%PDF-1.3 1 0 obj << /Type /Catalog /Outlines 2 0 R /Pages 3 0 R >> endobj 2 0 obj << /Type /Outlines /Count 0 >> endobj 3 0 obj << /Type /Pages /Kids [6 0 R 93 0 R 138 0 R 147 0 R 149 0 R 169 0 R 183 0 R 185 0 R 187 0 R 189 0 R 191 0 R 193 0 R 195 0 R ] /Count 13 /Resources << /ProcSet 4 0 R /Font << /F1 8 0 R /F2 9 0 R /F3 10 0 R /F4 11 0 R /F5 12 0 R >> /XObject << /I1 13 0 R /I2 14 0 R /I3 109 0 R /I4 142 0 R >> >> /MediaBox [0.000 0.000 612.000 792.000] >> endobj 4 0 obj [/PDF /Text /ImageC ] endobj 5 0 obj << /Creator (DOMPDF) /CreationDate (D:20180721193808+00'00') /ModDate (D:20180721193808+00'00') /Title (Age-at-onset in Huntington disease PLOS Currents Huntington Disease) >> endobj 6 0 obj << /Type /Page /Parent 3 0 R /Annots [ 15 0 R 17 0 R 19 0 R 21 0 R 23 0 R 25 0 R 27 0 R 29 0 R 31 0 R 33 0 R 35 0 R 37 0 R 39 0 R 41 0 R 43 0 R 45 0 R 47 0 R 49 0 R 51 0 R 53 0 R 55 0 R 57 0 R 59 0 R 61 0 R 63 0 R 65 0 R 67 0 R 69 0 R 71 0 R 73 0 R 75 0 R 77 0 R 79 0 R 81 0 R 83 0 R 85 0 R 87 0 R 89 0 R 91 0 R ] /Contents 7 0 R >> endobj 7 0 obj << /Length 22898 >> stream q 375.000 0 0 39.000 222.000 738.000 cm /I2 Do Q q 15.000 709.302 577.500 28.698 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(Age-at-onset in Huntington disease)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 700.036 Td /F3 9.8 Tf [(July 29, 2011)] TJ ET BT 72.681 700.036 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 77.556 700.036 Td /F3 9.8 Tf [(Epidemiology)] TJ ET BT 26.250 688.195 Td /F1 9.8 Tf [(Michael Orth)] TJ ET 0.271 0.267 0.267 rg BT 81.513 688.195 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 86.934 688.195 Td /F1 9.8 Tf [(Carsten Schwenke)] TJ ET 0.271 0.267 0.267 rg BT 26.250 676.290 Td /F1 9.8 Tf [(Orth M, Schwenke C. Age-at-onset in Huntington disease. PLOS Currents Huntington Disease. 2011 Jul 29 . Edition 1. doi: )] TJ ET BT 26.250 664.386 Td /F1 9.8 Tf [(10.1371/currents.RRN1258.)] TJ ET q 15.000 24.826 577.500 637.179 re W n 0.271 0.267 0.267 rg BT 26.250 635.283 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 615.329 Td /F1 9.8 Tf [(Background: In Huntington disease, the accurate determination of age-at-onset is critical to identify modifiers and therapies that )] TJ ET BT 26.250 603.424 Td /F1 9.8 Tf [(aim to delay it.)] TJ ET BT 26.250 584.019 Td /F1 9.8 Tf [(Methods: Retrospective data from the European Huntingtons Disease Networks REGISTRY. Data \(age, gender, CAG repeat )] TJ ET BT 26.250 572.115 Td /F1 9.8 Tf [(length, parent affected, and Unified Huntingtons Disease Rating Scale motor score, total functional capacity\) from at least three )] TJ ET BT 26.250 560.210 Td /F1 9.8 Tf [(visits in 423 REGISTRY participants were included. Data based extrapolations of individual age-at-onset using generalized )] TJ ET BT 26.250 548.305 Td /F1 9.8 Tf [(linear mixed models based on individual slopes of motor score or total functional capacity, and predictions using the Langbehn, )] TJ ET BT 26.250 536.400 Td /F1 9.8 Tf [(or Ranen formula, were compared with clinicians estimates.)] TJ ET BT 26.250 516.996 Td /F1 9.8 Tf [(Results: Concordance was best for the calculated onset using the REGISTRY UHDRS longitudinal motor scores. For total )] TJ ET BT 26.250 505.091 Td /F1 9.8 Tf [(functional capacity, the investigators estimate was 4 years before the data derived age-at-onset. The concordance of )] TJ ET BT 26.250 493.186 Td /F1 9.8 Tf [(predictions of probability of age-at-onset was 20 years \(difference in 25%tile\).)] TJ ET BT 26.250 473.781 Td /F1 9.8 Tf [(Conclusions: Estimating or predicting age-at-onset in Huntington disease may be inaccurate. It can be useful to 1\) add in the )] TJ ET BT 26.250 461.877 Td /F1 9.8 Tf [(manifest population motor score regression derived age-at-onset as additional motor onset and 2\) add total functional capacity )] TJ ET BT 26.250 449.972 Td /F1 9.8 Tf [(regression derived age-at-onset for the onset of functional impact of Huntington disease when patients are in mid- to late-stage.)] TJ ET BT 26.250 413.369 Td /F4 12.0 Tf [(Formal Correction)] TJ ET BT 26.250 393.415 Td /F1 9.8 Tf [(This article has been formally corrected to address the following. All reference to and analysis of thePREDICT-HD dataset has )] TJ ET BT 26.250 381.510 Td /F1 9.8 Tf [(been removed from the original version of this article at the request of the PREDICT-HD Statistics Team.)] TJ ET BT 26.250 344.908 Td /F4 12.0 Tf [(INTRODUCTION)] TJ ET BT 26.250 324.954 Td /F1 9.8 Tf [(Age-at-onset \(AAO\) in Huntington disease \(HD\) describes the point in time when a carrier of the mutated gene develops )] TJ ET BT 26.250 313.049 Td /F1 9.8 Tf [(unequivocal HD signs. The accurate determination of AAO is critical to find factors that modify AAO and to develop and )] TJ ET BT 26.250 301.144 Td /F1 9.8 Tf [(evaluate therapies that aim to delay it. In manifest HD, an autosomal dominant disease with a highly penetrant CAG repeat )] TJ ET BT 26.250 289.239 Td /F1 9.8 Tf [(expansion mutation in the )] TJ ET BT 140.062 289.239 Td /F5 9.8 Tf [(HTT)] TJ ET BT 159.016 289.239 Td /F1 9.8 Tf [( gene, )] TJ ET 0.267 0.267 0.267 rg BT 188.831 289.239 Td /F1 8.7 Tf [([1])] TJ ET 0.271 0.267 0.267 rg BT 198.469 289.239 Td /F1 9.8 Tf [( a clinician estimates AAO retrospectively based on information from manifest patients, )] TJ ET BT 26.250 277.335 Td /F1 9.8 Tf [(relatives, and carers. For AAO predictions in the prodromal phase the formula of Langbehn and colleagues uses CAG repeat )] TJ ET BT 26.250 265.430 Td /F1 9.8 Tf [(length and age because of their well known influences on AAO and calculates the time to a predefined degree of probability of )] TJ ET BT 26.250 253.525 Td /F1 9.8 Tf [(manifesting signs of HD. )] TJ ET 0.267 0.267 0.267 rg BT 134.621 253.525 Td /F1 8.7 Tf [([2])] TJ ET 0.271 0.267 0.267 rg BT 144.259 253.525 Td /F1 9.8 Tf [( However, CAG repeat length accounts for only about 50-60% of the variability, so other factors not )] TJ ET BT 26.250 241.620 Td /F1 9.8 Tf [(modelled in this formula likely influence AAO. )] TJ ET 0.267 0.267 0.267 rg BT 224.029 241.620 Td /F1 8.7 Tf [([3])] TJ ET 0.271 0.267 0.267 rg BT 233.666 241.620 Td /F1 9.8 Tf [( Another formula published by Ranen and colleagues uses CAG repeat length )] TJ ET BT 26.250 229.716 Td /F1 9.8 Tf [(and parental onset age to estimate AAO. )] TJ ET 0.267 0.267 0.267 rg BT 205.104 229.716 Td /F1 8.7 Tf [([4] , )] TJ ET BT 221.969 229.716 Td /F1 8.7 Tf [([5)] TJ ET BT 229.197 229.716 Td /F1 8.7 Tf [(])] TJ ET 0.271 0.267 0.267 rg BT 231.607 229.716 Td /F1 9.8 Tf [( This may accommodate for some other inherited factors as an advantage over )] TJ ET BT 26.250 217.811 Td /F1 9.8 Tf [(the Langbehn formula. However, it was derived from a small sample of affected parent-child pairs and needs to be validated in )] TJ ET BT 26.250 205.906 Td /F1 9.8 Tf [(larger numbers of patients. )] TJ ET 0.267 0.267 0.267 rg BT 144.927 205.906 Td /F1 8.7 Tf [([5])] TJ ET 0.271 0.267 0.267 rg BT 26.250 186.501 Td /F1 9.8 Tf [(The aim of this study is to compare clinicians estimates with data-based extrapolations of AAO, and predictions using the )] TJ ET BT 26.250 174.597 Td /F1 9.8 Tf [(Langbehn, or Ranen formula. To this end we used data from the European Huntingtons Disease Networks \(EHDN\) )] TJ ET BT 26.250 162.692 Td /F1 9.8 Tf [(REGISTRY, a longitudinal observational study of HD for preparing statistical models. )] TJ ET 0.267 0.267 0.267 rg BT 393.640 162.692 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 420.142 162.692 Td /F1 9.8 Tf [( REGISTRY enrols participants at )] TJ ET BT 26.250 150.787 Td /F1 9.8 Tf [(any stage of HD including the prodromal phase. )] TJ ET 0.267 0.267 0.267 rg BT 234.890 150.787 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 261.393 150.787 Td /F1 9.8 Tf [( We hypothesized that in the REGISTRY data agreement rates between )] TJ ET BT 26.250 138.882 Td /F1 9.8 Tf [(the clinicians estimates of AAO and data based AAO would be low since we expected that the retrospective estimate of AAO in )] TJ ET BT 26.250 126.978 Td /F1 9.8 Tf [(REGISTRY was imprecise. We further expected that data-based calculations of a motor onset is possible and less variable than )] TJ ET BT 26.250 115.073 Td /F1 9.8 Tf [(clinicians estimates of AAO, and, similarly, that it is possible to calculate an onset of functional impairment.)] TJ ET BT 26.250 78.470 Td /F4 12.0 Tf [(METHODS)] TJ ET BT 26.250 58.516 Td /F4 9.8 Tf [(Participants)] TJ ET BT 26.250 39.111 Td /F1 9.8 Tf [(Retrospective data from an ongoing multicentre, longitudinal observational research study, EHDNs REGISTRY, was used. )] TJ ET Q q 15.000 709.302 577.500 28.698 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(Age-at-onset in Huntington disease)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 700.036 Td /F3 9.8 Tf [(July 29, 2011)] TJ ET BT 72.681 700.036 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 77.556 700.036 Td /F3 9.8 Tf [(Epidemiology)] TJ ET BT 26.250 688.195 Td /F1 9.8 Tf [(Michael Orth)] TJ ET 0.271 0.267 0.267 rg BT 81.513 688.195 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 86.934 688.195 Td /F1 9.8 Tf [(Carsten Schwenke)] TJ ET 0.271 0.267 0.267 rg BT 26.250 676.290 Td /F1 9.8 Tf [(Orth M, Schwenke C. Age-at-onset in Huntington disease. PLOS Currents Huntington Disease. 2011 Jul 29 . Edition 1. doi: )] TJ ET BT 26.250 664.386 Td /F1 9.8 Tf [(10.1371/currents.RRN1258.)] TJ ET q 15.000 24.826 577.500 637.179 re W n 0.271 0.267 0.267 rg BT 26.250 635.283 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 615.329 Td /F1 9.8 Tf [(Background: In Huntington disease, the accurate determination of age-at-onset is critical to identify modifiers and therapies that )] TJ ET BT 26.250 603.424 Td /F1 9.8 Tf [(aim to delay it.)] TJ ET BT 26.250 584.019 Td /F1 9.8 Tf [(Methods: Retrospective data from the European Huntingtons Disease Networks REGISTRY. Data \(age, gender, CAG repeat )] TJ ET BT 26.250 572.115 Td /F1 9.8 Tf [(length, parent affected, and Unified Huntingtons Disease Rating Scale motor score, total functional capacity\) from at least three )] TJ ET BT 26.250 560.210 Td /F1 9.8 Tf [(visits in 423 REGISTRY participants were included. Data based extrapolations of individual age-at-onset using generalized )] TJ ET BT 26.250 548.305 Td /F1 9.8 Tf [(linear mixed models based on individual slopes of motor score or total functional capacity, and predictions using the Langbehn, )] TJ ET BT 26.250 536.400 Td /F1 9.8 Tf [(or Ranen formula, were compared with clinicians estimates.)] TJ ET BT 26.250 516.996 Td /F1 9.8 Tf [(Results: Concordance was best for the calculated onset using the REGISTRY UHDRS longitudinal motor scores. For total )] TJ ET BT 26.250 505.091 Td /F1 9.8 Tf [(functional capacity, the investigators estimate was 4 years before the data derived age-at-onset. The concordance of )] TJ ET BT 26.250 493.186 Td /F1 9.8 Tf [(predictions of probability of age-at-onset was 20 years \(difference in 25%tile\).)] TJ ET BT 26.250 473.781 Td /F1 9.8 Tf [(Conclusions: Estimating or predicting age-at-onset in Huntington disease may be inaccurate. It can be useful to 1\) add in the )] TJ ET BT 26.250 461.877 Td /F1 9.8 Tf [(manifest population motor score regression derived age-at-onset as additional motor onset and 2\) add total functional capacity )] TJ ET BT 26.250 449.972 Td /F1 9.8 Tf [(regression derived age-at-onset for the onset of functional impact of Huntington disease when patients are in mid- to late-stage.)] TJ ET BT 26.250 413.369 Td /F4 12.0 Tf [(Formal Correction)] TJ ET BT 26.250 393.415 Td /F1 9.8 Tf [(This article has been formally corrected to address the following. All reference to and analysis of thePREDICT-HD dataset has )] TJ ET BT 26.250 381.510 Td /F1 9.8 Tf [(been removed from the original version of this article at the request of the PREDICT-HD Statistics Team.)] TJ ET BT 26.250 344.908 Td /F4 12.0 Tf [(INTRODUCTION)] TJ ET BT 26.250 324.954 Td /F1 9.8 Tf [(Age-at-onset \(AAO\) in Huntington disease \(HD\) describes the point in time when a carrier of the mutated gene develops )] TJ ET BT 26.250 313.049 Td /F1 9.8 Tf [(unequivocal HD signs. The accurate determination of AAO is critical to find factors that modify AAO and to develop and )] TJ ET BT 26.250 301.144 Td /F1 9.8 Tf [(evaluate therapies that aim to delay it. In manifest HD, an autosomal dominant disease with a highly penetrant CAG repeat )] TJ ET BT 26.250 289.239 Td /F1 9.8 Tf [(expansion mutation in the )] TJ ET BT 140.062 289.239 Td /F5 9.8 Tf [(HTT)] TJ ET BT 159.016 289.239 Td /F1 9.8 Tf [( gene, )] TJ ET 0.267 0.267 0.267 rg BT 188.831 289.239 Td /F1 8.7 Tf [([1])] TJ ET 0.271 0.267 0.267 rg BT 198.469 289.239 Td /F1 9.8 Tf [( a clinician estimates AAO retrospectively based on information from manifest patients, )] TJ ET BT 26.250 277.335 Td /F1 9.8 Tf [(relatives, and carers. For AAO predictions in the prodromal phase the formula of Langbehn and colleagues uses CAG repeat )] TJ ET BT 26.250 265.430 Td /F1 9.8 Tf [(length and age because of their well known influences on AAO and calculates the time to a predefined degree of probability of )] TJ ET BT 26.250 253.525 Td /F1 9.8 Tf [(manifesting signs of HD. )] TJ ET 0.267 0.267 0.267 rg BT 134.621 253.525 Td /F1 8.7 Tf [([2])] TJ ET 0.271 0.267 0.267 rg BT 144.259 253.525 Td /F1 9.8 Tf [( However, CAG repeat length accounts for only about 50-60% of the variability, so other factors not )] TJ ET BT 26.250 241.620 Td /F1 9.8 Tf [(modelled in this formula likely influence AAO. )] TJ ET 0.267 0.267 0.267 rg BT 224.029 241.620 Td /F1 8.7 Tf [([3])] TJ ET 0.271 0.267 0.267 rg BT 233.666 241.620 Td /F1 9.8 Tf [( Another formula published by Ranen and colleagues uses CAG repeat length )] TJ ET BT 26.250 229.716 Td /F1 9.8 Tf [(and parental onset age to estimate AAO. )] TJ ET 0.267 0.267 0.267 rg BT 205.104 229.716 Td /F1 8.7 Tf [([4] , )] TJ ET BT 221.969 229.716 Td /F1 8.7 Tf [([5)] TJ ET BT 229.197 229.716 Td /F1 8.7 Tf [(])] TJ ET 0.271 0.267 0.267 rg BT 231.607 229.716 Td /F1 9.8 Tf [( This may accommodate for some other inherited factors as an advantage over )] TJ ET BT 26.250 217.811 Td /F1 9.8 Tf [(the Langbehn formula. However, it was derived from a small sample of affected parent-child pairs and needs to be validated in )] TJ ET BT 26.250 205.906 Td /F1 9.8 Tf [(larger numbers of patients. )] TJ ET 0.267 0.267 0.267 rg BT 144.927 205.906 Td /F1 8.7 Tf [([5])] TJ ET 0.271 0.267 0.267 rg BT 26.250 186.501 Td /F1 9.8 Tf [(The aim of this study is to compare clinicians estimates with data-based extrapolations of AAO, and predictions using the )] TJ ET BT 26.250 174.597 Td /F1 9.8 Tf [(Langbehn, or Ranen formula. To this end we used data from the European Huntingtons Disease Networks \(EHDN\) )] TJ ET BT 26.250 162.692 Td /F1 9.8 Tf [(REGISTRY, a longitudinal observational study of HD for preparing statistical models. )] TJ ET 0.267 0.267 0.267 rg BT 393.640 162.692 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 420.142 162.692 Td /F1 9.8 Tf [( REGISTRY enrols participants at )] TJ ET BT 26.250 150.787 Td /F1 9.8 Tf [(any stage of HD including the prodromal phase. )] TJ ET 0.267 0.267 0.267 rg BT 234.890 150.787 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 261.393 150.787 Td /F1 9.8 Tf [( We hypothesized that in the REGISTRY data agreement rates between )] TJ ET BT 26.250 138.882 Td /F1 9.8 Tf [(the clinicians estimates of AAO and data based AAO would be low since we expected that the retrospective estimate of AAO in )] TJ ET BT 26.250 126.978 Td /F1 9.8 Tf [(REGISTRY was imprecise. We further expected that data-based calculations of a motor onset is possible and less variable than )] TJ ET BT 26.250 115.073 Td /F1 9.8 Tf [(clinicians estimates of AAO, and, similarly, that it is possible to calculate an onset of functional impairment.)] TJ ET BT 26.250 78.470 Td /F4 12.0 Tf [(METHODS)] TJ ET BT 26.250 58.516 Td /F4 9.8 Tf [(Participants)] TJ ET BT 26.250 39.111 Td /F1 9.8 Tf [(Retrospective data from an ongoing multicentre, longitudinal observational research study, EHDNs REGISTRY, was used. )] TJ ET Q q 15.000 709.302 577.500 28.698 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(Age-at-onset in Huntington disease)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 700.036 Td /F3 9.8 Tf [(July 29, 2011)] TJ ET BT 72.681 700.036 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 77.556 700.036 Td /F3 9.8 Tf [(Epidemiology)] TJ ET BT 26.250 688.195 Td /F1 9.8 Tf [(Michael Orth)] TJ ET 0.271 0.267 0.267 rg BT 81.513 688.195 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 86.934 688.195 Td /F1 9.8 Tf [(Carsten Schwenke)] TJ ET 0.271 0.267 0.267 rg BT 26.250 676.290 Td /F1 9.8 Tf [(Orth M, Schwenke C. Age-at-onset in Huntington disease. PLOS Currents Huntington Disease. 