Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7671
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dc.contributor.authorFleischer, Vinzenz-
dc.contributor.authorCiolac, Dumitru-
dc.contributor.authorGonzalez-Escamilla, Gabriel-
dc.contributor.authorGrothe, Matthias-
dc.contributor.authorStrauss, Sebastian-
dc.contributor.authorMolina Galindo, Lara S.-
dc.contributor.authorRadetz, Angela-
dc.contributor.authorSalmen, Anke-
dc.contributor.authorLukas, Carsten-
dc.contributor.authorKlotz, Luisa-
dc.contributor.authorMeuth, Sven G.-
dc.contributor.authorBayas, Antonios-
dc.contributor.authorPaul, Friedemann-
dc.contributor.authorHartung, Hans-Peter-
dc.contributor.authorHeesen, Christoph-
dc.contributor.authorStangel, Martin-
dc.contributor.authorWildemann, Brigitte-
dc.contributor.authorThen Bergh, Florian-
dc.contributor.authorTackenberg, Björn-
dc.contributor.authorKümpfel, Tania-
dc.contributor.authorZettl, Uwe K.-
dc.contributor.authorKnop, Matthias-
dc.contributor.authorTumani, Hayrettin-
dc.contributor.authorWiendl, Heinz-
dc.contributor.authorGold, Ralf-
dc.contributor.authorBittner, Stefan-
dc.contributor.authorZipp, Frauke-
dc.contributor.authorGroppa, Sergiu-
dc.contributor.authorMuthuraman, Muthuraman-
dc.date.accessioned2022-09-05T08:47:04Z-
dc.date.available2022-09-05T08:47:04Z-
dc.date.issued2022-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/7686-
dc.description.abstractObjective Fatigue is a frequent and severe symptom in multiple sclerosis (MS), but its pathophysiological origin remains incompletely understood. We aimed to examine the predictive value of subcortical gray matter volumes for fatigue severity at disease onset and after 4 years by applying structural equation modeling (SEM). Methods This multicenter cohort study included 601 treatment-naive patients with MS after the first demyelinating event. All patients underwent a standardized 3T magnetic resonance imaging (MRI) protocol. A subgroup of 230 patients with available clinical follow-up data after 4 years was also analyzed. Associations of subcortical volumes (included into SEM) with MS-related fatigue were studied regarding their predictive value. In addition, subcortical regions that have a central role in the brain network (hubs) were determined through structural covariance network (SCN) analysis. Results Predictive causal modeling identified volumes of the caudate (s [standardized path coefficient] = 0.763, p = 0.003 [left]; s = 0.755, p = 0.006 [right]), putamen (s = 0.614, p = 0.002 [left]; s = 0.606, p = 0.003 [right]) and pallidum (s = 0.606, p = 0.012 [left]; s = 0.606, p = 0.012 [right]) as prognostic factors for fatigue severity in the cross-sectional cohort. Moreover, the volume of the pons was additionally predictive for fatigue severity in the longitudinal cohort (s = 0.605, p = 0.013). In the SCN analysis, network hubs in patients with fatigue worsening were detected in the putamen (p = 0.008 [left]; p = 0.007 [right]) and pons (p = 0.0001). Interpretation We unveiled predictive associations of specific subcortical gray matter volumes with fatigue in an early and initially untreated MS cohort. The colocalization of these subcortical structures with network hubs suggests an early role of these brain regions in terms of fatigue evolution. ANN NEUROL 2022;91:192–202en_GB
dc.language.isoengde
dc.rightsCC BY-NC-ND*
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleSubcortical volumes as early predictors of fatigue in multiple sclerosisen_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-7671-
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleAnnals of neurologyde
jgu.journal.volume91de
jgu.journal.issue2de
jgu.pages.start192de
jgu.pages.end202de
jgu.publisher.year2022-
jgu.publisher.nameWiley-Blackwellde
jgu.publisher.placeHoboken, NJde
jgu.publisher.issn1531-8249de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
jgu.publisher.doi10.1002/ana.26290de
jgu.organisation.rorhttps://ror.org/023b0x485-
Appears in collections:JGU-Publikationen

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