ-HK)
4. pain: King Parkinson's disease pain scale (KPPS)
5. fatigue: fatigue severity scale (FSS)
6. autonomic nervous function assessment: autonomic nervous scale (SCOPA-AUT) h) quality of life: 39 items Parkinson's disease quality of life questionnaire (PDQ-39) 3.other records: changes in type, dose and mode of use of drugs. Daily equivalent dose of levodopa (tomlinson2010 conversion)

Conditions

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Parkinson's Disease Magnetic Resonance Imaging Deep Brain Stimulation

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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PD,DBS

Patients with idiopathic PD before and after DBS surgery

Group Type EXPERIMENTAL

Functional magnetic resonance imaging

Intervention Type OTHER

Preoperative and postoperative functional magnetic resonance imaging (fMRI) scanning. fMRI is a new neuroimaging method. Its principle is to use magnetic resonance imaging to measure the changes of hemodynamics caused by neuronal activity.

Deep Brain Stimulation

Intervention Type DEVICE

For PD patients treated with DBS, the neurologist will turn off the stimulator before MRI scan

Interventions

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Functional magnetic resonance imaging

Preoperative and postoperative functional magnetic resonance imaging (fMRI) scanning. fMRI is a new neuroimaging method. Its principle is to use magnetic resonance imaging to measure the changes of hemodynamics caused by neuronal activity.

Intervention Type OTHER

Deep Brain Stimulation

For PD patients treated with DBS, the neurologist will turn off the stimulator before MRI scan

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient with Parkinson's disease
* age\< 70 years
* Underwent bilateral STN-DBS or not
* Having complete medical history and clinical follow up
* All MRI examination performed according to study protocol
* Imaging data can be processed
* Signed informed consent obtained from the patient or patient's legally authorized representative;

Exclusion Criteria

* Parkinson-plus syndrome or secondary parkinsonism
* Patients with severe mental disorders such as psychosis, liver and kidney dysfunction, poor blood pressure or blood glucose control, severe depression and substance abuse, low IQ, and acute phase of severe stroke with definite limb dysfunction should also be excluded.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Xin Lou

Deputy Director of Department of Radiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xin Lou

Role: STUDY_CHAIR

Chinese PLA General Hospital

Locations

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Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yina Lan

Role: CONTACT

+86-17326826301

Facility Contacts

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Yi-na Lan

Role: primary

+86-17326826301

Other Identifiers

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Multimodal MRI DBS-PD

Identifier Type: -

Identifier Source: org_study_id

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