2011 Jul 29 . Edition 1. doi: )] TJ ET BT 26.250 664.386 Td /F1 9.8 Tf [(10.1371/currents.RRN1258.)] TJ ET q 15.000 24.826 577.500 637.179 re W n 0.271 0.267 0.267 rg BT 26.250 635.283 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 615.329 Td /F1 9.8 Tf [(Background: In Huntington disease, the accurate determination of age-at-onset is critical to identify modifiers and therapies that )] TJ ET BT 26.250 603.424 Td /F1 9.8 Tf [(aim to delay it.)] TJ ET BT 26.250 584.019 Td /F1 9.8 Tf [(Methods: Retrospective data from the European Huntingtons Disease Networks REGISTRY. Data \(age, gender, CAG repeat )] TJ ET BT 26.250 572.115 Td /F1 9.8 Tf [(length, parent affected, and Unified Huntingtons Disease Rating Scale motor score, total functional capacity\) from at least three )] TJ ET BT 26.250 560.210 Td /F1 9.8 Tf [(visits in 423 REGISTRY participants were included. Data based extrapolations of individual age-at-onset using generalized )] TJ ET BT 26.250 548.305 Td /F1 9.8 Tf [(linear mixed models based on individual slopes of motor score or total functional capacity, and predictions using the Langbehn, )] TJ ET BT 26.250 536.400 Td /F1 9.8 Tf [(or Ranen formula, were compared with clinicians estimates.)] TJ ET BT 26.250 516.996 Td /F1 9.8 Tf [(Results: Concordance was best for the calculated onset using the REGISTRY UHDRS longitudinal motor scores. For total )] TJ ET BT 26.250 505.091 Td /F1 9.8 Tf [(functional capacity, the investigators estimate was 4 years before the data derived age-at-onset. The concordance of )] TJ ET BT 26.250 493.186 Td /F1 9.8 Tf [(predictions of probability of age-at-onset was 20 years \(difference in 25%tile\).)] TJ ET BT 26.250 473.781 Td /F1 9.8 Tf [(Conclusions: Estimating or predicting age-at-onset in Huntington disease may be inaccurate. It can be useful to 1\) add in the )] TJ ET BT 26.250 461.877 Td /F1 9.8 Tf [(manifest population motor score regression derived age-at-onset as additional motor onset and 2\) add total functional capacity )] TJ ET BT 26.250 449.972 Td /F1 9.8 Tf [(regression derived age-at-onset for the onset of functional impact of Huntington disease when patients are in mid- to late-stage.)] TJ ET BT 26.250 413.369 Td /F4 12.0 Tf [(Formal Correction)] TJ ET BT 26.250 393.415 Td /F1 9.8 Tf [(This article has been formally corrected to address the following. All reference to and analysis of thePREDICT-HD dataset has )] TJ ET BT 26.250 381.510 Td /F1 9.8 Tf [(been removed from the original version of this article at the request of the PREDICT-HD Statistics Team.)] TJ ET BT 26.250 344.908 Td /F4 12.0 Tf [(INTRODUCTION)] TJ ET BT 26.250 324.954 Td /F1 9.8 Tf [(Age-at-onset \(AAO\) in Huntington disease \(HD\) describes the point in time when a carrier of the mutated gene develops )] TJ ET BT 26.250 313.049 Td /F1 9.8 Tf [(unequivocal HD signs. The accurate determination of AAO is critical to find factors that modify AAO and to develop and )] TJ ET BT 26.250 301.144 Td /F1 9.8 Tf [(evaluate therapies that aim to delay it. In manifest HD, an autosomal dominant disease with a highly penetrant CAG repeat )] TJ ET BT 26.250 289.239 Td /F1 9.8 Tf [(expansion mutation in the )] TJ ET BT 140.062 289.239 Td /F5 9.8 Tf [(HTT)] TJ ET BT 159.016 289.239 Td /F1 9.8 Tf [( gene, )] TJ ET 0.267 0.267 0.267 rg BT 188.831 289.239 Td /F1 8.7 Tf [([1])] TJ ET 0.271 0.267 0.267 rg BT 198.469 289.239 Td /F1 9.8 Tf [( a clinician estimates AAO retrospectively based on information from manifest patients, )] TJ ET BT 26.250 277.335 Td /F1 9.8 Tf [(relatives, and carers. For AAO predictions in the prodromal phase the formula of Langbehn and colleagues uses CAG repeat )] TJ ET BT 26.250 265.430 Td /F1 9.8 Tf [(length and age because of their well known influences on AAO and calculates the time to a predefined degree of probability of )] TJ ET BT 26.250 253.525 Td /F1 9.8 Tf [(manifesting signs of HD. )] TJ ET 0.267 0.267 0.267 rg BT 134.621 253.525 Td /F1 8.7 Tf [([2])] TJ ET 0.271 0.267 0.267 rg BT 144.259 253.525 Td /F1 9.8 Tf [( However, CAG repeat length accounts for only about 50-60% of the variability, so other factors not )] TJ ET BT 26.250 241.620 Td /F1 9.8 Tf [(modelled in this formula likely influence AAO. )] TJ ET 0.267 0.267 0.267 rg BT 224.029 241.620 Td /F1 8.7 Tf [([3])] TJ ET 0.271 0.267 0.267 rg BT 233.666 241.620 Td /F1 9.8 Tf [( Another formula published by Ranen and colleagues uses CAG repeat length )] TJ ET BT 26.250 229.716 Td /F1 9.8 Tf [(and parental onset age to estimate AAO. )] TJ ET 0.267 0.267 0.267 rg BT 205.104 229.716 Td /F1 8.7 Tf [([4] , )] TJ ET BT 221.969 229.716 Td /F1 8.7 Tf [([5)] TJ ET BT 229.197 229.716 Td /F1 8.7 Tf [(])] TJ ET 0.271 0.267 0.267 rg BT 231.607 229.716 Td /F1 9.8 Tf [( This may accommodate for some other inherited factors as an advantage over )] TJ ET BT 26.250 217.811 Td /F1 9.8 Tf [(the Langbehn formula. However, it was derived from a small sample of affected parent-child pairs and needs to be validated in )] TJ ET BT 26.250 205.906 Td /F1 9.8 Tf [(larger numbers of patients. )] TJ ET 0.267 0.267 0.267 rg BT 144.927 205.906 Td /F1 8.7 Tf [([5])] TJ ET 0.271 0.267 0.267 rg BT 26.250 186.501 Td /F1 9.8 Tf [(The aim of this study is to compare clinicians estimates with data-based extrapolations of AAO, and predictions using the )] TJ ET BT 26.250 174.597 Td /F1 9.8 Tf [(Langbehn, or Ranen formula. To this end we used data from the European Huntingtons Disease Networks \(EHDN\) )] TJ ET BT 26.250 162.692 Td /F1 9.8 Tf [(REGISTRY, a longitudinal observational study of HD for preparing statistical models. )] TJ ET 0.267 0.267 0.267 rg BT 393.640 162.692 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 420.142 162.692 Td /F1 9.8 Tf [( REGISTRY enrols participants at )] TJ ET BT 26.250 150.787 Td /F1 9.8 Tf [(any stage of HD including the prodromal phase. )] TJ ET 0.267 0.267 0.267 rg BT 234.890 150.787 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 261.393 150.787 Td /F1 9.8 Tf [( We hypothesized that in the REGISTRY data agreement rates between )] TJ ET BT 26.250 138.882 Td /F1 9.8 Tf [(the clinicians estimates of AAO and data based AAO would be low since we expected that the retrospective estimate of AAO in )] TJ ET BT 26.250 126.978 Td /F1 9.8 Tf [(REGISTRY was imprecise. We further expected that data-based calculations of a motor onset is possible and less variable than )] TJ ET BT 26.250 115.073 Td /F1 9.8 Tf [(clinicians estimates of AAO, and, similarly, that it is possible to calculate an onset of functional impairment.)] TJ ET BT 26.250 78.470 Td /F4 12.0 Tf [(METHODS)] TJ ET BT 26.250 58.516 Td /F4 9.8 Tf [(Participants)] TJ ET BT 26.250 39.111 Td /F1 9.8 Tf [(Retrospective data from an ongoing multicentre, longitudinal observational research study, EHDNs REGISTRY, was used. )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(1)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 8 0 obj << /Type /Font /Subtype /Type1 /Name /F1 /BaseFont /Helvetica /Encoding /WinAnsiEncoding >> endobj 9 0 obj << /Type /Font /Subtype /Type1 /Name /F2 /BaseFont /Times-Bold /Encoding /WinAnsiEncoding >> endobj 10 0 obj << /Type /Font /Subtype /Type1 /Name /F3 /BaseFont /Times-Italic /Encoding /WinAnsiEncoding >> endobj 11 0 obj << /Type /Font /Subtype /Type1 /Name /F4 /BaseFont /Helvetica-Bold /Encoding /WinAnsiEncoding >> endobj 12 0 obj << /Type /Font /Subtype /Type1 /Name /F5 /BaseFont /Helvetica-Oblique /Encoding /WinAnsiEncoding >> endobj 13 0 obj << /Type /XObject /Subtype /Image /Width 500 /Height 52 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 1 /Columns 500 /BitsPerComponent 8>> /ColorSpace /DeviceGray /BitsPerComponent 8 /Length 144>> stream x1 0 'ݲ؎"e{dzAdzAdzAdzAdzAdzAdzAdzAdzAdzAdzAdzAtlM0\ endstream endobj 14 0 obj << /Type /XObject /Subtype /Image /Width 500 /Height 52 /SMask 13 0 R /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 500 /BitsPerComponent 8>> /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 4223>> stream xە8=,8C#h!hGv#0=j$q1uaNĥT*J&a_Zaa0 a0 a0 H^UUUUX!0 3SY|^G0 ÌÔ{]wa_>"OeYaG!8e}a6̖{4M&d:"qʲ\QUUMS<ϛNld2l6Z a<=2B(2vK7M\.GW0 rrWWavߖe9C?Eq8Gqy~~}_qdϽ(neYʒGjK4EQNjͷm{X?|7m۶mqP:Ȳp8Kmu]lNzuZ,NTeY"jlUUQW\,aRiVbȗLkHkEsjd.L6=Iו P]1t7Sc2uIuMM; K5>A$Ǒ$I׋nY 0_Hat;aq䃰U$nR ,zO7bT mhhԫܻu1F*qm'P}ܙ<ϕALO6Lw3nB.T4co{߽.lV $laԀIu!gwChxJ]Ne (+M"d-Eqc=P ! 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/H /I /Rect [ 393.6397 161.8903 420.1424 170.7086 ] >> endobj 90 0 obj << /Type /Action >> endobj 91 0 obj << /Type /Annot /Subtype /Link /A 92 0 R /Border [0 0 0] /H /I /Rect [ 234.8903 149.9855 261.3929 158.8039 ] >> endobj 92 0 obj << /Type /Action >> endobj 93 0 obj << /Type /Page /Parent 3 0 R /Annots [ 95 0 R 97 0 R 99 0 R 101 0 R 103 0 R 105 0 R 107 0 R 110 0 R 112 0 R 114 0 R 116 0 R 118 0 R 120 0 R 122 0 R 124 0 R 126 0 R 128 0 R 130 0 R 132 0 R 134 0 R 136 0 R ] /Contents 94 0 R >> endobj 94 0 obj << /Length 20958 >> stream 0.271 0.267 0.267 rg q 15.000 30.391 577.500 746.609 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(REGISTRY is collecting data in Europe from symptomatic and pre-HD )] TJ ET BT 330.762 767.476 Td /F5 9.8 Tf [(HTT)] TJ ET BT 349.716 767.476 Td /F1 9.8 Tf [(mutation expansion carriers \(with known CAG repeat )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(length?36\).)] TJ ET 0.267 0.267 0.267 rg BT 75.029 755.571 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 101.532 755.571 Td /F1 9.8 Tf [(Participants had at least three visits where age, gender, CAG repeat length, parent affected, and clinical data )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(\(Unified Huntingtons Disease Rating Scale motor score, total functional capacity\) were available. )] TJ ET 0.267 0.267 0.267 rg BT 447.284 743.667 Td /F1 8.7 Tf [([8])] TJ ET 0.271 0.267 0.267 rg BT 456.922 743.667 Td /F1 9.8 Tf [(All REGISTRY data were )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(from participants with manifest HD. This was defined as carrying the HD gene mutation and having a motor phenotype that with )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(? 99% certainty was unequivocal for HD \(diagnostic confidence of 4 on motor UHDRS\). )] TJ ET 0.267 0.267 0.267 rg BT 405.018 719.857 Td /F1 8.7 Tf [([8])] TJ ET 0.271 0.267 0.267 rg BT 26.250 700.452 Td /F1 9.8 Tf [(Participants gave informed written consent according to the International Conference on Harmonisation-Good Clinical Practice )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(\(ICH-GCP\) guidelines \()] TJ ET 0.267 0.267 0.267 rg BT 126.470 688.548 Td /F1 9.8 Tf [(https://www.ich.org/LOB/media/MEDIA482.pdf)] TJ ET 0.271 0.267 0.267 rg BT 321.548 688.548 Td /F1 9.8 Tf [(\). Ethical approval was obtained from the local ethics )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(committee for each study site contributing to REGISTRY.)] TJ ET BT 26.250 657.238 Td /F4 9.8 Tf [(Data analysis and statistics)] TJ ET BT 26.250 637.833 Td /F1 9.8 Tf [(AAO was calculated using generalized linear mixed models based on individual slopes of motor or TFC scores. This means for )] TJ ET BT 26.250 625.929 Td /F1 9.8 Tf [(each participant a linear regression was calculated including intercept and slope of the independent factor across visit dates )] TJ ET BT 26.250 614.024 Td /F1 9.8 Tf [(\(Figure 1\). Visit was included as random factor. Dependent variables were the date of examination of the motorscore, or TFC, )] TJ ET BT 26.250 602.119 Td /F1 9.8 Tf [(independent variables were motorscore or TFC. The estimates of the regression were then used to extrapolate the AAO by )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(calculating the age for a motorscore of 5, or a TFC of 12, our definitions of manifest disease \(Figure 1\).)] TJ ET BT 26.250 570.810 Td /F1 9.8 Tf [(For AAO predictions, the formula of Langbehn with the predicted probability of signs exceeding 0.6, 0.4 and 0.2 \(i.e., Langb )] TJ ET BT 26.250 558.905 Td /F1 9.8 Tf [(0.6, Langb 0.4, and Langb 0.2\), or the formula of Ranen and colleagues \(Ranen\), was used. )] TJ ET 0.267 0.267 0.267 rg BT 448.415 558.905 Td /F1 8.7 Tf [([5])] TJ ET 0.271 0.267 0.267 rg BT 458.053 558.905 Td /F1 9.8 Tf [( We emulated the )] TJ ET BT 26.250 547.000 Td /F1 9.8 Tf [(prodromal stage in our manifest participants by going back in time to when each participant was pre-manifest. We arbitrarily )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(chose an age of 10 years. Secondly, we calculated the disease burden from a participants age and CAG repeat length \(\(CAG )] TJ ET BT 570.895 533.031 Td /F1 8.7 Tf [(n)] TJ ET BT 26.250 523.191 Td /F1 9.8 Tf [(-35.5\) X age = disease burden\) and using the Langbehn formula predicted AAO at an age that corresponded to a disease )] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(burden of 200 \(LB DB 0.6\). )] TJ ET 0.267 0.267 0.267 rg BT 151.976 511.286 Td /F1 8.7 Tf [([9])] TJ ET 0.271 0.267 0.267 rg BT 26.250 491.881 Td /F1 9.8 Tf [(One additional model was based on the CAG repeats, age of affected parent, the motorscore \(population-slope\) and gender as )] TJ ET BT 26.250 479.976 Td /F1 9.8 Tf [(independent variables and the rater estimate as dependent variable \(Ranen extended\). A second model was estimated )] TJ ET BT 26.250 468.072 Td /F1 9.8 Tf [(analogous to the Ranen formula \(Ranen analog\) based on CAG repeats and age of affected parent. Linear regression was )] TJ ET BT 26.250 456.167 Td /F1 9.8 Tf [(used to assess the importance of these factors for the rater estimate. The regression estimates were used to populate the )] TJ ET BT 26.250 444.262 Td /F1 9.8 Tf [(formula.)] TJ ET BT 26.250 424.857 Td /F1 9.8 Tf [(The pairwise Pearson correlation coefficients were estimated to investigate the linear correlation of each pair of formulae on )] TJ ET BT 26.250 412.953 Td /F1 9.8 Tf [(AAO. We compared the different models for predicting AAO by calculating agreement rates with Clopper-Pearson 95% )] TJ ET BT 26.250 401.048 Td /F1 9.8 Tf [(confidence intervals between pairs of estimates. If both methods arrived at the same result within a 5 year bracket the )] TJ ET BT 26.250 389.143 Td /F1 9.8 Tf [(agreement was defined as 1. If the results were more than 5 years different the agreement was defined as 0. For all )] TJ ET BT 26.250 377.238 Td /F1 9.8 Tf [(participants, the agreement rate was expressed as % agreement within accepted range.)] TJ ET 0.965 0.965 0.965 rg 26.250 130.162 555.000 237.195 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 367.357 m 581.250 367.357 l 581.250 366.607 l 26.250 366.607 l f 26.250 130.162 m 581.250 130.162 l 581.250 130.912 l 26.250 130.912 l f q 225.000 0 0 147.750 35.250 209.857 cm /I3 Do Q q 35.250 141.412 537.000 62.445 re W n 0.271 0.267 0.267 rg BT 35.250 192.868 Td /F4 9.8 Tf [(Figure 1.)] TJ ET BT 75.888 192.868 Td /F1 9.8 Tf [( Illustration of age-at-onset extrapolation from longitudinal UHDRS motor, or total functional capacity \(TFC\), )] TJ ET BT 35.250 179.132 Td /F1 9.8 Tf [(scores. Linear regression analysis calculates the age for a motorscore of 5 \(motor score threshold\), or a TFC of 12 \(TFC )] TJ ET BT 35.250 165.396 Td /F1 9.8 Tf [(threshold\). The vertical lines illustrate the age of the participant at threshold \(motor estimate, TFC estimate\) and how these )] TJ ET BT 35.250 151.660 Td /F1 9.8 Tf [(calculated onsets compare to the rater estimate.)] TJ ET Q BT 26.250 95.941 Td /F4 12.0 Tf [(RESULTS)] TJ ET BT 26.250 75.987 Td /F4 9.8 Tf [(REGISTRY participants)] TJ ET BT 26.250 56.582 Td /F1 9.8 Tf [(Data from 423 REGISTRY participants were included \(205 male\). The mean CAG repeat expansion was 44 \(SD 4\), this was )] TJ ET BT 26.250 44.677 Td /F1 9.8 Tf [(similar in men and women. In 193 participants \(46%\) the gene was inherited from the mother and in 177 \(42%\) from the father, )] TJ ET Q q 15.000 30.391 577.500 746.609 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(REGISTRY is collecting data in Europe from symptomatic and pre-HD )] TJ ET BT 330.762 767.476 Td /F5 9.8 Tf [(HTT)] TJ ET BT 349.716 767.476 Td /F1 9.8 Tf [(mutation expansion carriers \(with known CAG repeat )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(length?36\).)] TJ ET 0.267 0.267 0.267 rg BT 75.029 755.571 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 101.532 755.571 Td /F1 9.8 Tf [(Participants had at least three visits where age, gender, CAG repeat length, parent affected, and clinical data )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(\(Unified Huntingtons Disease Rating Scale motor score, total functional capacity\) were available. )] TJ ET 0.267 0.267 0.267 rg BT 447.284 743.667 Td /F1 8.7 Tf [([8])] TJ ET 0.271 0.267 0.267 rg BT 456.922 743.667 Td /F1 9.8 Tf [(All REGISTRY data were )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(from participants with manifest HD. This was defined as carrying the HD gene mutation and having a motor phenotype that with )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(? 