{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:59:38Z","timestamp":1790243978496,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["62571320"],"award-info":[{"award-number":["62571320"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82571772"],"award-info":[{"award-number":["82571772"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82371255"],"award-info":[{"award-number":["82371255"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82071258"],"award-info":[{"award-number":["82071258"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013285","name":"Program for Professor of Special Appointment (Eastern Scholar) at Shanghai Institutions of Higher Learning","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013285","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disorders"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Paroxysmal kinesigenic dyskinesia (PKD) causes brief, movement\u2010triggered dystonic or choreic attacks that can severely affect daily life. Though most patients eventually remit, timing and rate of improvement differ substantially across individuals, and predictive biomarkers remain lacking. Evidence indicates that PKD reflects distributed network dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate how structural wiring supports or constrains these dysfunctions, as evaluated by structure\u2010function (structural connectivity\u2010functional connectivity [SC\u2010FC]) coupling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Diffusion kurtosis imaging and resting\u2010state functional magnetic resonance imaging (fMRI) were obtained in 95 patients with PKD and 44 healthy controls (HC). SC\u2010FC coupling was quantified at nodal, intranetwork, and internetwork levels. Patients were classified as remission or nonremission. Machine\u2010learning classifiers based on multilevel SC\u2010FC features were trained to distinguish PKD from HCs and to predict remission status. Associations between SC\u2010FC features and disease duration were assessed using Spearman's correlation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients with PKD exhibited widespread SC\u2010FC coupling abnormalities consistent with distributed rather than focal network dysfunction. Remission and nonremission subgroups exhibited distinct SC\u2010FC signatures, centering on cerebellar, somatomotor, and default\u2010mode systems. Machine\u2010learning classifiers discriminated PKD patients from HCs (area under the receiver operating characteristic curve [AUC]\u2009=\u20090.91) and remission from nonremission patients (AUC\u2009=\u20090.95). Cerebellar\u2010default\u2010mode network coupling was the top discriminative feature and correlated positively with disease duration (Spearman's\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.26,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.031, FDR corrected).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Multilevel SC\u2010FC coupling analyses reveal systems\u2010level abnormalities in PKD and suggest that partial normalization of coupling patterns accompanies remission. Cerebellar\u2010default\u2010mode network coupling may serve as a sensitive imaging biomarker of remission status and disease progression, highlighting coupling\u2010based metrics as candidates for predicting PKD trajectory. \u00a9 2026 International Parkinson and Movement Disorder Society.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mds.70512","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:00:14Z","timestamp":1790240414000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multilevel Structure\u2013Function Coupling Reveals Network Signatures of Remission in Paroxysmal Kinesigenic Dyskinesia"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8616-2761","authenticated-orcid":false,"given":"Yuan","family":"Li","sequence":"first","affiliation":[{"name":"Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, School of Biomedical Engineering, Shanghai Jiao Tong University  Shanghai China"},{"name":"Institute of Medical Robotics Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kan","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Neurology\/Genetics and Rare Diseases Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Department of Neurology Shanghai General Hospital Affiliated to Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziyi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Neurology\/Genetics and Rare Diseases Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Shanghai Professional Technical Service Platform for Genetic and Rare Neurological Diseases  Shanghai China"},{"name":"Neurological Disorder Center Haikou Orthopedic and Diabetes Hospital of Shanghai Sixth People's Hospital  Haikou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanchen","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Neurology\/Genetics and Rare Diseases Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Shanghai Professional Technical Service Platform for Genetic and Rare Neurological Diseases  Shanghai China"},{"name":"Neurological Disorder Center Haikou Orthopedic and Diabetes Hospital of Shanghai Sixth People's Hospital  Haikou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuoyun","family":"Feng","sequence":"additional","affiliation":[{"name":"Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, School of Biomedical Engineering, Shanghai Jiao Tong University  Shanghai China"},{"name":"Institute of Medical Robotics Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1742-9877","authenticated-orcid":false,"given":"Li","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Neurology\/Genetics and Rare Diseases Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Shanghai Professional Technical Service Platform for Genetic and Rare Neurological Diseases  Shanghai China"},{"name":"Neurological Disorder Center Haikou Orthopedic and Diabetes Hospital of Shanghai Sixth People's Hospital  Haikou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5009-7443","authenticated-orcid":false,"given":"Yao","family":"Li","sequence":"additional","affiliation":[{"name":"Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, School of Biomedical Engineering, Shanghai Jiao Tong University  Shanghai China"},{"name":"Institute of Medical Robotics Shanghai Jiao Tong University  Shanghai China"},{"name":"National Engineering Research Center of Advanced Magnetic Resonance Technologies for Diagnosis and Therapy Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Guan","sequence":"additional","affiliation":[{"name":"Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, School of Biomedical Engineering, Shanghai Jiao Tong University  Shanghai China"},{"name":"Institute of Medical Robotics Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojun","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Neurology\/Genetics and Rare Diseases Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Shanghai Professional Technical Service Platform for Genetic and Rare Neurological Diseases  Shanghai China"},{"name":"Neurological Disorder Center Haikou Orthopedic and Diabetes Hospital of Shanghai Sixth People's Hospital  Haikou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"2280","DOI":"10.1212\/01.WNL.0000147298.05983.50","article-title":"Clinical evaluation of idiopathic paroxysmal kinesigenic dyskinesia: new diagnostic criteria","volume":"63","author":"Bruno M","year":"2004","journal-title":"Neurology"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1212\/WNL.0000000000002079","article-title":"Paroxysmal kinesigenic dyskinesia: clinical and genetic analyses of 110 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