This study intends to apply structural and functional brain network neuroimaging techniques combined with image post-processing methods to explore the differences in brain network changes in PD patients with cognitive impairment after DBS or TMS.
A variety of post-processing methods (VBM, SPM, CAT, LEAD-DBS, etc.) were used to analyze structural brain network images (sMRI, DTI) and functional brain network images (rs-fMRI, PET) based on connectomics, and combined with the changes of clinical symptoms before and after treatment. To study the mechanism of the influence of neural regulation on brain network, and further analyze how DBS and TMS improve the cognitive symptoms of PD patients from the perspective of brain connectomics, so as to explore the occurrence and development of Parkinson's disease with cognitive impairment and the possible improvement mechanism.According to the individual differences in clinical symptoms of different PD patients, better stimulation sites and the best brain network are sought to further guide the surgical plan, so as to obtain the best clinical treatment effect.
Study Type
OBSERVATIONAL
Enrollment
200
We observed the changes in cognitive function of patients before and after different brain stimulation treatments, and further compared the effects of different brain stimulation treatments on cognitive function of PD patients and the related mechanisms according to whether DBS surgery was performed or TMS therapy was given only according to the surgical indications.
Tianjin Huanhu Hospital
Tianjin, Tianjin Municipality, China
RECRUITINGMontreal Cognitive Rating Scale(MoCA)
The Montreal Cognitive Rating Scale was used to assess the overall cognitive status of patients before and after treatment
Time frame: December 2023 to December 2026
verbal fluency test (VF)
VF test was used to assess frontal executive function and related language function
Time frame: December 2023 to December 2026
the third part of the Unified Parkinson's Disease Rating Scale (UPDRS III)
Measures motor symptoms and Higher scores indicate more severe impairment in motor function
Time frame: December 2023 to December 2026
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