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Gray matter atrophy in progressive supranuclear palsy: meta-analysis of voxel-based morphometry studies

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Abstract

Voxel-based morphometry (VBM) studies have provided cumulative evidence of gray matter (GM) atrophy in patients with progressive supranuclear palsy (PSP) relative to healthy controls (HC). However, not all findings have been entirely concordant. Herein, we performed a quantitative meta-analysis study in order to consistently quantify GM anomalies in PSP. We conducted a systematic search for VBM studies of PSP patients and HC using PubMed and Embase databases from January 2000 to May 2012. Meta-analysis of these VBM studies was performed using a newly improved voxel-based meta-analytic technique, effect-size signed differential mapping. A total of 9 cross-sectional VBM studies that involved 143 PSP patients and 216 HC subjects met the inclusion criteria. Considerable regional GM volume decrease was detected in the thalamus, basal ganglia, midbrain, insular cortex, and frontal cortex. These findings remained largely unchanged following jackknife sensitivity analyses. The present meta-analysis provided evidence of PSP-specific GM atrophy. This finding might help contribute to our understanding of the neurobiological basis underlying PSP.

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Acknowledgments

We thank all the authors of the included studies. We especially thank Dr. Joaquim Radua for his kind help and suggestings.

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There is no actual or potential financial and other conflict of interest related to the submitted manuscript.

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Correspondence to Hai Cun Shi.

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Shi, H.C., Zhong, J.G., Pan, P.L. et al. Gray matter atrophy in progressive supranuclear palsy: meta-analysis of voxel-based morphometry studies. Neurol Sci 34, 1049–1055 (2013). https://doi.org/10.1007/s10072-013-1406-9

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  • DOI: https://doi.org/10.1007/s10072-013-1406-9

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