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Abstract #4375

Putaminal spontaneous activity characterizes and predicts wearing-off in Parkinson’s disease

Chenqing Wu1, Haoting Wu1, Xiaojun Guan1, Xiaojun Xu1, and Minming Zhang1
1The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China

Synopsis

Keywords: Parkinson's Disease, Parkinson's Disease

Motivation: Delayed detection of wearing off (WO) in Parkinson’s disease (PD) has a negative impact on quality of life. However, there is currently no method for WO prediction prior to treatment.

Goal(s): To investigate whether resting-state functional MRI (rs-fMRI) could aid in WO prediction.

Approach: Fractional amplitude of low-frequency fluctuation (fALFF) was quantified from rs-fMRI to determine whether spontaneous activity dysfunction could be a predisposing vulnerability related to WO.

Results: Putaminal fALFF reduction was the independent predictor of WO development.

Impact: Detection of putaminal fALFF reduction prior to treatment provides a quantitative metric to facilitate WO prediction and improve prognosis.

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Keywords