99% certainty was unequivocal for HD \(diagnostic confidence of 4 on motor UHDRS\). )] TJ ET 0.267 0.267 0.267 rg BT 405.018 719.857 Td /F1 8.7 Tf [([8])] TJ ET 0.271 0.267 0.267 rg BT 26.250 700.452 Td /F1 9.8 Tf [(Participants gave informed written consent according to the International Conference on Harmonisation-Good Clinical Practice )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(\(ICH-GCP\) guidelines \()] TJ ET 0.267 0.267 0.267 rg BT 126.470 688.548 Td /F1 9.8 Tf [(https://www.ich.org/LOB/media/MEDIA482.pdf)] TJ ET 0.271 0.267 0.267 rg BT 321.548 688.548 Td /F1 9.8 Tf [(\). Ethical approval was obtained from the local ethics )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(committee for each study site contributing to REGISTRY.)] TJ ET BT 26.250 657.238 Td /F4 9.8 Tf [(Data analysis and statistics)] TJ ET BT 26.250 637.833 Td /F1 9.8 Tf [(AAO was calculated using generalized linear mixed models based on individual slopes of motor or TFC scores. This means for )] TJ ET BT 26.250 625.929 Td /F1 9.8 Tf [(each participant a linear regression was calculated including intercept and slope of the independent factor across visit dates )] TJ ET BT 26.250 614.024 Td /F1 9.8 Tf [(\(Figure 1\). Visit was included as random factor. Dependent variables were the date of examination of the motorscore, or TFC, )] TJ ET BT 26.250 602.119 Td /F1 9.8 Tf [(independent variables were motorscore or TFC. The estimates of the regression were then used to extrapolate the AAO by )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(calculating the age for a motorscore of 5, or a TFC of 12, our definitions of manifest disease \(Figure 1\).)] TJ ET BT 26.250 570.810 Td /F1 9.8 Tf [(For AAO predictions, the formula of Langbehn with the predicted probability of signs exceeding 0.6, 0.4 and 0.2 \(i.e., Langb )] TJ ET BT 26.250 558.905 Td /F1 9.8 Tf [(0.6, Langb 0.4, and Langb 0.2\), or the formula of Ranen and colleagues \(Ranen\), was used. )] TJ ET 0.267 0.267 0.267 rg BT 448.415 558.905 Td /F1 8.7 Tf [([5])] TJ ET 0.271 0.267 0.267 rg BT 458.053 558.905 Td /F1 9.8 Tf [( We emulated the )] TJ ET BT 26.250 547.000 Td /F1 9.8 Tf [(prodromal stage in our manifest participants by going back in time to when each participant was pre-manifest. We arbitrarily )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(chose an age of 10 years. Secondly, we calculated the disease burden from a participants age and CAG repeat length \(\(CAG )] TJ ET BT 570.895 533.031 Td /F1 8.7 Tf [(n)] TJ ET BT 26.250 523.191 Td /F1 9.8 Tf [(-35.5\) X age = disease burden\) and using the Langbehn formula predicted AAO at an age that corresponded to a disease )] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(burden of 200 \(LB DB 0.6\). )] TJ ET 0.267 0.267 0.267 rg BT 151.976 511.286 Td /F1 8.7 Tf [([9])] TJ ET 0.271 0.267 0.267 rg BT 26.250 491.881 Td /F1 9.8 Tf [(One additional model was based on the CAG repeats, age of affected parent, the motorscore \(population-slope\) and gender as )] TJ ET BT 26.250 479.976 Td /F1 9.8 Tf [(independent variables and the rater estimate as dependent variable \(Ranen extended\). A second model was estimated )] TJ ET BT 26.250 468.072 Td /F1 9.8 Tf [(analogous to the Ranen formula \(Ranen analog\) based on CAG repeats and age of affected parent. Linear regression was )] TJ ET BT 26.250 456.167 Td /F1 9.8 Tf [(used to assess the importance of these factors for the rater estimate. The regression estimates were used to populate the )] TJ ET BT 26.250 444.262 Td /F1 9.8 Tf [(formula.)] TJ ET BT 26.250 424.857 Td /F1 9.8 Tf [(The pairwise Pearson correlation coefficients were estimated to investigate the linear correlation of each pair of formulae on )] TJ ET BT 26.250 412.953 Td /F1 9.8 Tf [(AAO. We compared the different models for predicting AAO by calculating agreement rates with Clopper-Pearson 95% )] TJ ET BT 26.250 401.048 Td /F1 9.8 Tf [(confidence intervals between pairs of estimates. If both methods arrived at the same result within a 5 year bracket the )] TJ ET BT 26.250 389.143 Td /F1 9.8 Tf [(agreement was defined as 1. If the results were more than 5 years different the agreement was defined as 0. For all )] TJ ET BT 26.250 377.238 Td /F1 9.8 Tf [(participants, the agreement rate was expressed as % agreement within accepted range.)] TJ ET 0.965 0.965 0.965 rg 26.250 130.162 555.000 237.195 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 367.357 m 581.250 367.357 l 581.250 366.607 l 26.250 366.607 l f 26.250 130.162 m 581.250 130.162 l 581.250 130.912 l 26.250 130.912 l f q 225.000 0 0 147.750 35.250 209.857 cm /I3 Do Q q 35.250 141.412 537.000 62.445 re W n 0.271 0.267 0.267 rg BT 35.250 192.868 Td /F4 9.8 Tf [(Figure 1.)] TJ ET BT 75.888 192.868 Td /F1 9.8 Tf [( Illustration of age-at-onset extrapolation from longitudinal UHDRS motor, or total functional capacity \(TFC\), )] TJ ET BT 35.250 179.132 Td /F1 9.8 Tf [(scores. Linear regression analysis calculates the age for a motorscore of 5 \(motor score threshold\), or a TFC of 12 \(TFC )] TJ ET BT 35.250 165.396 Td /F1 9.8 Tf [(threshold\). The vertical lines illustrate the age of the participant at threshold \(motor estimate, TFC estimate\) and how these )] TJ ET BT 35.250 151.660 Td /F1 9.8 Tf [(calculated onsets compare to the rater estimate.)] TJ ET Q BT 26.250 95.941 Td /F4 12.0 Tf [(RESULTS)] TJ ET BT 26.250 75.987 Td /F4 9.8 Tf [(REGISTRY participants)] TJ ET BT 26.250 56.582 Td /F1 9.8 Tf [(Data from 423 REGISTRY participants were included \(205 male\). The mean CAG repeat expansion was 44 \(SD 4\), this was )] TJ ET BT 26.250 44.677 Td /F1 9.8 Tf [(similar in men and women. In 193 participants \(46%\) the gene was inherited from the mother and in 177 \(42%\) from the father, )] TJ ET Q q 15.000 30.391 577.500 746.609 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(REGISTRY is collecting data in Europe from symptomatic and pre-HD )] TJ ET BT 330.762 767.476 Td /F5 9.8 Tf [(HTT)] TJ ET BT 349.716 767.476 Td /F1 9.8 Tf [(mutation expansion carriers \(with known CAG repeat )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(length?36\).)] TJ ET 0.267 0.267 0.267 rg BT 75.029 755.571 Td /F1 8.7 Tf [([6] , [7])] TJ ET 0.271 0.267 0.267 rg BT 101.532 755.571 Td /F1 9.8 Tf [(Participants had at least three visits where age, gender, CAG repeat length, parent affected, and clinical data )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(\(Unified Huntingtons Disease Rating Scale motor score, total functional capacity\) were available. )] TJ ET 0.267 0.267 0.267 rg BT 447.284 743.667 Td /F1 8.7 Tf [([8])] TJ ET 0.271 0.267 0.267 rg BT 456.922 743.667 Td /F1 9.8 Tf [(All REGISTRY data were )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(from participants with manifest HD. This was defined as carrying the HD gene mutation and having a motor phenotype that with )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(? 99% certainty was unequivocal for HD \(diagnostic confidence of 4 on motor UHDRS\). )] TJ ET 0.267 0.267 0.267 rg BT 405.018 719.857 Td /F1 8.7 Tf [([8])] TJ ET 0.271 0.267 0.267 rg BT 26.250 700.452 Td /F1 9.8 Tf [(Participants gave informed written consent according to the International Conference on Harmonisation-Good Clinical Practice )] TJ ET BT 26.250 688.548 Td /F1 9.8 Tf [(\(ICH-GCP\) guidelines \()] TJ ET 0.267 0.267 0.267 rg BT 126.470 688.548 Td /F1 9.8 Tf [(https://www.ich.org/LOB/media/MEDIA482.pdf)] TJ ET 0.271 0.267 0.267 rg BT 321.548 688.548 Td /F1 9.8 Tf [(\). Ethical approval was obtained from the local ethics )] TJ ET BT 26.250 676.643 Td /F1 9.8 Tf [(committee for each study site contributing to REGISTRY.)] TJ ET BT 26.250 657.238 Td /F4 9.8 Tf [(Data analysis and statistics)] TJ ET BT 26.250 637.833 Td /F1 9.8 Tf [(AAO was calculated using generalized linear mixed models based on individual slopes of motor or TFC scores. This means for )] TJ ET BT 26.250 625.929 Td /F1 9.8 Tf [(each participant a linear regression was calculated including intercept and slope of the independent factor across visit dates )] TJ ET BT 26.250 614.024 Td /F1 9.8 Tf [(\(Figure 1\). Visit was included as random factor. Dependent variables were the date of examination of the motorscore, or TFC, )] TJ ET BT 26.250 602.119 Td /F1 9.8 Tf [(independent variables were motorscore or TFC. The estimates of the regression were then used to extrapolate the AAO by )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(calculating the age for a motorscore of 5, or a TFC of 12, our definitions of manifest disease \(Figure 1\).)] TJ ET BT 26.250 570.810 Td /F1 9.8 Tf [(For AAO predictions, the formula of Langbehn with the predicted probability of signs exceeding 0.6, 0.4 and 0.2 \(i.e., Langb )] TJ ET BT 26.250 558.905 Td /F1 9.8 Tf [(0.6, Langb 0.4, and Langb 0.2\), or the formula of Ranen and colleagues \(Ranen\), was used. )] TJ ET 0.267 0.267 0.267 rg BT 448.415 558.905 Td /F1 8.7 Tf [([5])] TJ ET 0.271 0.267 0.267 rg BT 458.053 558.905 Td /F1 9.8 Tf [( We emulated the )] TJ ET BT 26.250 547.000 Td /F1 9.8 Tf [(prodromal stage in our manifest participants by going back in time to when each participant was pre-manifest. We arbitrarily )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(chose an age of 10 years. Secondly, we calculated the disease burden from a participants age and CAG repeat length \(\(CAG )] TJ ET BT 570.895 533.031 Td /F1 8.7 Tf [(n)] TJ ET BT 26.250 523.191 Td /F1 9.8 Tf [(-35.5\) X age = disease burden\) and using the Langbehn formula predicted AAO at an age that corresponded to a disease )] TJ ET BT 26.250 511.286 Td /F1 9.8 Tf [(burden of 200 \(LB DB 0.6\). )] TJ ET 0.267 0.267 0.267 rg BT 151.976 511.286 Td /F1 8.7 Tf [([9])] TJ ET 0.271 0.267 0.267 rg BT 26.250 491.881 Td /F1 9.8 Tf [(One additional model was based on the CAG repeats, age of affected parent, the motorscore \(population-slope\) and gender as )] TJ ET BT 26.250 479.976 Td /F1 9.8 Tf [(independent variables and the rater estimate as dependent variable \(Ranen extended\). A second model was estimated )] TJ ET BT 26.250 468.072 Td /F1 9.8 Tf [(analogous to the Ranen formula \(Ranen analog\) based on CAG repeats and age of affected parent. Linear regression was )] TJ ET BT 26.250 456.167 Td /F1 9.8 Tf [(used to assess the importance of these factors for the rater estimate. The regression estimates were used to populate the )] TJ ET BT 26.250 444.262 Td /F1 9.8 Tf [(formula.)] TJ ET BT 26.250 424.857 Td /F1 9.8 Tf [(The pairwise Pearson correlation coefficients were estimated to investigate the linear correlation of each pair of formulae on )] TJ ET BT 26.250 412.953 Td /F1 9.8 Tf [(AAO. We compared the different models for predicting AAO by calculating agreement rates with Clopper-Pearson 95% )] TJ ET BT 26.250 401.048 Td /F1 9.8 Tf [(confidence intervals between pairs of estimates. If both methods arrived at the same result within a 5 year bracket the )] TJ ET BT 26.250 389.143 Td /F1 9.8 Tf [(agreement was defined as 1. If the results were more than 5 years different the agreement was defined as 0. For all )] TJ ET BT 26.250 377.238 Td /F1 9.8 Tf [(participants, the agreement rate was expressed as % agreement within accepted range.)] TJ ET 0.965 0.965 0.965 rg 26.250 130.162 555.000 237.195 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 367.357 m 581.250 367.357 l 581.250 366.607 l 26.250 366.607 l f 26.250 130.162 m 581.250 130.162 l 581.250 130.912 l 26.250 130.912 l f q 225.000 0 0 147.750 35.250 209.857 cm /I3 Do Q q 35.250 141.412 537.000 62.445 re W n 0.271 0.267 0.267 rg BT 35.250 192.868 Td /F4 9.8 Tf [(Figure 1.)] TJ ET BT 75.888 192.868 Td /F1 9.8 Tf [( Illustration of age-at-onset extrapolation from longitudinal UHDRS motor, or total functional capacity \(TFC\), )] TJ ET BT 35.250 179.132 Td /F1 9.8 Tf [(scores. Linear regression analysis calculates the age for a motorscore of 5 \(motor score threshold\), or a TFC of 12 \(TFC )] TJ ET BT 35.250 165.396 Td /F1 9.8 Tf [(threshold\). The vertical lines illustrate the age of the participant at threshold \(motor estimate, TFC estimate\) and how these )] TJ ET BT 35.250 151.660 Td /F1 9.8 Tf [(calculated onsets compare to the rater estimate.)] TJ ET Q BT 26.250 95.941 Td /F4 12.0 Tf [(RESULTS)] TJ ET BT 26.250 75.987 Td /F4 9.8 Tf [(REGISTRY participants)] TJ ET BT 26.250 56.582 Td /F1 9.8 Tf [(Data from 423 REGISTRY participants were included \(205 male\). The mean CAG repeat expansion was 44 \(SD 4\), this was )] TJ ET BT 26.250 44.677 Td /F1 9.8 Tf [(similar in men and women. 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Eight participants \(2%\) had a juvenile onset \(before the age of 20\), )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(and 24 \(6%\) had a late onset of HD above age 60. A motor onset was present in 303, other onset types in 120. The average )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(motor score at enrolment was 35 \(out of a possible 124\), 158 \(37%\) participants were in stage 1, 120 \(28%\) in stage 2, 111 )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(\(26%\) in stage 3, 30 \(7%\) in stage 4 and 4 \(1%\) in stage 5. Patients were first seen by investigators a median of 6 years after )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(the estimated onset. The medium number of visits was 3 \(range 3-18\).)] TJ ET BT 26.250 688.548 Td /F4 9.8 Tf [(AAO extrapolation from longitudinal data)] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(Sixty-six participants with a negative slope of the motor score were excluded because no individual AAO could be calculated. In )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(the remaining 357 participants, on average the motor score increased linearly by 2.57 points per year. The mean AAO of data )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(based extrapolated motor signs was 47 \(range 13-81, SD 11.67\).)] TJ ET BT 26.250 625.929 Td /F1 9.8 Tf [(Forty-four participants were excluded because the slope of the TFC was positive. This meant no individual TFC onset could be )] TJ ET BT 26.250 614.024 Td /F1 9.8 Tf [(extrapolated based on longitudinal data. In the remaining 379 participants, on average the TFC score decreased linearly by 0.52 )] TJ ET BT 26.250 602.119 Td /F1 9.8 Tf [(points per year. The TFC of the 251 patients in disease stages 1 or 2 decreased by 0.75 points per year compared to 128 )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(patients in disease stages 3, 4, or 5 who on average lost 0.26 points per year. The mean extrapolated AAO was 48 \(range 14-)] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(81, SD 12, Figure 2\).)] TJ ET BT 26.250 558.905 Td /F1 9.8 Tf [(The investigator estimated AAO was 3 years before the motorscore calculated AAO \(Table 1, Figure 2\) with an agreement rate )] TJ ET BT 26.250 547.000 Td /F1 9.8 Tf [(of 0.57 \(Table 2\). The calculated TFC onset was 4 years later than the investigators estimate \(Table 1, Figure 2\) with an )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(agreement rate of 0.52 \(Table 2\).)] TJ ET 0.965 0.965 0.965 rg 26.250 284.269 555.000 240.945 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 525.214 m 581.250 525.214 l 581.250 524.464 l 26.250 524.464 l f 26.250 284.269 m 581.250 284.269 l 581.250 285.019 l 26.250 285.019 l f q 225.000 0 0 151.500 35.250 363.964 cm /I4 Do Q q 35.250 295.519 537.000 62.445 re W n 0.271 0.267 0.267 rg BT 35.250 346.975 Td /F4 9.8 Tf [(Figure 2.)] TJ ET BT 75.888 346.975 Td /F1 9.8 Tf [( REGISTRY data: difference to rater estimate. The boxes of the boxplots contain 50% of the data and the median )] TJ ET BT 35.250 333.239 Td /F1 9.8 Tf [(\(vertical solid line\), the bars indicate the 25%tile and the empty dots outliers. Abbreviations: TFC ind: regression derived )] TJ ET BT 35.250 319.503 Td /F1 9.8 Tf [(TFC age-at-onset. TFC ind 4 ys: regression derived TFC age-at-onset minus 4 years. Motorscore ind: regression derived )] TJ ET BT 35.250 305.767 Td /F1 9.8 Tf [(motor age-at-onset. R. analog: Ranen analogous. R. extended: Ranen extended.)] TJ ET Q BT 26.250 267.246 Td /F4 9.8 Tf [(Table 1.)] TJ ET 1.000 1.000 1.000 rg 26.250 112.933 555.000 144.431 re f 0.267 0.267 0.267 rg 26.625 256.240 148.908 0.750 re f 26.625 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 246.385 Td /F4 9.8 Tf [(Model)] TJ ET 0.267 0.267 0.267 rg 174.783 256.240 42.418 0.750 re f 174.783 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 246.385 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 216.451 256.240 57.161 0.750 re f 216.451 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 246.385 Td /F4 9.8 Tf [(mean)] TJ ET 0.267 0.267 0.267 rg 272.862 256.240 55.443 0.750 re f 272.862 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 246.385 Td /F4 9.8 Tf [(SD)] TJ ET 0.267 0.267 0.267 rg 327.556 256.240 44.136 0.750 re f 327.556 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 246.385 Td /F4 9.8 Tf [(min)] TJ ET 0.267 0.267 0.267 rg 370.942 256.240 46.760 0.750 re f 370.942 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 246.385 Td /F4 9.8 Tf [(Q25)] TJ ET 0.267 0.267 0.267 rg 416.951 256.240 71.045 0.750 re f 416.951 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 246.385 Td /F4 9.8 Tf [(median)] TJ ET 0.267 0.267 0.267 rg 487.247 256.240 46.760 0.750 re f 487.247 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 246.385 Td /F4 9.8 Tf [(Q75)] TJ ET 0.267 0.267 0.267 rg 533.256 256.240 47.619 0.750 re f 533.256 240.358 0.750 16.631 re f 580.125 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 246.385 Td /F4 9.8 Tf [(max)] TJ ET 0.267 0.267 0.267 rg 26.625 240.358 148.908 0.750 re f 26.625 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 230.503 Td /F4 9.8 Tf [(investigator \(rater estimate\))] TJ ET 0.267 0.267 0.267 rg 174.783 240.358 42.418 0.750 re f 174.783 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 230.503 Td /F1 