The Differential Diagnosis and Prognosis of Idiopathic and Atypical Parkinson Disease by Using Diffusion MRI
1 other identifier
observational
288
1 country
1
Brief Summary
The hypothesis is that the differential extent of microstructural damages in the affected brain regions can be specific to the disease of interest and could reflect the clinical severity. Therefore, we propose that the whole brain parcellation of diffusion MRI can be used to improve the diagnosis and prediction of clinical outcomes in Parkinson's Disease.
- 1.A regression model between clinical severity and two-year clinical outcomes and diffusion properties from multiple parcellated regions will be developed.
- 2.Blind validation will be performed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Aug 2017
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2018
CompletedFirst Submitted
Initial submission to the registry
June 14, 2020
CompletedFirst Posted
Study publicly available on registry
July 15, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2020
CompletedAugust 6, 2021
August 1, 2021
1 year
June 14, 2020
August 5, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
An objective image-based evidence for the diagnosis, differential diagnosis and prognosis of Parkinson's Disease
The following will be measured for the diagnostic performance of diffusion MRI: 1. Regression between cognitive performance and baseline diffusion MRI using Pearson correlation 2. Leave one out cross validation
end of the third year
Secondary Outcomes (5)
prognosis
end of the third year
prognosis
end of the third year
differential diagnosis
end of the second year
Imaging
end of the third year
Imaging
end of the third year
Study Arms (3)
Atypical Parkinson's Disease patients
This group consists of patients includes 35 patients with Progressive Supranuclear Paralysis (PSP), 35 patients with Multiple System Atrophy (MSA), and 35 patients with Cortico-Basal Degeneration (CBD).
Idiopathic Parkinson's Disease patients
This group consists of patients starting from 2012 to 2013 and includes 87 patients with typical Parkinson's Disease (PD)
Healthy volunteers
The 96 healthy volunteers should meet the following criteria: 1. Between 50-80 years old 2. Right-handed 3. MMSE score greater than or equal to 26 4. Able to understand study requirements and give informed consent
Eligibility Criteria
All subjects should meet the following criteria: 1. Between 50-80 years old 2. Right-handed 3. Able to understand study requirements and give informed consent 4. Agree to return for follow-up checks 5. Able to suspend intake of medication for at least 12 hours
You may not qualify if:
- Cardiac pacemaker or defibrillator implantation Intracranial metal device implantation
- Other major systemic diseases, such as renal failure, heart failure, stroke, AMI/unstable angina, poorly controlled diabetes mellitus, poorly controlled hypertension
- Alcohol or drug abuse
- Moderate to severe dementia
- Severe movement disorders
- History of intracranial surgery including thalamotomy, pallidotomy, and/or deep brain stimulation
- Major physical or neuropsychiatric disorders
- Structural abnormalities that may cause dementia, such as cortical infarction, tumour, or subdural hematoma
- Besides medication for Parkinson's Disease, taking other medication with substances that can pass through the blood-brain barrier
- Besides medication for Parkinson's Disease, taking other medication for more than 10 years
- Treatments or concurrent illnesses other than Alzheimer's Disease that could interfere with cognitive function
- Meet the criteria for dementia (DSM-IV)
- Head trauma with loss of consciousness greater than 10 minutes
- Severe loss of sensation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
ChangGung Memorial Hospital, Linkou
Taoyuan District, 333, Taiwan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Target Duration
- 3 Years
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Study Principal Investigator
Study Record Dates
First Submitted
June 14, 2020
First Posted
July 15, 2020
Study Start
August 1, 2017
Primary Completion
August 1, 2018
Study Completion
July 31, 2020
Last Updated
August 6, 2021
Record last verified: 2021-08