TABLE 2.
Citation | Sample characteristics, mean ± SD | Cluster method | Cluster variables | Imaging method | Description of clusters, % prevalence | Neuroimaging results | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
N | Age, years | Education, years | Global cognition | Gender, % female | Disease duration, years | ||||||
Alonso‐Recio et al. (2018) | 71 PD | 63.9 ± 7.7 | 15.1 ± 6.1 | MMSE: 28.8 ± 1.3 | 48% | 7.0 ± 4.1 | Latent profile analysis |
Memory: Test de Aprendizaje Verbal España‐Complutense (immediate & delayed) 7/24 spatial recall (immediate & delayed), semantic fluency, BNT Executive: phonemic fluency, TMT (A & B‐A), digit span (backward) |
NA |
|
NA |
Brennan et al. (2017) | 199 PD | 70.6 ± 7.5 | 16.2 ± 2.3 | DRS‐2: 136.8 ± 5.6 | 33% | 6.9 ± 5.2 | Latent class analysis |
Executive: LNS, phonemic fluency Language: BNT, semantic fluency Verbal episodic memory: HVLT‐R (delayed & recognition) Visuospatial: JLO, clock drawing |
NA |
|
NA |
Crowley et al. (2021) | 116 PD | 78.7 ± 6.2 | 16.3 ± 2.5 | 28.4 ± 1.4 | 28% | 7.1 ± 4.8 | k‐means cluster analysis |
Composite scores used for each domain Executive: SDMT, LNS, TMT‐B, Stroop Memory: Logical memory, HVLT (delayed & recognition) |
3‐T structural MRI: voxel‐based morphometry and fractional anisotropy |
|
PD executive: lower total brain volume and higher ventricular volume compared to PD cognitively well and healthy controls. Reduced putamen volume and right entorhinal‐hippocampal connectivity compared to healthy controls. Reduced thalamus volume compared to PD cognitively well. Reduced right dorsolateral‐prefrontal cortex to caudate nucleus connections connectivity compared to all groups PD memory: bilaterally reduced entorhinal‐hippocampal connections compared to healthy controls PD cognitively well: only reduced putamen volume and right entorhinal‐hippocampal connectivity compared to healthy controls |
Inguanzo et al. (2021) | 62 PD | NA | NA | NA | 26% | NA | Hierarchical clustering with Ward's method on grey matter and fractional anisotropy data |
Attention/working memory: TMT (A & B), digit span (forward & backward), Stroop, SDMT Executive: phonemic fluency, semantic fluency Language: BNT Memory: RAVLT (immediate, delayed, recognition) Visuospatial: JLO, VFDT, FRT |
3‐T structural MRI: voxel‐based morphometry and fractional anisotropy |
|
PD1: showed characteristic posterior‐cortical atrophy. Reduced grey matter in occipital, medial frontal, orbital and temporal cortices compared to controls. Reduced grey matter of subcortical regions (bilateral putamen, caudate, thalamus, nucleus accumbens, hippocampus) compared to controls and PD3. Reduced grey matter of subcortical regions (thalamus, amygdala, putamen, hippocampus) compared to PD2. Reduced fractional anisotropy compared to controls mainly in fronto‐occipital tracts PD2: cortical atrophy only (bilateral orbital, medial prefrontal, and temporal) compared to controls. Reduced grey matter in right middle temporal gyrus compared to PD3. Greater grey matter volume of the cerebellum compared to controls and PD3 PD3: no detectable atrophy compared to HC |
Kawabata et al. (2018) | 72 PD | 68.5 ± 7.8 | 13.8 ± 3.2 |
MMSE: 28.7 ± 0.7 ACE‐R: 88.5 ± 4.1 |
54% | 5.6 ± 3.3 | Hierarchical clustering with Ward's method |
The five sub‐scores of the ACE‐R: Attention/Orientation Memory Fluency Language Visuospatial |
3‐T rs‐fMRI: group‐ICA dual regression, and regional FC analyses |
|
Compared to PD‐NC and PD‐NA, PD‐A had reduced FC in precuneus and posterior cingulate cortex within the ventral DMN. PD‐A also showed lower FC compared to HC in left cuneus within the visuospatial network. Compared with the HC and PD‐NC, PD‐NA demonstrated reduced FC in lingual gyrus within the primary visual network and in lingual gyrus and calcarine gyrus within the medial visual network. This difference was larger between PD‐NA and HC than PD‐NA and PD‐NC. PD‐NA showed reduced FC in bilateral cerebellar lobule within the cerebellum–brainstem network relative to PD‐A. PD‐A displayed lower mean regional FC in the ventral DMN than PD‐NA and PD‐NC. PD‐A and PD‐NA were likely to show lower mean regional FC in the visuospatial network, primary visual network, and medial visual network ROIs compared to HC |
3‐T MRI: voxel‐based morphometry | PD‐A group showed reduced grey matter volume in left amygdala, right rectal gyrus, and right middle occipital gyrus compared to age‐ and gender‐ matched HC. No differences between PD‐A, PD‐NC, and PD‐NA | ||||||||||
LaBelle et al. (2017) | 424 de novo PD | 61.7 ± 9.7 | 15.5 ± 3 | NR | 34% | 0.5 ± 0.5 | Latent class analysis |
Learning and memory: HVLT‐R (immediate & delayed) Visuospatial: JLO Working memory: LNS Processing speed: SDMT Language: semantic fluency |
NA |
|
NA |
Bayram et al. (2019), using LaBelle et al. (2017) clusters | 122 de novo PD | 63.5 ± 7.3 | 14.8 ± 2.6 | MoCA: 27.0 ± 2.2 | 28% | 0.5 ± 0.5 | 3‐T structural MRI: deformation‐based morphometry |