9.8 Tf [(423)] TJ ET 0.267 0.267 0.267 rg 216.451 240.358 57.161 0.750 re f 216.451 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 230.503 Td /F1 9.8 Tf [(44.08)] TJ ET 0.267 0.267 0.267 rg 272.862 240.358 55.443 0.750 re f 272.862 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 230.503 Td /F1 9.8 Tf [(11.32)] TJ ET 0.267 0.267 0.267 rg 327.556 240.358 44.136 0.750 re f 327.556 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 230.503 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 370.942 240.358 46.760 0.750 re f 370.942 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 230.503 Td /F1 9.8 Tf [(35.5)] TJ ET 0.267 0.267 0.267 rg 416.951 240.358 71.045 0.750 re f 416.951 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 230.503 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 240.358 46.760 0.750 re f 487.247 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 230.503 Td /F1 9.8 Tf [(51.5)] TJ ET 0.267 0.267 0.267 rg 533.256 240.358 47.619 0.750 re f 533.256 224.477 0.750 16.631 re f 580.125 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 230.503 Td /F1 9.8 Tf [(77)] TJ ET 0.267 0.267 0.267 rg 26.625 224.477 148.908 0.750 re f 26.625 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 214.622 Td /F4 9.8 Tf [(Motor score)] TJ ET 0.267 0.267 0.267 rg 174.783 224.477 42.418 0.750 re f 174.783 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 214.622 Td /F1 9.8 Tf [(357)] TJ ET 0.267 0.267 0.267 rg 216.451 224.477 57.161 0.750 re f 216.451 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 214.622 Td /F1 9.8 Tf [(47.06)] TJ ET 0.267 0.267 0.267 rg 272.862 224.477 55.443 0.750 re f 272.862 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 214.622 Td /F1 9.8 Tf [(11.7)] TJ ET 0.267 0.267 0.267 rg 327.556 224.477 44.136 0.750 re f 327.556 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 214.622 Td /F1 9.8 Tf [(13)] TJ ET 0.267 0.267 0.267 rg 370.942 224.477 46.760 0.750 re f 370.942 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 214.622 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 224.477 71.045 0.750 re f 416.951 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 214.622 Td /F1 9.8 Tf [(47)] TJ ET 0.267 0.267 0.267 rg 487.247 224.477 46.760 0.750 re f 487.247 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 214.622 Td /F1 9.8 Tf [(56)] TJ ET 0.267 0.267 0.267 rg 533.256 224.477 47.619 0.750 re f 533.256 208.596 0.750 16.631 re f 580.125 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 214.622 Td /F1 9.8 Tf [(81)] TJ ET 0.267 0.267 0.267 rg 26.625 208.596 148.908 0.750 re f 26.625 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 198.741 Td /F4 9.8 Tf [(TFC score)] TJ ET 0.267 0.267 0.267 rg 174.783 208.596 42.418 0.750 re f 174.783 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 198.741 Td /F1 9.8 Tf [(379)] TJ ET 0.267 0.267 0.267 rg 216.451 208.596 57.161 0.750 re f 216.451 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 198.741 Td /F1 9.8 Tf [(48)] TJ ET 0.267 0.267 0.267 rg 272.862 208.596 55.443 0.750 re f 272.862 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 198.741 Td /F1 9.8 Tf [(12)] TJ ET 0.267 0.267 0.267 rg 327.556 208.596 44.136 0.750 re f 327.556 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 198.741 Td /F1 9.8 Tf [(14)] TJ ET 0.267 0.267 0.267 rg 370.942 208.596 46.760 0.750 re f 370.942 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 198.741 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 208.596 71.045 0.750 re f 416.951 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 198.741 Td /F1 9.8 Tf [(49)] TJ ET 0.267 0.267 0.267 rg 487.247 208.596 46.760 0.750 re f 487.247 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 198.741 Td /F1 9.8 Tf [(56.5)] TJ ET 0.267 0.267 0.267 rg 533.256 208.596 47.619 0.750 re f 533.256 192.715 0.750 16.631 re f 580.125 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 198.741 Td /F1 9.8 Tf [(81)] TJ ET 0.267 0.267 0.267 rg 26.625 192.715 148.908 0.750 re f 26.625 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 182.860 Td /F4 9.8 Tf [(Langbehn age 10)] TJ ET 0.267 0.267 0.267 rg 174.783 192.715 42.418 0.750 re f 174.783 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 182.860 Td /F1 9.8 Tf [(423)] TJ ET 0.267 0.267 0.267 rg 216.451 192.715 57.161 0.750 re f 216.451 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 182.860 Td /F1 9.8 Tf [(46.82)] TJ ET 0.267 0.267 0.267 rg 272.862 192.715 55.443 0.750 re f 272.862 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 182.860 Td /F1 9.8 Tf [(10.5)] TJ ET 0.267 0.267 0.267 rg 327.556 192.715 44.136 0.750 re f 327.556 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 182.860 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 370.942 192.715 46.760 0.750 re f 370.942 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 182.860 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 192.715 71.045 0.750 re f 416.951 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 182.860 Td /F1 9.8 Tf [(46)] TJ ET 0.267 0.267 0.267 rg 487.247 192.715 46.760 0.750 re f 487.247 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 182.860 Td /F1 9.8 Tf [(54)] TJ ET 0.267 0.267 0.267 rg 533.256 192.715 47.619 0.750 re f 533.256 176.833 0.750 16.631 re f 580.125 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 182.860 Td /F1 9.8 Tf [(89)] TJ ET 0.267 0.267 0.267 rg 26.625 176.833 148.908 0.750 re f 26.625 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 166.978 Td /F4 9.8 Tf [(Langbehn db 200)] TJ ET 0.267 0.267 0.267 rg 174.783 176.833 42.418 0.750 re f 174.783 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 166.978 Td /F1 9.8 Tf [(417)] TJ ET 0.267 0.267 0.267 rg 216.451 176.833 57.161 0.750 re f 216.451 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 166.978 Td /F1 9.8 Tf [(46.65)] TJ ET 0.267 0.267 0.267 rg 272.862 176.833 55.443 0.750 re f 272.862 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 166.978 Td /F1 9.8 Tf [(10.1)] TJ ET 0.267 0.267 0.267 rg 327.556 176.833 44.136 0.750 re f 327.556 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 166.978 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 370.942 176.833 46.760 0.750 re f 370.942 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 166.978 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 176.833 71.045 0.750 re f 416.951 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 166.978 Td /F1 9.8 Tf [(46)] TJ ET 0.267 0.267 0.267 rg 487.247 176.833 46.760 0.750 re f 487.247 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 166.978 Td /F1 9.8 Tf [(55)] TJ ET 0.267 0.267 0.267 rg 533.256 176.833 47.619 0.750 re f 533.256 160.952 0.750 16.631 re f 580.125 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 166.978 Td /F1 9.8 Tf [(74)] TJ ET 0.267 0.267 0.267 rg 26.625 160.952 148.908 0.750 re f 26.625 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 151.097 Td /F4 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 174.783 160.952 42.418 0.750 re f 174.783 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 151.097 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 160.952 57.161 0.750 re f 216.451 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 151.097 Td /F1 9.8 Tf [(41.94)] TJ ET 0.267 0.267 0.267 rg 272.862 160.952 55.443 0.750 re f 272.862 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 151.097 Td /F1 9.8 Tf [(7.9)] TJ ET 0.267 0.267 0.267 rg 327.556 160.952 44.136 0.750 re f 327.556 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 151.097 Td /F1 9.8 Tf [(8)] TJ ET 0.267 0.267 0.267 rg 370.942 160.952 46.760 0.750 re f 370.942 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 151.097 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 160.952 71.045 0.750 re f 416.951 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 151.097 Td /F1 9.8 Tf [(43)] TJ ET 0.267 0.267 0.267 rg 487.247 160.952 46.760 0.750 re f 487.247 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 151.097 Td /F1 9.8 Tf [(47)] TJ ET 0.267 0.267 0.267 rg 533.256 160.952 47.619 0.750 re f 533.256 145.071 0.750 16.631 re f 580.125 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 151.097 Td /F1 9.8 Tf [(61)] TJ ET 0.267 0.267 0.267 rg 26.625 145.071 148.908 0.750 re f 26.625 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 135.216 Td /F4 9.8 Tf [(Ranen analogous)] TJ ET 0.267 0.267 0.267 rg 174.783 145.071 42.418 0.750 re f 174.783 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 135.216 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 145.071 57.161 0.750 re f 216.451 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 135.216 Td /F1 9.8 Tf [(42.44)] TJ ET 0.267 0.267 0.267 rg 272.862 145.071 55.443 0.750 re f 272.862 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 135.216 Td /F1 9.8 Tf [(8.4)] TJ ET 0.267 0.267 0.267 rg 327.556 145.071 44.136 0.750 re f 327.556 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 135.216 Td /F1 9.8 Tf [(-6)] TJ ET 0.267 0.267 0.267 rg 370.942 145.071 46.760 0.750 re f 370.942 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 135.216 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 145.071 71.045 0.750 re f 416.951 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 135.216 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 145.071 46.760 0.750 re f 487.247 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 135.216 Td /F1 9.8 Tf [(48)] TJ ET 0.267 0.267 0.267 rg 533.256 145.071 47.619 0.750 re f 533.256 129.190 0.750 16.631 re f 580.125 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 135.216 Td /F1 9.8 Tf [(59)] TJ ET 0.267 0.267 0.267 rg 26.625 129.190 148.908 0.750 re f 26.625 113.308 148.908 0.750 re f 26.625 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 119.335 Td /F4 9.8 Tf [(Ranen extended)] TJ ET 0.267 0.267 0.267 rg 174.783 129.190 42.418 0.750 re f 174.783 113.308 42.418 0.750 re f 174.783 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 119.335 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 129.190 57.161 0.750 re f 216.451 113.308 57.161 0.750 re f 216.451 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 119.335 Td /F1 9.8 Tf [(42.58)] TJ ET 0.267 0.267 0.267 rg 272.862 129.190 55.443 0.750 re f 272.862 113.308 55.443 0.750 re f 272.862 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 119.335 Td /F1 9.8 Tf [(8.7)] TJ ET 0.267 0.267 0.267 rg 327.556 129.190 44.136 0.750 re f 327.556 113.308 44.136 0.750 re f 327.556 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 119.335 Td /F1 9.8 Tf [(0)] TJ ET 0.267 0.267 0.267 rg 370.942 129.190 46.760 0.750 re f 370.942 113.308 46.760 0.750 re f 370.942 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 119.335 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 129.190 71.045 0.750 re f 416.951 113.308 71.045 0.750 re f 416.951 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 119.335 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 129.190 46.760 0.750 re f 487.247 113.308 46.760 0.750 re f 487.247 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 119.335 Td /F1 9.8 Tf [(49)] TJ ET 0.267 0.267 0.267 rg 533.256 129.190 47.619 0.750 re f 533.256 113.308 47.619 0.750 re f 533.256 113.308 0.750 16.631 re f 580.125 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 119.335 Td /F1 9.8 Tf [(60)] TJ ET BT 26.250 65.910 Td /F4 9.8 Tf [(Table 1.)] TJ ET BT 62.559 65.910 Td /F1 9.8 Tf [( REGISTRY data. AAO estimates and data based calculations. Abbreviations: TFC total functional capacity. Langbehn )] TJ ET BT 26.250 54.005 Td /F1 9.8 Tf [(db: Langbehn disease burden.)] TJ ET Q q 15.000 44.124 577.500 732.876 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(in 30 \(7%\) no signs of HD were reported in either parent, and in 23 \(5%\) the inheritance was unknown for both parents or for at )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(least one parent, where the other parent was not affected. Eight participants \(2%\) had a juvenile onset \(before the age of 20\), )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(and 24 \(6%\) had a late onset of HD above age 60. A motor onset was present in 303, other onset types in 120. The average )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(motor score at enrolment was 35 \(out of a possible 124\), 158 \(37%\) participants were in stage 1, 120 \(28%\) in stage 2, 111 )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(\(26%\) in stage 3, 30 \(7%\) in stage 4 and 4 \(1%\) in stage 5. Patients were first seen by investigators a median of 6 years after )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(the estimated onset. The medium number of visits was 3 \(range 3-18\).)] TJ ET BT 26.250 688.548 Td /F4 9.8 Tf [(AAO extrapolation from longitudinal data)] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(Sixty-six participants with a negative slope of the motor score were excluded because no individual AAO could be calculated. In )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(the remaining 357 participants, on average the motor score increased linearly by 2.57 points per year. The mean AAO of data )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(based extrapolated motor signs was 47 \(range 13-81, SD 11.67\).)] TJ ET BT 26.250 625.929 Td /F1 9.8 Tf [(Forty-four participants were excluded because the slope of the TFC was positive. This meant no individual TFC onset could be )] TJ ET BT 26.250 614.024 Td /F1 9.8 Tf [(extrapolated based on longitudinal data. In the remaining 379 participants, on average the TFC score decreased linearly by 0.52 )] TJ ET BT 26.250 602.119 Td /F1 9.8 Tf [(points per year. The TFC of the 251 patients in disease stages 1 or 2 decreased by 0.75 points per year compared to 128 )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(patients in disease stages 3, 4, or 5 who on average lost 0.26 points per year. The mean extrapolated AAO was 48 \(range 14-)] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(81, SD 12, Figure 2\).)] TJ ET BT 26.250 558.905 Td /F1 9.8 Tf [(The investigator estimated AAO was 3 years before the motorscore calculated AAO \(Table 1, Figure 2\) with an agreement rate )] TJ ET BT 26.250 547.000 Td /F1 9.8 Tf [(of 0.57 \(Table 2\). The calculated TFC onset was 4 years later than the investigators estimate \(Table 1, Figure 2\) with an )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(agreement rate of 0.52 \(Table 2\).)] TJ ET 0.965 0.965 0.965 rg 26.250 284.269 555.000 240.945 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 525.214 m 581.250 525.214 l 581.250 524.464 l 26.250 524.464 l f 26.250 284.269 m 581.250 284.269 l 581.250 285.019 l 26.250 285.019 l f q 225.000 0 0 151.500 35.250 363.964 cm /I4 Do Q q 35.250 295.519 537.000 62.445 re W n 0.271 0.267 0.267 rg BT 35.250 346.975 Td /F4 9.8 Tf [(Figure 2.)] TJ ET BT 75.888 346.975 Td /F1 9.8 Tf [( REGISTRY data: difference to rater estimate. The boxes of the boxplots contain 50% of the data and the median )] TJ ET BT 35.250 333.239 Td /F1 9.8 Tf [(\(vertical solid line\), the bars indicate the 25%tile and the empty dots outliers. Abbreviations: TFC ind: regression derived )] TJ ET BT 35.250 319.503 Td /F1 9.8 Tf [(TFC age-at-onset. TFC ind 4 ys: regression derived TFC age-at-onset minus 4 years. Motorscore ind: regression derived )] TJ ET BT 35.250 305.767 Td /F1 9.8 Tf [(motor age-at-onset. R. analog: Ranen analogous. R. extended: Ranen extended.)] TJ ET Q BT 26.250 267.246 Td /F4 9.8 Tf [(Table 1.)] TJ ET 1.000 1.000 1.000 rg 26.250 112.933 555.000 144.431 re f 0.267 0.267 0.267 rg 26.625 256.240 148.908 0.750 re f 26.625 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 246.385 Td /F4 9.8 Tf [(Model)] TJ ET 0.267 0.267 0.267 rg 174.783 256.240 42.418 0.750 re f 174.783 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 246.385 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 216.451 256.240 57.161 0.750 re f 216.451 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 246.385 Td /F4 9.8 Tf [(mean)] TJ ET 0.267 0.267 0.267 rg 272.862 256.240 55.443 0.750 re f 272.862 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 246.385 Td /F4 9.8 Tf [(SD)] TJ ET 0.267 0.267 0.267 rg 327.556 256.240 44.136 0.750 re f 327.556 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 246.385 Td /F4 9.8 Tf [(min)] TJ ET 0.267 0.267 0.267 rg 370.942 256.240 46.760 0.750 re f 370.942 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 246.385 Td /F4 9.8 Tf [(Q25)] TJ ET 0.267 0.267 0.267 rg 416.951 256.240 71.045 0.750 re f 416.951 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 246.385 Td /F4 9.8 Tf [(median)] TJ ET 0.267 0.267 0.267 rg 487.247 256.240 46.760 0.750 re f 487.247 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 246.385 Td /F4 9.8 Tf [(Q75)] TJ ET 0.267 0.267 0.267 rg 533.256 256.240 47.619 0.750 re f 533.256 240.358 0.750 16.631 re f 580.125 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 246.385 Td /F4 9.8 Tf [(max)] TJ ET 0.267 0.267 0.267 rg 26.625 240.358 148.908 0.750 re f 26.625 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 230.503 Td /F4 9.8 Tf [(investigator \(rater estimate\))] TJ ET 0.267 0.267 0.267 rg 174.783 240.358 42.418 0.750 re f 174.783 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 