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Functional connectivity and brain structure assessment in patients at risk of synucleinopathies
 Klobušiaková, Patrícia ; Gajdoš, Martin (referee) ; Mekyska, Jiří (advisor)
Synucleinopathy is a neurodegenerative disorder characterized by the presence of pathological protein -synuclein in neurons. So far, treatment that could heal or permanently stop this disease is not known. The aim of this work is to identify prodromal stages of synucleinopathies using functional connectivity processed applying graph metrics and assessing cortical thickness and subcortical structures volumes from magnetic resonance imaging data, and to verify specificity and sensitivity of combinations of parameters that sufficiently differentiate patients in risk of synucleinopathies. To accomplish this goal, we collected data from patients in the risk of synucleinopathy (preDLB, n = 27) and healthy controls (HC, n = 28). We found reduced volume of right pallidum and increased hippocampal volume to cortical volume ratio, increased normalised clustering coefficient and higher modularity in the preDLB group in comparison to HC. These four parameters were modeled using machine learning. The resulting model differentiated preDLB and HC with balanced accuracy of 88 %, specificity of 89 % and sensitivity of 86 %. The findings of this thesis can serve as the basis for further studies searching for specific MRI markers of prodromal stage of synucleinopathy that could be targeted with therapy in the future.
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