Weak: most widespread pattern of atrophy compared to typical class (lateral and inferior temporal regions, posteromedial and lateral frontal regions, insula and motor cortex) Weak‐visuospatial/strong‐memory: atrophy in prefrontal, lateral temporal, parietal, insular, motor cortex, and subcortical regions compared to typical class. Atrophy in left frontotemporal, precentral gyrus, right frontal, and putamen compared to typical Weak‐visuospatial: atrophy in left rolandic operculum including the precentral gyrus and the insula compared to typical Amnestic: atrophy in lateral temporal, parietal, occipital, insular, and motor cortex compared to typical Strong: no atrophy patterns compared to typical |
|||
Liepelt‐Scarfone et al. (2012) | 97 PD, 24 PDD | 68.7 ± 6.9 | NR | MMSE: 26.6 ± 2.6 | 33% | 6.6 ± 5.1 | Hierarchical cluster analysis |
19 neurocognitive variables (Tower of London, TMT (A & B), digit span (forward & backward), figure test, word‐list memory (false positives, recall, recognition), BNT, semantic & phonemic fluency, CERAD (praxis & delay), WMS‐R logical memory, VOSP, BAXT, alertness, Go‐Nogo) reduced down to six factors through PCA: Factor 1: frontal lobe function Factor 2: word‐list memory and recall Factor 3: attention Factor 4: logical memory Factor 5: praxis and visual perception Factor 6: fluency and naming ability |
NA |
|
NA |
Pourzinal et al. (2020) | 85 PD | 68.5 ± 8.5 | 13.0 ± 3.5 | MoCA: 25.2 ± 2.8 | 42% | 5.9 ± 5.8 | k‐means cluster analysis |
Posterior‐cortical: BVMT and HVLT (immediate & delayed), category fluency, BNT Frontal: TMT (A & B‐A), phonemic fluency, working memory subscale from the PD‐CRS |
NA |
|
NA |
Uribe et al. (2016) | 88 PD | 60.4 ± 9.3 | 10.6 ± 4.8 | MMSE: 29.0 ± 1.0 | 42% | 8.0 ± 5.6 | Hierarchical clustering with Ward's method on cortical thickness data |
Executive: phonemic and semantic fluency Memory: RAVLT (total & recall) Attention/working memory: digit span (forward & backward), Stroop (word, colour, & word‐colour), SDMT, TMT (A, B, & A‐B) Language: BNT Visuospatial: VFDT, JLO |
3‐T structural MRI |
|
Pattern 1: cortical thinning in posterior cingulate/isthmus of the cingulate gyrus, precuneus, precentral gyrus compared to Pattern 2. Significant cortical thinning in lateral and medial regions bilaterally, including precentral gyrus, inferior and superior parietal areas, cuneus, posterior cingulate gyrus, and parahippocampal gyrus compared to Pattern 3. Reduced cortical thickness in lateral and medial regions bilaterally, including the precentral gyrus, inferior and superior parietal areas, cuneus, posterior cingulate gyrus, and parahippocampal gyrus compared to healthy controls Pattern 2: cortical thinning in dorsolateral and orbital frontal regions compared to Pattern 1, and cortical thinning in superior parietal and occipital areas and left dorsolateral frontal cortex compared to Pattern 3. Also showed cortical atrophy in bilateral superior parietal and occipital areas and bilateral frontal regions such as middle frontal, orbitofrontal, and right anterior superior frontal regions compared to controls Pattern 3: cortical thinning in the left medial orbitofrontal cortex compared to Pattern 1 and no cortical thinning compared to controls |
Uribe et al. (2018) | 77 de novo PD | 63.1 ± 8.1 | 16.0 ± 6.0 | MoCA: median = 27.5, IQR = 3.0 | 38% | 1 ± 1.9 | Hierarchical clustering with Ward's method on cortical thickness data |
Memory: HVLT‐R (total, delayed, recognition) Visuospatial: JLO Attention/working memory: SDMT and LNS Executive: phonemic (letter "f") and semantic (animal) fluency |
3‐T structural MRI |
|
Pattern 1: cortical thinning in bilateral orbitofrontal, anterior cingulate, and lateral and medial anterior temporal gyri Pattern 2: cortical thinning in bilateral occipital gyrus, cuneus, superior parietal gyrus, and left postcentral gyrus |
Abbreviations: ACE‐R, Addenbrooke's Cognitive Examination‐Revised; BAXT, Berlin Apraxia Test; BNT, Boston Naming Test; BVMT, Brief Visuospatial Memory Test; CERAD, Consortium to Establish a Registry for Alzheimer's Disease; DMN, default mode network; DRS‐2, Dementia Rating Scale 2; FC, functional connectivity; FRT, forced response test; HC, healthy controls; HVLT‐R, Hopkin's Verbal Learning Test Revised; ICA, independent component analysis; IQR, interquartile range; JLO, Judgment of Line Orientation; LNS, Letter Number Sequencing; MMSE, Mini‐Mental State Examination; MoCA, Montreal Cognitive Assessment; MRI, magnetic resonance imaging; NA, not applicable; NR, not reported; PCA, principal component analysis; PD, Parkinson disease; PD‐A, PD‐amnestic; PD‐CRS, Parkinson's Disease Cognitive Rating Scale; PDD, PD dementia; PD‐NA, PD‐nonamnestic; PD‐NC, PD‐normal cognition; RAVLT, Rey Auditory Verbal Learning Test; ROI, region of interest; rs‐fMRI, resting‐state functional MRI; SDMT, Symbol Digit Modality Test; TMT, Trail Making Test; VFDT, Visual Form Discrimination Test; VOSP, Visual Object and Space Perception; WMS‐R, Weschler Memory Scale Revised.