230.503 Td /F1 9.8 Tf [(423)] TJ ET 0.267 0.267 0.267 rg 216.451 240.358 57.161 0.750 re f 216.451 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 230.503 Td /F1 9.8 Tf [(44.08)] TJ ET 0.267 0.267 0.267 rg 272.862 240.358 55.443 0.750 re f 272.862 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 230.503 Td /F1 9.8 Tf [(11.32)] TJ ET 0.267 0.267 0.267 rg 327.556 240.358 44.136 0.750 re f 327.556 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 230.503 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 370.942 240.358 46.760 0.750 re f 370.942 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 230.503 Td /F1 9.8 Tf [(35.5)] TJ ET 0.267 0.267 0.267 rg 416.951 240.358 71.045 0.750 re f 416.951 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 230.503 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 240.358 46.760 0.750 re f 487.247 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 230.503 Td /F1 9.8 Tf [(51.5)] TJ ET 0.267 0.267 0.267 rg 533.256 240.358 47.619 0.750 re f 533.256 224.477 0.750 16.631 re f 580.125 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 230.503 Td /F1 9.8 Tf [(77)] TJ ET 0.267 0.267 0.267 rg 26.625 224.477 148.908 0.750 re f 26.625 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 214.622 Td /F4 9.8 Tf [(Motor score)] TJ ET 0.267 0.267 0.267 rg 174.783 224.477 42.418 0.750 re f 174.783 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 214.622 Td /F1 9.8 Tf [(357)] TJ ET 0.267 0.267 0.267 rg 216.451 224.477 57.161 0.750 re f 216.451 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 214.622 Td /F1 9.8 Tf [(47.06)] TJ ET 0.267 0.267 0.267 rg 272.862 224.477 55.443 0.750 re f 272.862 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 214.622 Td /F1 9.8 Tf [(11.7)] TJ ET 0.267 0.267 0.267 rg 327.556 224.477 44.136 0.750 re f 327.556 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 214.622 Td /F1 9.8 Tf [(13)] TJ ET 0.267 0.267 0.267 rg 370.942 224.477 46.760 0.750 re f 370.942 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 214.622 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 224.477 71.045 0.750 re f 416.951 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 214.622 Td /F1 9.8 Tf [(47)] TJ ET 0.267 0.267 0.267 rg 487.247 224.477 46.760 0.750 re f 487.247 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 214.622 Td /F1 9.8 Tf [(56)] TJ ET 0.267 0.267 0.267 rg 533.256 224.477 47.619 0.750 re f 533.256 208.596 0.750 16.631 re f 580.125 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 214.622 Td /F1 9.8 Tf [(81)] TJ ET 0.267 0.267 0.267 rg 26.625 208.596 148.908 0.750 re f 26.625 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 198.741 Td /F4 9.8 Tf [(TFC score)] TJ ET 0.267 0.267 0.267 rg 174.783 208.596 42.418 0.750 re f 174.783 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 198.741 Td /F1 9.8 Tf [(379)] TJ ET 0.267 0.267 0.267 rg 216.451 208.596 57.161 0.750 re f 216.451 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 198.741 Td /F1 9.8 Tf [(48)] TJ ET 0.267 0.267 0.267 rg 272.862 208.596 55.443 0.750 re f 272.862 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 198.741 Td /F1 9.8 Tf [(12)] TJ ET 0.267 0.267 0.267 rg 327.556 208.596 44.136 0.750 re f 327.556 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 198.741 Td /F1 9.8 Tf [(14)] TJ ET 0.267 0.267 0.267 rg 370.942 208.596 46.760 0.750 re f 370.942 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 198.741 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 208.596 71.045 0.750 re f 416.951 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 198.741 Td /F1 9.8 Tf [(49)] TJ ET 0.267 0.267 0.267 rg 487.247 208.596 46.760 0.750 re f 487.247 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 198.741 Td /F1 9.8 Tf [(56.5)] TJ ET 0.267 0.267 0.267 rg 533.256 208.596 47.619 0.750 re f 533.256 192.715 0.750 16.631 re f 580.125 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 198.741 Td /F1 9.8 Tf [(81)] TJ ET 0.267 0.267 0.267 rg 26.625 192.715 148.908 0.750 re f 26.625 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 182.860 Td /F4 9.8 Tf [(Langbehn age 10)] TJ ET 0.267 0.267 0.267 rg 174.783 192.715 42.418 0.750 re f 174.783 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 182.860 Td /F1 9.8 Tf [(423)] TJ ET 0.267 0.267 0.267 rg 216.451 192.715 57.161 0.750 re f 216.451 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 182.860 Td /F1 9.8 Tf [(46.82)] TJ ET 0.267 0.267 0.267 rg 272.862 192.715 55.443 0.750 re f 272.862 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 182.860 Td /F1 9.8 Tf [(10.5)] TJ ET 0.267 0.267 0.267 rg 327.556 192.715 44.136 0.750 re f 327.556 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 182.860 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 370.942 192.715 46.760 0.750 re f 370.942 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 182.860 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 192.715 71.045 0.750 re f 416.951 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 182.860 Td /F1 9.8 Tf [(46)] TJ ET 0.267 0.267 0.267 rg 487.247 192.715 46.760 0.750 re f 487.247 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 182.860 Td /F1 9.8 Tf [(54)] TJ ET 0.267 0.267 0.267 rg 533.256 192.715 47.619 0.750 re f 533.256 176.833 0.750 16.631 re f 580.125 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 182.860 Td /F1 9.8 Tf [(89)] TJ ET 0.267 0.267 0.267 rg 26.625 176.833 148.908 0.750 re f 26.625 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 166.978 Td /F4 9.8 Tf [(Langbehn db 200)] TJ ET 0.267 0.267 0.267 rg 174.783 176.833 42.418 0.750 re f 174.783 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 166.978 Td /F1 9.8 Tf [(417)] TJ ET 0.267 0.267 0.267 rg 216.451 176.833 57.161 0.750 re f 216.451 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 166.978 Td /F1 9.8 Tf [(46.65)] TJ ET 0.267 0.267 0.267 rg 272.862 176.833 55.443 0.750 re f 272.862 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 166.978 Td /F1 9.8 Tf [(10.1)] TJ ET 0.267 0.267 0.267 rg 327.556 176.833 44.136 0.750 re f 327.556 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 166.978 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 370.942 176.833 46.760 0.750 re f 370.942 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 166.978 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 176.833 71.045 0.750 re f 416.951 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 166.978 Td /F1 9.8 Tf [(46)] TJ ET 0.267 0.267 0.267 rg 487.247 176.833 46.760 0.750 re f 487.247 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 166.978 Td /F1 9.8 Tf [(55)] TJ ET 0.267 0.267 0.267 rg 533.256 176.833 47.619 0.750 re f 533.256 160.952 0.750 16.631 re f 580.125 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 166.978 Td /F1 9.8 Tf [(74)] TJ ET 0.267 0.267 0.267 rg 26.625 160.952 148.908 0.750 re f 26.625 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 151.097 Td /F4 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 174.783 160.952 42.418 0.750 re f 174.783 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 151.097 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 160.952 57.161 0.750 re f 216.451 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 151.097 Td /F1 9.8 Tf [(41.94)] TJ ET 0.267 0.267 0.267 rg 272.862 160.952 55.443 0.750 re f 272.862 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 151.097 Td /F1 9.8 Tf [(7.9)] TJ ET 0.267 0.267 0.267 rg 327.556 160.952 44.136 0.750 re f 327.556 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 151.097 Td /F1 9.8 Tf [(8)] TJ ET 0.267 0.267 0.267 rg 370.942 160.952 46.760 0.750 re f 370.942 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 151.097 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 160.952 71.045 0.750 re f 416.951 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 151.097 Td /F1 9.8 Tf [(43)] TJ ET 0.267 0.267 0.267 rg 487.247 160.952 46.760 0.750 re f 487.247 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 151.097 Td /F1 9.8 Tf [(47)] TJ ET 0.267 0.267 0.267 rg 533.256 160.952 47.619 0.750 re f 533.256 145.071 0.750 16.631 re f 580.125 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 151.097 Td /F1 9.8 Tf [(61)] TJ ET 0.267 0.267 0.267 rg 26.625 145.071 148.908 0.750 re f 26.625 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 135.216 Td /F4 9.8 Tf [(Ranen analogous)] TJ ET 0.267 0.267 0.267 rg 174.783 145.071 42.418 0.750 re f 174.783 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 135.216 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 145.071 57.161 0.750 re f 216.451 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 135.216 Td /F1 9.8 Tf [(42.44)] TJ ET 0.267 0.267 0.267 rg 272.862 145.071 55.443 0.750 re f 272.862 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 135.216 Td /F1 9.8 Tf [(8.4)] TJ ET 0.267 0.267 0.267 rg 327.556 145.071 44.136 0.750 re f 327.556 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 135.216 Td /F1 9.8 Tf [(-6)] TJ ET 0.267 0.267 0.267 rg 370.942 145.071 46.760 0.750 re f 370.942 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 135.216 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 145.071 71.045 0.750 re f 416.951 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 135.216 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 145.071 46.760 0.750 re f 487.247 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 135.216 Td /F1 9.8 Tf [(48)] TJ ET 0.267 0.267 0.267 rg 533.256 145.071 47.619 0.750 re f 533.256 129.190 0.750 16.631 re f 580.125 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 135.216 Td /F1 9.8 Tf [(59)] TJ ET 0.267 0.267 0.267 rg 26.625 129.190 148.908 0.750 re f 26.625 113.308 148.908 0.750 re f 26.625 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 119.335 Td /F4 9.8 Tf [(Ranen extended)] TJ ET 0.267 0.267 0.267 rg 174.783 129.190 42.418 0.750 re f 174.783 113.308 42.418 0.750 re f 174.783 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 119.335 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 129.190 57.161 0.750 re f 216.451 113.308 57.161 0.750 re f 216.451 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 119.335 Td /F1 9.8 Tf [(42.58)] TJ ET 0.267 0.267 0.267 rg 272.862 129.190 55.443 0.750 re f 272.862 113.308 55.443 0.750 re f 272.862 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 119.335 Td /F1 9.8 Tf [(8.7)] TJ ET 0.267 0.267 0.267 rg 327.556 129.190 44.136 0.750 re f 327.556 113.308 44.136 0.750 re f 327.556 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 119.335 Td /F1 9.8 Tf [(0)] TJ ET 0.267 0.267 0.267 rg 370.942 129.190 46.760 0.750 re f 370.942 113.308 46.760 0.750 re f 370.942 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 119.335 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 129.190 71.045 0.750 re f 416.951 113.308 71.045 0.750 re f 416.951 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 119.335 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 129.190 46.760 0.750 re f 487.247 113.308 46.760 0.750 re f 487.247 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 119.335 Td /F1 9.8 Tf [(49)] TJ ET 0.267 0.267 0.267 rg 533.256 129.190 47.619 0.750 re f 533.256 113.308 47.619 0.750 re f 533.256 113.308 0.750 16.631 re f 580.125 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 119.335 Td /F1 9.8 Tf [(60)] TJ ET BT 26.250 65.910 Td /F4 9.8 Tf [(Table 1.)] TJ ET BT 62.559 65.910 Td /F1 9.8 Tf [( REGISTRY data. AAO estimates and data based calculations. Abbreviations: TFC total functional capacity. Langbehn )] TJ ET BT 26.250 54.005 Td /F1 9.8 Tf [(db: Langbehn disease burden.)] TJ ET Q q 15.000 44.124 577.500 732.876 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(in 30 \(7%\) no signs of HD were reported in either parent, and in 23 \(5%\) the inheritance was unknown for both parents or for at )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(least one parent, where the other parent was not affected. Eight participants \(2%\) had a juvenile onset \(before the age of 20\), )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(and 24 \(6%\) had a late onset of HD above age 60. A motor onset was present in 303, other onset types in 120. The average )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(motor score at enrolment was 35 \(out of a possible 124\), 158 \(37%\) participants were in stage 1, 120 \(28%\) in stage 2, 111 )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(\(26%\) in stage 3, 30 \(7%\) in stage 4 and 4 \(1%\) in stage 5. Patients were first seen by investigators a median of 6 years after )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(the estimated onset. The medium number of visits was 3 \(range 3-18\).)] TJ ET BT 26.250 688.548 Td /F4 9.8 Tf [(AAO extrapolation from longitudinal data)] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(Sixty-six participants with a negative slope of the motor score were excluded because no individual AAO could be calculated. In )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(the remaining 357 participants, on average the motor score increased linearly by 2.57 points per year. The mean AAO of data )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(based extrapolated motor signs was 47 \(range 13-81, SD 11.67\).)] TJ ET BT 26.250 625.929 Td /F1 9.8 Tf [(Forty-four participants were excluded because the slope of the TFC was positive. This meant no individual TFC onset could be )] TJ ET BT 26.250 614.024 Td /F1 9.8 Tf [(extrapolated based on longitudinal data. In the remaining 379 participants, on average the TFC score decreased linearly by 0.52 )] TJ ET BT 26.250 602.119 Td /F1 9.8 Tf [(points per year. The TFC of the 251 patients in disease stages 1 or 2 decreased by 0.75 points per year compared to 128 )] TJ ET BT 26.250 590.214 Td /F1 9.8 Tf [(patients in disease stages 3, 4, or 5 who on average lost 0.26 points per year. The mean extrapolated AAO was 48 \(range 14-)] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(81, SD 12, Figure 2\).)] TJ ET BT 26.250 558.905 Td /F1 9.8 Tf [(The investigator estimated AAO was 3 years before the motorscore calculated AAO \(Table 1, Figure 2\) with an agreement rate )] TJ ET BT 26.250 547.000 Td /F1 9.8 Tf [(of 0.57 \(Table 2\). The calculated TFC onset was 4 years later than the investigators estimate \(Table 1, Figure 2\) with an )] TJ ET BT 26.250 535.095 Td /F1 9.8 Tf [(agreement rate of 0.52 \(Table 2\).)] TJ ET 0.965 0.965 0.965 rg 26.250 284.269 555.000 240.945 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 525.214 m 581.250 525.214 l 581.250 524.464 l 26.250 524.464 l f 26.250 284.269 m 581.250 284.269 l 581.250 285.019 l 26.250 285.019 l f q 225.000 0 0 151.500 35.250 363.964 cm /I4 Do Q q 35.250 295.519 537.000 62.445 re W n 0.271 0.267 0.267 rg BT 35.250 346.975 Td /F4 9.8 Tf [(Figure 2.)] TJ ET BT 75.888 346.975 Td /F1 9.8 Tf [( REGISTRY data: difference to rater estimate. The boxes of the boxplots contain 50% of the data and the median )] TJ ET BT 35.250 333.239 Td /F1 9.8 Tf [(\(vertical solid line\), the bars indicate the 25%tile and the empty dots outliers. Abbreviations: TFC ind: regression derived )] TJ ET BT 35.250 319.503 Td /F1 9.8 Tf [(TFC age-at-onset. TFC ind 4 ys: regression derived TFC age-at-onset minus 4 years. Motorscore ind: regression derived )] TJ ET BT 35.250 305.767 Td /F1 9.8 Tf [(motor age-at-onset. R. analog: Ranen analogous. R. extended: Ranen extended.)] TJ ET Q BT 26.250 267.246 Td /F4 9.8 Tf [(Table 1.)] TJ ET 1.000 1.000 1.000 rg 26.250 112.933 555.000 144.431 re f 0.267 0.267 0.267 rg 26.625 256.240 148.908 0.750 re f 26.625 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 246.385 Td /F4 9.8 Tf [(Model)] TJ ET 0.267 0.267 0.267 rg 174.783 256.240 42.418 0.750 re f 174.783 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 246.385 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 216.451 256.240 57.161 0.750 re f 216.451 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 246.385 Td /F4 9.8 Tf [(mean)] TJ ET 0.267 0.267 0.267 rg 272.862 256.240 55.443 0.750 re f 272.862 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 246.385 Td /F4 9.8 Tf [(SD)] TJ ET 0.267 0.267 0.267 rg 327.556 256.240 44.136 0.750 re f 327.556 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 246.385 Td /F4 9.8 Tf [(min)] TJ ET 0.267 0.267 0.267 rg 370.942 256.240 46.760 0.750 re f 370.942 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 246.385 Td /F4 9.8 Tf [(Q25)] TJ ET 0.267 0.267 0.267 rg 416.951 256.240 71.045 0.750 re f 416.951 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 246.385 Td /F4 9.8 Tf [(median)] TJ ET 0.267 0.267 0.267 rg 487.247 256.240 46.760 0.750 re f 487.247 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 246.385 Td /F4 9.8 Tf [(Q75)] TJ ET 0.267 0.267 0.267 rg 533.256 256.240 47.619 0.750 re f 533.256 240.358 0.750 16.631 re f 580.125 240.358 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 246.385 Td /F4 9.8 Tf [(max)] TJ ET 0.267 0.267 0.267 rg 26.625 240.358 148.908 0.750 re f 26.625 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 230.503 Td /F4 9.8 Tf [(investigator \(rater estimate\))] TJ ET 0.267 0.267 0.267 rg 174.783 240.358 42.418 0.750 re f 174.783 