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000282561 0247_ $$2doi$$a10.1002/mds.70026
000282561 0247_ $$2pmid$$apmid:40884249
000282561 0247_ $$2pmc$$apmc:PMC12661634
000282561 0247_ $$2ISSN$$a0885-3185
000282561 0247_ $$2ISSN$$a1531-8257
000282561 037__ $$aDZNE-2025-01324
000282561 041__ $$aEnglish
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000282561 1001_ $$0P:(DE-2719)9002627$$aQuattrone, Andrea$$b0$$udzne
000282561 245__ $$aBrain Atrophy Does Not Predict Clinical Progression in Progressive Supranuclear Palsy.
000282561 260__ $$aNew York, NY$$bWiley$$c2025
000282561 3367_ $$2DRIVER$$aarticle
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000282561 3367_ $$2BibTeX$$aARTICLE
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000282561 3367_ $$00$$2EndNote$$aJournal Article
000282561 520__ $$aClinical progression rate is the typical primary endpoint measure in progressive supranuclear palsy (PSP) clinical trials.This longitudinal multicohort study investigated whether baseline clinical severity and regional brain atrophy could predict clinical progression in PSP-Richardson's syndrome (PSP-RS).PSP-RS patients (n = 309) from the placebo arms of clinical trials (NCT03068468, NCT01110720, NCT02985879, NCT01049399) and DescribePSP cohort were included. We investigated associations of baseline clinical and volumetric magnetic resonance imaging (MRI) data with 1-year longitudinal PSP rating scale (PSPRS) change. Machine learning (ML) models were tested to predict individual clinical trajectories.PSP-RS patients showed a mean PSPRS score increase of 10.3 points/yr. The frontal lobe volume showed the strongest association with subsequent clinical progression (β: -0.34, P < 0.001). However, ML models did not accurately predict individual progression rates (R2 <0.15).Baseline clinical severity and brain atrophy could not predict individual clinical progression, suggesting no need for MRI-based stratification of patients in future PSP trials. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.
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000282561 650_7 $$2Other$$aatlas‐based volumetry
000282561 650_7 $$2Other$$aclinical trials
000282561 650_7 $$2Other$$aoutcome
000282561 650_7 $$2Other$$aprogression
000282561 650_7 $$2Other$$aprogressive supranuclear palsy
000282561 650_2 $$2MeSH$$aHumans
000282561 650_2 $$2MeSH$$aSupranuclear Palsy, Progressive: pathology
000282561 650_2 $$2MeSH$$aSupranuclear Palsy, Progressive: diagnostic imaging
000282561 650_2 $$2MeSH$$aDisease Progression
000282561 650_2 $$2MeSH$$aAtrophy: pathology
000282561 650_2 $$2MeSH$$aMale
000282561 650_2 $$2MeSH$$aFemale
000282561 650_2 $$2MeSH$$aAged
000282561 650_2 $$2MeSH$$aMagnetic Resonance Imaging
000282561 650_2 $$2MeSH$$aBrain: pathology
000282561 650_2 $$2MeSH$$aBrain: diagnostic imaging
000282561 650_2 $$2MeSH$$aMiddle Aged
000282561 650_2 $$2MeSH$$aLongitudinal Studies
000282561 650_2 $$2MeSH$$aSeverity of Illness Index
000282561 650_2 $$2MeSH$$aMachine Learning
000282561 693__ $$0EXP:(DE-2719)DESCRIBE-PSP-20160101$$5EXP:(DE-2719)DESCRIBE-PSP-20160101$$eDZNE Clinical Registry Study of Neurodegenerative Diseases in Patients with Progressive Supranuclear Paresis (PSP)$$x0
000282561 7001_ $$aFranzmeier, Nicolai$$b1
000282561 7001_ $$aHuppertz, Hans-Jürgen$$b2
000282561 7001_ $$aSeneca, Nicholas$$b3
000282561 7001_ $$0P:(DE-2719)2810273$$aPetzold, Gabor C$$b4$$udzne
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000282561 7001_ $$0P:(DE-2719)2000005$$aDüzel, Emrah$$b8$$udzne
000282561 7001_ $$aPASSPORT Study Group, the AL-108-231 Investigators, the Arise Investigators, the Tauros MRI Investigators, the DESCRIBE-PSP group$$b9$$eCollaboration Author
000282561 7001_ $$0P:(DE-2719)2811373$$aHöglinger, Günter U$$b10$$eLast author$$udzne
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