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 230.503 Td /F1 9.8 Tf [(423)] TJ ET 0.267 0.267 0.267 rg 216.451 240.358 57.161 0.750 re f 216.451 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 230.503 Td /F1 9.8 Tf [(44.08)] TJ ET 0.267 0.267 0.267 rg 272.862 240.358 55.443 0.750 re f 272.862 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 230.503 Td /F1 9.8 Tf [(11.32)] TJ ET 0.267 0.267 0.267 rg 327.556 240.358 44.136 0.750 re f 327.556 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 230.503 Td /F1 9.8 Tf [(10)] TJ ET 0.267 0.267 0.267 rg 370.942 240.358 46.760 0.750 re f 370.942 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 230.503 Td /F1 9.8 Tf [(35.5)] TJ ET 0.267 0.267 0.267 rg 416.951 240.358 71.045 0.750 re f 416.951 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 230.503 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 240.358 46.760 0.750 re f 487.247 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 230.503 Td /F1 9.8 Tf [(51.5)] TJ ET 0.267 0.267 0.267 rg 533.256 240.358 47.619 0.750 re f 533.256 224.477 0.750 16.631 re f 580.125 224.477 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 230.503 Td /F1 9.8 Tf [(77)] TJ ET 0.267 0.267 0.267 rg 26.625 224.477 148.908 0.750 re f 26.625 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 214.622 Td /F4 9.8 Tf [(Motor score)] TJ ET 0.267 0.267 0.267 rg 174.783 224.477 42.418 0.750 re f 174.783 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 214.622 Td /F1 9.8 Tf [(357)] TJ ET 0.267 0.267 0.267 rg 216.451 224.477 57.161 0.750 re f 216.451 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 214.622 Td /F1 9.8 Tf [(47.06)] TJ ET 0.267 0.267 0.267 rg 272.862 224.477 55.443 0.750 re f 272.862 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 214.622 Td /F1 9.8 Tf [(11.7)] TJ ET 0.267 0.267 0.267 rg 327.556 224.477 44.136 0.750 re f 327.556 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 214.622 Td /F1 9.8 Tf [(13)] TJ ET 0.267 0.267 0.267 rg 370.942 224.477 46.760 0.750 re f 370.942 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 214.622 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 224.477 71.045 0.750 re f 416.951 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 214.622 Td /F1 9.8 Tf [(47)] TJ ET 0.267 0.267 0.267 rg 487.247 224.477 46.760 0.750 re f 487.247 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 214.622 Td /F1 9.8 Tf [(56)] TJ ET 0.267 0.267 0.267 rg 533.256 224.477 47.619 0.750 re f 533.256 208.596 0.750 16.631 re f 580.125 208.596 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 214.622 Td /F1 9.8 Tf [(81)] TJ ET 0.267 0.267 0.267 rg 26.625 208.596 148.908 0.750 re f 26.625 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 198.741 Td /F4 9.8 Tf [(TFC score)] TJ ET 0.267 0.267 0.267 rg 174.783 208.596 42.418 0.750 re f 174.783 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 198.741 Td /F1 9.8 Tf [(379)] TJ ET 0.267 0.267 0.267 rg 216.451 208.596 57.161 0.750 re f 216.451 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 198.741 Td /F1 9.8 Tf [(48)] TJ ET 0.267 0.267 0.267 rg 272.862 208.596 55.443 0.750 re f 272.862 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 198.741 Td /F1 9.8 Tf [(12)] TJ ET 0.267 0.267 0.267 rg 327.556 208.596 44.136 0.750 re f 327.556 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 198.741 Td /F1 9.8 Tf [(14)] TJ ET 0.267 0.267 0.267 rg 370.942 208.596 46.760 0.750 re f 370.942 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 198.741 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 208.596 71.045 0.750 re f 416.951 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 198.741 Td /F1 9.8 Tf [(49)] TJ ET 0.267 0.267 0.267 rg 487.247 208.596 46.760 0.750 re f 487.247 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 198.741 Td /F1 9.8 Tf [(56.5)] TJ ET 0.267 0.267 0.267 rg 533.256 208.596 47.619 0.750 re f 533.256 192.715 0.750 16.631 re f 580.125 192.715 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 198.741 Td /F1 9.8 Tf [(81)] TJ ET 0.267 0.267 0.267 rg 26.625 192.715 148.908 0.750 re f 26.625 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 182.860 Td /F4 9.8 Tf [(Langbehn age 10)] TJ ET 0.267 0.267 0.267 rg 174.783 192.715 42.418 0.750 re f 174.783 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 182.860 Td /F1 9.8 Tf [(423)] TJ ET 0.267 0.267 0.267 rg 216.451 192.715 57.161 0.750 re f 216.451 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 182.860 Td /F1 9.8 Tf [(46.82)] TJ ET 0.267 0.267 0.267 rg 272.862 192.715 55.443 0.750 re f 272.862 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 182.860 Td /F1 9.8 Tf [(10.5)] TJ ET 0.267 0.267 0.267 rg 327.556 192.715 44.136 0.750 re f 327.556 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 182.860 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 370.942 192.715 46.760 0.750 re f 370.942 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 182.860 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 192.715 71.045 0.750 re f 416.951 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 182.860 Td /F1 9.8 Tf [(46)] TJ ET 0.267 0.267 0.267 rg 487.247 192.715 46.760 0.750 re f 487.247 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 182.860 Td /F1 9.8 Tf [(54)] TJ ET 0.267 0.267 0.267 rg 533.256 192.715 47.619 0.750 re f 533.256 176.833 0.750 16.631 re f 580.125 176.833 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 182.860 Td /F1 9.8 Tf [(89)] TJ ET 0.267 0.267 0.267 rg 26.625 176.833 148.908 0.750 re f 26.625 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 166.978 Td /F4 9.8 Tf [(Langbehn db 200)] TJ ET 0.267 0.267 0.267 rg 174.783 176.833 42.418 0.750 re f 174.783 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 166.978 Td /F1 9.8 Tf [(417)] TJ ET 0.267 0.267 0.267 rg 216.451 176.833 57.161 0.750 re f 216.451 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 166.978 Td /F1 9.8 Tf [(46.65)] TJ ET 0.267 0.267 0.267 rg 272.862 176.833 55.443 0.750 re f 272.862 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 166.978 Td /F1 9.8 Tf [(10.1)] TJ ET 0.267 0.267 0.267 rg 327.556 176.833 44.136 0.750 re f 327.556 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 166.978 Td /F1 9.8 Tf [(23)] TJ ET 0.267 0.267 0.267 rg 370.942 176.833 46.760 0.750 re f 370.942 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 166.978 Td /F1 9.8 Tf [(40)] TJ ET 0.267 0.267 0.267 rg 416.951 176.833 71.045 0.750 re f 416.951 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 166.978 Td /F1 9.8 Tf [(46)] TJ ET 0.267 0.267 0.267 rg 487.247 176.833 46.760 0.750 re f 487.247 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 166.978 Td /F1 9.8 Tf [(55)] TJ ET 0.267 0.267 0.267 rg 533.256 176.833 47.619 0.750 re f 533.256 160.952 0.750 16.631 re f 580.125 160.952 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 166.978 Td /F1 9.8 Tf [(74)] TJ ET 0.267 0.267 0.267 rg 26.625 160.952 148.908 0.750 re f 26.625 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 151.097 Td /F4 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 174.783 160.952 42.418 0.750 re f 174.783 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 151.097 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 160.952 57.161 0.750 re f 216.451 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 151.097 Td /F1 9.8 Tf [(41.94)] TJ ET 0.267 0.267 0.267 rg 272.862 160.952 55.443 0.750 re f 272.862 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 151.097 Td /F1 9.8 Tf [(7.9)] TJ ET 0.267 0.267 0.267 rg 327.556 160.952 44.136 0.750 re f 327.556 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 151.097 Td /F1 9.8 Tf [(8)] TJ ET 0.267 0.267 0.267 rg 370.942 160.952 46.760 0.750 re f 370.942 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 151.097 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 160.952 71.045 0.750 re f 416.951 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 151.097 Td /F1 9.8 Tf [(43)] TJ ET 0.267 0.267 0.267 rg 487.247 160.952 46.760 0.750 re f 487.247 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 151.097 Td /F1 9.8 Tf [(47)] TJ ET 0.267 0.267 0.267 rg 533.256 160.952 47.619 0.750 re f 533.256 145.071 0.750 16.631 re f 580.125 145.071 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 151.097 Td /F1 9.8 Tf [(61)] TJ ET 0.267 0.267 0.267 rg 26.625 145.071 148.908 0.750 re f 26.625 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 135.216 Td /F4 9.8 Tf [(Ranen analogous)] TJ ET 0.267 0.267 0.267 rg 174.783 145.071 42.418 0.750 re f 174.783 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 135.216 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 145.071 57.161 0.750 re f 216.451 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 135.216 Td /F1 9.8 Tf [(42.44)] TJ ET 0.267 0.267 0.267 rg 272.862 145.071 55.443 0.750 re f 272.862 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 135.216 Td /F1 9.8 Tf [(8.4)] TJ ET 0.267 0.267 0.267 rg 327.556 145.071 44.136 0.750 re f 327.556 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 135.216 Td /F1 9.8 Tf [(-6)] TJ ET 0.267 0.267 0.267 rg 370.942 145.071 46.760 0.750 re f 370.942 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 135.216 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 145.071 71.045 0.750 re f 416.951 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 135.216 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 145.071 46.760 0.750 re f 487.247 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 135.216 Td /F1 9.8 Tf [(48)] TJ ET 0.267 0.267 0.267 rg 533.256 145.071 47.619 0.750 re f 533.256 129.190 0.750 16.631 re f 580.125 129.190 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 135.216 Td /F1 9.8 Tf [(59)] TJ ET 0.267 0.267 0.267 rg 26.625 129.190 148.908 0.750 re f 26.625 113.308 148.908 0.750 re f 26.625 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 119.335 Td /F4 9.8 Tf [(Ranen extended)] TJ ET 0.267 0.267 0.267 rg 174.783 129.190 42.418 0.750 re f 174.783 113.308 42.418 0.750 re f 174.783 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 180.033 119.335 Td /F1 9.8 Tf [(280)] TJ ET 0.267 0.267 0.267 rg 216.451 129.190 57.161 0.750 re f 216.451 113.308 57.161 0.750 re f 216.451 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 221.701 119.335 Td /F1 9.8 Tf [(42.58)] TJ ET 0.267 0.267 0.267 rg 272.862 129.190 55.443 0.750 re f 272.862 113.308 55.443 0.750 re f 272.862 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 278.112 119.335 Td /F1 9.8 Tf [(8.7)] TJ ET 0.267 0.267 0.267 rg 327.556 129.190 44.136 0.750 re f 327.556 113.308 44.136 0.750 re f 327.556 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 332.806 119.335 Td /F1 9.8 Tf [(0)] TJ ET 0.267 0.267 0.267 rg 370.942 129.190 46.760 0.750 re f 370.942 113.308 46.760 0.750 re f 370.942 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 376.192 119.335 Td /F1 9.8 Tf [(38)] TJ ET 0.267 0.267 0.267 rg 416.951 129.190 71.045 0.750 re f 416.951 113.308 71.045 0.750 re f 416.951 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 422.201 119.335 Td /F1 9.8 Tf [(44)] TJ ET 0.267 0.267 0.267 rg 487.247 129.190 46.760 0.750 re f 487.247 113.308 46.760 0.750 re f 487.247 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 492.497 119.335 Td /F1 9.8 Tf [(49)] TJ ET 0.267 0.267 0.267 rg 533.256 129.190 47.619 0.750 re f 533.256 113.308 47.619 0.750 re f 533.256 113.308 0.750 16.631 re f 580.125 113.308 0.750 16.631 re f 0.271 0.267 0.267 rg BT 538.506 119.335 Td /F1 9.8 Tf [(60)] TJ ET BT 26.250 65.910 Td /F4 9.8 Tf [(Table 1.)] TJ ET BT 62.559 65.910 Td /F1 9.8 Tf [( REGISTRY data. AAO estimates and data based calculations. Abbreviations: TFC total functional capacity. Langbehn )] TJ ET BT 26.250 54.005 Td /F1 9.8 Tf [(db: Langbehn disease burden.)] TJ ET Q q 225.000 0 0 151.500 35.250 363.964 cm /I4 Do Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(3)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 140 0 obj << /Type /Annot /Subtype /Link /A 141 0 R /Border [0 0 0] /H /I /Rect [ 35.2500 363.9645 260.2500 515.4645 ] >> endobj 141 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/hd/files/2011/07/Figure-2.jpg) >> endobj 142 0 obj << /Type /XObject /Subtype /Image /Width 300 /Height 202 /ColorSpace /DeviceRGB /Filter /DCTDecode /BitsPerComponent 8 /Length 15608>> stream JFIF;CREATOR: gd-jpeg v1.0 (using IJG JPEG v62), quality = 90 C     C   ," }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?Rih(hj9d`pB?*߇Q k7Fzmy0;]jp2N(xָW?" 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Igyք}88AW>7o?KV&Z mizbRn .r;wCE)gŧ5[{, B8,1lz@{?kA\]&0JA/03 7(3@5M6.XVm-F!TqU3xDXH_XK A,b??cAx/ | -paA$@غy [y]q^`մۿ k\$Or+oJ =֛le6ҀrI\/C`oXQTdI9c8۳v1#W6~{^k3[F\$B ɖF+9K.%/)kQiF=I_#h)\5Hc"O@2G ?kJֺV&;[8V('' W.a$d1]HRPGjʓzTz͋O(Ty0#9 ϵpWo5;kKcGi3LMcIl>4-/L9sz{ -HE$U`(p_ >:xOڤ^ r&xΘ7zddN͟č yNikb0A3QB05䷱VD}$zEpt<w4Q3@ ޗ3Fh$w-Wwvϣ[M+3`v1֩n;薢m\E4/9_H< `+'J9斓4FF52(!\Q4XHpN:dԔf#<~w寛7c>'4SY=p:Pd9H6,}GU4[MzmoY 8aeGiJˍBNy8J_¸E|eC*E|eC*;\FkͼO|BӼ=>-MCS{kVaYTéAo !Q+?+h+_(_({xYaJ::YHӢ #F*@y'-夞-DңHnƓdQ"cwEU3Z<_Uvq_D_UD?UXwOZ666z|6̗oq16KGsטa#?/WZIi=W_< "-/CtfҵL9P,zvI渟E|eC*E|eC/*;\渟E|eC*E|eC*;lњd#CVoZ[IwhL$C1@]r:9+_(_(wDv^y87;QIa\,Z\(7X< h$R( J)h%襣4Ch'|?6~J+F#E7n "\sZI.5Agv$[Io |K|]7g phZ(H f]x?bѤ_ln4æY Lo4|P שJ[hXx@;>KyI2sq(j@%dxRҼ?su]@R!jmAl`uXu,+ ?NSu W tCqv"~CtWn79N>o$:'P*.2װv9־ެ5 /+y XHWT~95c9wM U 6 9V4>x;^V2dcE 8UP?cw=4#ˉchV2y`Wzht^qij %ky c(zwJ; P(QE'a@ h!{Qڊ ? endstream endobj 143 0 obj << /Type /Annot /Subtype /Link /A 144 0 R /Border [0 0 0] /H /I /Rect [ 35.2500 363.9645 260.2500 515.4645 ] >> endobj 144 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/hd/files/2011/07/Figure-2.jpg) >> endobj 145 0 obj << /Type /Annot /Subtype /Link /A 146 0 R /Border [0 0 0] /H /I /Rect [ 35.2500 363.9645 260.2500 515.4645 ] >> endobj 146 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/hd/files/2011/07/Figure-2.jpg) >> endobj 147 0 obj << /Type /Page /Parent 3 0 R /Contents 148 0 R >> endobj 148 0 obj << /Length 118429 >> stream 0.271 0.267 0.267 rg q 15.000 67.484 577.500 709.516 re W n 0.271 0.267 0.267 rg BT 26.250 750.278 Td /F4 12.0 Tf [(Predicting AAO)] TJ ET BT 26.250 730.324 Td /F1 9.8 Tf [(The Langbehn formula \(LB 06\) predicted an AAO of 46.82 \(SD 10.5, range 23-89\) when 10 years of age; with age at a disease )] TJ ET BT 26.250 718.419 Td /F1 9.8 Tf [(burden of 200, the predicted average AAO was 46.65 \(SD 10.14, range 23-74\). The agreement rate with the investigators )] TJ ET BT 26.250 706.515 Td /F1 9.8 Tf [(estimate was 0.46 \(Table 2\). In 280 participants \(140 women\) with the necessary data the Ranen formula predicted an AAO of )] TJ ET BT 26.250 694.610 Td /F1 9.8 Tf [(41.9 years \(SD 7.9, range 8-61\). In that group of participants this is similar to the investigators estimates of 42 years. The )] TJ ET BT 26.250 682.705 Td /F1 9.8 Tf [(agreement rate was 0.46 \(Table 2\).)] TJ ET BT 26.250 663.300 Td /F4 9.8 Tf [(Comparing formulae derived AAO)] TJ ET BT 26.250 643.896 Td /F1 9.8 Tf [(In a total of 206 REGISTRY patients \(109 women\) with complete data the best agreement rate was between the extrapolated )] TJ ET BT 26.250 631.991 Td /F1 9.8 Tf [(AAOs on the longitudinal TFC and motor score data \(0.76, Table 2\). Using parent AAO and CAG repeats resulted in the )] TJ ET BT 26.250 620.086 Td /F1 9.8 Tf [(following formula that best predicted the investigators AAO estimate \(Ranen analog\):)] TJ ET BT 26.250 600.681 Td /F1 9.8 Tf [(AAO=90.3918+0.3293*parent AAO-1.3996*CAG repeats)] TJ ET BT 26.250 581.277 Td /F1 9.8 Tf [(In a next step we entered all available data into a regression model for the prediction of the investigators estimate of AAO )] TJ ET BT 26.250 569.372 Td /F1 9.8 Tf [(\(Ranen extended\). Motor score, parent AAO, CAG repeats, and gender significantly contributed to the regression model )] TJ ET BT 26.250 557.467 Td /F1 9.8 Tf [(resulting in the following formula:)] TJ ET BT 26.250 538.062 Td /F1 9.8 Tf [(AAO=88.7546+0.0430*motorscore+0.3546*parent AAO-1.4311*CAG repeats+1.0124*gender \(male=1, female=0\). We then )] TJ ET BT 26.250 526.158 Td /F1 9.8 Tf [(entered the dataset of each participant into this formula to arrive at the calculated AAO.)] TJ ET BT 26.250 506.753 Td /F1 9.8 Tf [(The data driven formula resembles the Ranen and Ranen analogous formula with high agreement rates \(0.97, Table 2\) while )] TJ ET BT 26.250 494.848 Td /F1 9.8 Tf [(the agreement rates with other AAO calculations was much lower \(Table 2\).)] TJ ET BT 26.250 475.443 Td /F1 9.8 Tf [(We then assessed 145 participants with a motor onset. The findings were similar to the analyses including all participants )] TJ ET BT 26.250 463.539 Td /F1 9.8 Tf [(regardless of major symptom at onset \(Table 2\); the rater estimated an earlier onset than the AAO from the regression analyses.)] TJ ET BT 26.250 444.134 Td /F4 9.8 Tf [(Table 2.)] TJ ET 1.000 1.000 1.000 rg 26.250 67.484 555.000 366.769 re f 0.267 0.267 0.267 rg 26.625 433.128 72.770 0.750 re f 26.625 417.247 0.750 16.631 re f 98.645 433.128 72.770 0.750 re f 98.645 417.247 0.750 16.631 re f 170.665 433.128 35.400 0.750 re f 206.065 433.128 86.649 0.750 re f 292.715 433.128 38.675 0.750 re f 331.389 433.128 39.050 0.750 re f 170.665 417.247 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 423.273 Td /F4 9.8 Tf [(All participants)] TJ ET 0.267 0.267 0.267 rg 369.689 433.128 39.104 0.750 re f 408.793 433.128 88.829 0.750 re f 497.621 433.128 41.439 0.750 re f 539.061 433.128 41.814 0.750 re f 369.689 417.247 0.750 16.631 re f 580.125 417.247 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 423.273 Td /F4 9.8 Tf [(Participants with motor onset)] TJ ET 0.267 0.267 0.267 rg 26.625 417.247 72.770 0.750 re f 26.625 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 407.392 Td /F4 9.8 Tf [(Formula 1)] TJ ET 0.267 0.267 0.267 rg 98.645 417.247 72.770 0.750 re f 98.645 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 407.392 Td /F4 9.8 Tf [(Formula 2)] TJ ET 0.267 0.267 0.267 rg 170.665 417.247 35.775 0.750 re f 170.665 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 407.392 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 205.690 417.247 87.399 0.750 re f 205.690 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 407.392 Td /F4 9.8 Tf [(agreement rate)] TJ ET 0.267 0.267 0.267 rg 292.340 417.247 39.050 0.750 re f 331.389 417.247 39.050 0.750 re f 292.340 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 407.392 Td /F4 9.8 Tf [(95% CI)] TJ ET 0.267 0.267 0.267 rg 369.689 417.247 39.479 0.750 re f 369.689 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 407.392 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 408.418 417.247 89.579 0.750 re f 408.418 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 407.392 Td /F4 9.8 Tf [(Agreement rate)] TJ ET 0.267 0.267 0.267 rg 497.246 417.247 41.814 0.750 re f 539.061 417.247 41.814 0.750 re f 497.246 401.366 0.750 16.631 re f 580.125 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 407.392 Td /F4 9.8 Tf [(95% CI)] TJ ET 0.267 0.267 0.267 rg 26.625 401.366 72.770 0.750 re f 26.625 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 391.511 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 401.366 72.770 0.750 re f 98.645 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 391.511 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 401.366 35.775 0.750 re f 170.665 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 391.511 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 401.366 87.399 0.750 re f 205.690 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 391.511 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 401.366 39.425 0.750 re f 292.340 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 391.511 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 401.366 39.425 0.750 re f 331.014 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 391.511 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 401.366 39.479 0.750 re f 369.689 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 391.511 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 401.366 89.579 0.750 re f 408.418 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 391.511 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 497.246 401.366 42.189 0.750 re f 497.246 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 391.511 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 538.686 401.366 42.189 0.750 re f 538.686 385.484 0.750 16.631 re f 580.125 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 391.511 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 26.625 385.484 72.770 0.750 re f 26.625 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 375.629 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 385.484 72.770 0.750 re f 98.645 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 375.629 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 170.665 385.484 35.775 0.750 re f 170.665 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 375.629 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 385.484 87.399 0.750 re f 205.690 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 375.629 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 385.484 39.425 0.750 re f 292.340 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 375.629 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 385.484 39.425 0.750 re f 331.014 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 375.629 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 385.484 39.479 0.750 re f 369.689 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 375.629 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 385.484 89.579 0.750 re f 408.418 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 375.629 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 497.246 385.484 42.189 0.750 re f 497.246 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 375.629 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 538.686 385.484 42.189 0.750 re f 538.686 369.603 0.750 16.631 re f 580.125 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 375.629 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 26.625 369.603 72.770 0.750 re f 26.625 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 359.748 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 369.603 72.770 0.750 re f 98.645 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 359.748 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 369.603 35.775 0.750 re f 170.665 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 359.748 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 369.603 87.399 0.750 re f 205.690 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 359.748 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 292.340 369.603 39.425 0.750 re f 292.340 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 359.748 Td /F1 9.8 Tf [(0.94)] TJ ET 0.267 0.267 0.267 rg 331.014 369.603 39.425 0.750 re f 331.014 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 359.748 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 369.689 369.603 39.479 0.750 re f 369.689 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 359.748 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 369.603 89.579 0.750 re f 408.418 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 359.748 Td /F1 9.8 Tf [(0.96)] TJ ET 0.267 0.267 0.267 rg 497.246 369.603 42.189 0.750 re f 497.246 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 359.748 Td /F1 9.8 Tf [(0.91)] TJ ET 0.267 0.267 0.267 rg 538.686 369.603 42.189 0.750 re f 538.686 353.722 0.750 16.631 re f 580.125 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 359.748 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 26.625 353.722 72.770 0.750 re f 26.625 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 343.867 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 353.722 72.770 0.750 re f 98.645 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 343.867 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 353.722 35.775 0.750 re f 170.665 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 343.867 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 353.722 87.399 0.750 re f 205.690 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 343.867 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 292.340 353.722 39.425 0.750 re f 292.340 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 343.867 Td /F1 9.8 Tf [(0.94)] TJ ET 0.267 0.267 0.267 rg 331.014 353.722 39.425 0.750 re f 331.014 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 343.867 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 369.689 353.722 39.479 0.750 re f 369.689 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 343.867 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 353.722 89.579 0.750 re f 408.418 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 343.867 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 497.246 353.722 42.189 0.750 re f 497.246 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 343.867 Td /F1 9.8 Tf [(0.92)] TJ ET 0.267 0.267 0.267 rg 538.686 353.722 42.189 0.750 re f 538.686 337.840 0.750 16.631 re f 580.125 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 343.867 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 26.625 337.840 72.770 0.750 re f 26.625 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 327.985 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 337.840 72.770 0.750 re f 98.645 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 327.985 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 337.840 35.775 0.750 re f 170.665 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 327.985 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 337.840 87.399 0.750 re f 205.690 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 327.985 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 292.340 337.840 39.425 0.750 re f 292.340 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 327.985 Td /F1 9.8 Tf [(0.29)] TJ ET 0.267 0.267 0.267 rg 331.014 337.840 39.425 0.750 re f 331.014 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 327.985 Td /F1 9.8 Tf [(0.42)] TJ ET 0.267 0.267 0.267 rg 369.689 337.840 39.479 0.750 re f 369.689 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 327.985 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 337.840 89.579 0.750 re f 408.418 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 327.985 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 497.246 337.840 42.189 0.750 re f 497.246 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 327.985 Td /F1 9.8 Tf [(0.27)] TJ ET 0.267 0.267 0.267 rg 538.686 337.840 42.189 0.750 re f 538.686 321.959 0.750 16.631 re f 580.125 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 327.985 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 26.625 321.959 72.770 0.750 re f 26.625 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 312.104 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 321.959 72.770 0.750 re f 98.645 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 312.104 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 170.665 321.959 35.775 0.750 re f 170.665 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 312.104 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 321.959 87.399 0.750 re f 205.690 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 312.104 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 292.340 321.959 39.425 0.750 re f 292.340 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 312.104 Td /F1 9.8 Tf [(0.38)] TJ ET 0.267 0.267 0.267 rg 331.014 321.959 39.425 0.750 re f 331.014 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 312.104 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 369.689 321.959 39.479 0.750 re f 369.689 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 312.104 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 321.959 89.579 0.750 re f 408.418 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 312.104 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 497.246 321.959 42.189 0.750 re f 497.246 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 312.104 Td /F1 9.8 Tf [(0.36)] TJ ET 0.267 0.267 0.267 rg 538.686 321.959 42.189 0.750 re f 538.686 306.078 0.750 16.631 re f 580.125 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 312.104 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 26.625 306.078 72.770 0.750 re f 26.625 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 296.223 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 306.078 72.770 0.750 re f 98.645 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 296.223 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 306.078 35.775 0.750 re f 170.665 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 296.223 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 306.078 87.399 0.750 re f 205.690 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 296.223 Td /F1 9.8 Tf [(0.37)] TJ ET 0.267 0.267 0.267 rg 292.340 306.078 39.425 0.750 re f 292.340 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 296.223 Td /F1 9.8 Tf [(0.31)] TJ ET 0.267 0.267 0.267 rg 331.014 306.078 39.425 0.750 re f 331.014 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 296.223 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 369.689 306.078 39.479 0.750 re f 369.689 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 296.223 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 306.078 89.579 0.750 re f 408.418 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 296.223 Td /F1 9.8 Tf [(0.32)] TJ ET 0.267 0.267 0.267 rg 497.246 306.078 42.189 0.750 re f 497.246 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 296.223 Td /F1 9.8 Tf [(0.25)] TJ ET 0.267 0.267 0.267 rg 538.686 306.078 42.189 0.750 re f 538.686 290.197 0.750 16.631 re f 580.125 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 296.223 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 26.625 290.197 72.770 0.750 re f 26.625 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 280.342 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 290.197 72.770 0.750 re f 98.645 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 280.342 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 290.197 35.775 0.750 re f 170.665 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 280.342 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 290.197 87.399 0.750 re f 205.690 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 280.342 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 292.340 290.197 39.425 0.750 re f 292.340 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 280.342 Td /F1 9.8 Tf [(0.56)] TJ ET 0.267 0.267 0.267 rg 331.014 290.197 39.425 0.750 re f 331.014 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 280.342 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 369.689 290.197 39.479 0.750 re f 369.689 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 280.342 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 290.197 89.579 0.750 re f 408.418 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 280.342 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 290.197 42.189 0.750 re f 497.246 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 280.342 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 290.197 42.189 0.750 re f 538.686 274.315 0.750 16.631 re f 580.125 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 280.342 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 274.315 72.770 0.750 re f 26.625 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 264.460 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 274.315 72.770 0.750 re f 98.645 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 264.460 Td /F1 9.8 Tf [(R. Analog)] TJ ET 0.267 0.267 0.267 rg 170.665 274.315 35.775 0.750 re f 170.665 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 264.460 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 274.315 87.399 0.750 re f 205.690 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 264.460 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 292.340 274.315 39.425 0.750 re f 292.340 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 264.460 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 331.014 274.315 39.425 0.750 re f 331.014 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 264.460 Td /F1 9.8 Tf [(0.72)] TJ ET 0.267 0.267 0.267 rg 369.689 274.315 39.479 0.750 re f 369.689 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 264.460 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 274.315 89.579 0.750 re f 408.418 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 264.460 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 497.246 274.315 42.189 0.750 re f 497.246 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 264.460 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 538.686 274.315 42.189 0.750 re f 538.686 258.434 0.750 16.631 re f 580.125 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 264.460 Td /F1 9.8 Tf [(0.68)] TJ ET 0.267 0.267 0.267 rg 26.625 258.434 72.770 0.750 re f 26.625 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 248.579 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 258.434 72.770 0.750 re f 98.645 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 248.579 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 258.434 35.775 0.750 re f 170.665 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 248.579 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 258.434 87.399 0.750 re f 205.690 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 248.579 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 258.434 39.425 0.750 re f 292.340 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 248.579 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 258.434 39.425 0.750 re f 331.014 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 248.579 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 369.689 258.434 39.479 0.750 re f 369.689 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 248.579 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 258.434 89.579 0.750 re f 408.418 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 248.579 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 497.246 258.434 42.189 0.750 re f 497.246 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 248.579 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 538.686 258.434 42.189 0.750 re f 538.686 242.553 0.750 16.631 re f 580.125 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 248.579 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 26.625 242.553 72.770 0.750 re f 26.625 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 232.698 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 242.553 72.770 0.750 re f 98.645 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 232.698 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 242.553 35.775 0.750 re f 170.665 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 232.698 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 242.553 87.399 0.750 re f 205.690 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 232.698 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 242.553 39.425 0.750 re f 292.340 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 232.698 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 242.553 39.425 0.750 re f 331.014 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 232.698 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 242.553 39.479 0.750 re f 369.689 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 232.698 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 242.553 89.579 0.750 re f 408.418 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 232.698 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 242.553 42.189 0.750 re f 497.246 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 232.698 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 242.553 42.189 0.750 re f 538.686 226.672 0.750 16.631 re f 580.125 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 232.698 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 226.672 72.770 0.750 re f 26.625 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 216.817 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 226.672 72.770 0.750 re f 98.645 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 216.817 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 226.672 35.775 0.750 re f 170.665 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 216.817 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 226.672 87.399 0.750 re f 205.690 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 292.340 226.672 39.425 0.750 re f 292.340 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 216.817 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 331.014 226.672 39.425 0.750 re f 331.014 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 369.689 226.672 39.479 0.750 re f 369.689 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 216.817 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 226.672 89.579 0.750 re f 408.418 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 497.246 226.672 42.189 0.750 re f 497.246 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 216.817 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 538.686 226.672 42.189 0.750 re f 538.686 210.790 0.750 16.631 re f 580.125 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 26.625 210.790 72.770 0.750 re f 26.625 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 200.935 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 210.790 72.770 0.750 re f 98.645 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 200.935 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 210.790 35.775 0.750 re f 170.665 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 200.935 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 210.790 87.399 0.750 re f 205.690 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 200.935 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 292.340 210.790 39.425 0.750 re f 292.340 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 200.935 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 331.014 210.790 39.425 0.750 re f 331.014 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 200.935 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 369.689 210.790 39.479 0.750 re f 369.689 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 200.935 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 210.790 89.579 0.750 re f 408.418 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 200.935 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 210.790 42.189 0.750 re f 497.246 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 200.935 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 210.790 42.189 0.750 re f 538.686 194.909 0.750 16.631 re f 580.125 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 200.935 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 194.909 72.770 0.750 re f 26.625 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 185.054 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 194.909 72.770 0.750 re f 98.645 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 185.054 Td /F1 9.8 Tf [(R. Analog)] TJ ET 0.267 0.267 0.267 rg 170.665 194.909 35.775 0.750 re f 170.665 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 185.054 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 194.909 87.399 0.750 re f 205.690 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 185.054 Td /F1 9.8 Tf [(0.64)] TJ ET 0.267 0.267 0.267 rg 292.340 194.909 39.425 0.750 re f 292.340 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 185.054 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 331.014 194.909 39.425 0.750 re f 331.014 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 185.054 Td /F1 9.8 Tf [(0.70)] TJ ET 0.267 0.267 0.267 rg 369.689 194.909 39.479 0.750 re f 369.689 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 185.054 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 194.909 89.579 0.750 re f 408.418 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 185.054 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 194.909 42.189 0.750 re f 497.246 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 185.054 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 194.909 42.189 0.750 re f 538.686 179.028 0.750 16.631 re f 580.125 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 185.054 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 179.028 72.770 0.750 re f 26.625 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 169.173 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 179.028 72.770 0.750 re f 98.645 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 169.173 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 179.028 35.775 0.750 re f 170.665 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 169.173 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 179.028 87.399 0.750 re f 205.690 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 169.173 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 179.028 39.425 0.750 re f 292.340 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 169.173 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 179.028 39.425 0.750 re f 331.014 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 169.173 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 179.028 39.479 0.750 re f 369.689 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 169.173 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 179.028 89.579 0.750 re f 408.418 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 169.173 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 179.028 42.189 0.750 re f 497.246 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 169.173 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 179.028 42.189 0.750 re f 538.686 163.147 0.750 16.631 re f 580.125 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 169.173 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 163.147 72.770 0.750 re f 26.625 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 153.292 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 163.147 72.770 0.750 re f 98.645 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 153.292 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 163.147 35.775 0.750 re f 170.665 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 153.292 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 163.147 87.399 0.750 re f 205.690 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 153.292 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 163.147 39.425 0.750 re f 292.340 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 153.292 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 163.147 39.425 0.750 re f 331.014 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 153.292 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 163.147 39.479 0.750 re f 369.689 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 153.292 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 163.147 89.579 0.750 re f 408.418 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 153.292 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 163.147 42.189 0.750 re f 497.246 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 153.292 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 163.147 42.189 0.750 re f 538.686 147.265 0.750 16.631 re f 580.125 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 153.292 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 147.265 72.770 0.750 re f 26.625 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 137.410 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 147.265 72.770 0.750 re f 98.645 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 137.410 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 147.265 35.775 0.750 re f 170.665 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 137.410 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 147.265 87.399 0.750 re f 205.690 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 292.340 147.265 39.425 0.750 re f 292.340 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 137.410 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 331.014 147.265 39.425 0.750 re f 331.014 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 369.689 147.265 39.479 0.750 re f 369.689 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 137.410 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 147.265 89.579 0.750 re f 408.418 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 497.246 147.265 42.189 0.750 re f 497.246 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 137.410 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 538.686 147.265 42.189 0.750 re f 538.686 131.384 0.750 16.631 re f 580.125 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 26.625 131.384 72.770 0.750 re f 26.625 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 121.529 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 131.384 72.770 0.750 re f 98.645 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 121.529 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 131.384 35.775 0.750 re f 170.665 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 121.529 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 131.384 87.399 0.750 re f 205.690 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 121.529 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 292.340 131.384 39.425 0.750 re f 292.340 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 121.529 Td /F1 9.8 Tf [(0.34)] TJ ET 0.267 0.267 0.267 rg 331.014 131.384 39.425 0.750 re f 331.014 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 121.529 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 369.689 131.384 39.479 0.750 re f 369.689 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 121.529 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 131.384 89.579 0.750 re f 408.418 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 121.529 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 497.246 131.384 42.189 0.750 re f 497.246 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 121.529 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 538.686 131.384 42.189 0.750 re f 538.686 115.503 0.750 16.631 re f 580.125 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 121.529 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 26.625 115.503 72.770 0.750 re f 26.625 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 105.648 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 115.503 72.770 0.750 re f 98.645 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 105.648 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 115.503 35.775 0.750 re f 170.665 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 105.648 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 115.503 87.399 0.750 re f 205.690 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 105.648 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 292.340 115.503 39.425 0.750 re f 292.340 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 105.648 Td /F1 9.8 Tf [(0.36)] TJ ET 0.267 0.267 0.267 rg 331.014 115.503 39.425 0.750 re f 331.014 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 105.648 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 369.689 115.503 39.479 0.750 re f 369.689 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 105.648 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 115.503 89.579 0.750 re f 408.418 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 105.648 Td /F1 9.8 Tf [(0.40)] TJ ET 0.267 0.267 0.267 rg 497.246 115.503 42.189 0.750 re f 497.246 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 105.648 Td /F1 9.8 Tf [(0.32)] TJ ET 0.267 0.267 0.267 rg 538.686 115.503 42.189 0.750 re f 538.686 99.622 0.750 16.631 re f 580.125 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 105.648 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 26.625 99.622 72.770 0.750 re f 26.625 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 89.767 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 98.645 99.622 72.770 0.750 re f 98.645 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 89.767 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 99.622 35.775 0.750 re f 170.665 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 89.767 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 99.622 87.399 0.750 re f 205.690 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 89.767 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 292.340 99.622 39.425 0.750 re f 292.340 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 89.767 Td /F1 9.8 Tf [(0.34)] TJ ET 0.267 0.267 0.267 rg 331.014 99.622 39.425 0.750 re f 331.014 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 89.767 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 369.689 99.622 39.479 0.750 re f 369.689 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 89.767 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 99.622 89.579 0.750 re f 408.418 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 89.767 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 497.246 99.622 42.189 0.750 re f 497.246 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 89.767 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 538.686 99.622 42.189 0.750 re f 538.686 83.740 0.750 16.631 re f 580.125 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 89.767 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 26.625 83.740 72.770 0.750 re f 26.625 67.859 72.770 0.750 re f 26.625 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 73.885 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 98.645 83.740 72.770 0.750 re f 98.645 67.859 72.770 0.750 re f 98.645 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 73.885 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 83.740 35.775 0.750 re f 170.665 67.859 35.775 0.750 re f 170.665 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 73.885 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 83.740 87.399 0.750 re f 205.690 67.859 87.399 0.750 re f 205.690 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 73.885 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 292.340 83.740 39.425 0.750 re f 292.340 67.859 39.425 0.750 re f 292.340 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 73.885 Td /F1 9.8 Tf [(0.37)] TJ ET 0.267 0.267 0.267 rg 331.014 83.740 39.425 0.750 re f 331.014 67.859 39.425 0.750 re f 331.014 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 73.885 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 369.689 83.740 39.479 0.750 re f 369.689 67.859 39.479 0.750 re f 369.689 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 73.885 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 83.740 89.579 0.750 re f 408.418 67.859 89.579 0.750 re f 408.418 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 73.885 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 497.246 83.740 42.189 0.750 re f 497.246 67.859 42.189 0.750 re f 497.246 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 73.885 Td /F1 9.8 Tf [(0.33)] TJ ET 0.267 0.267 0.267 rg 538.686 83.740 42.189 0.750 re f 538.686 67.859 42.189 0.750 re f 538.686 67.859 0.750 16.631 re f 580.125 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 73.885 Td /F1 9.8 Tf [(0.49)] TJ ET Q q 15.000 67.484 577.500 709.516 re W n 0.271 0.267 0.267 rg BT 26.250 750.278 Td /F4 12.0 Tf [(Predicting AAO)] TJ ET BT 26.250 730.324 Td /F1 9.8 Tf [(The Langbehn formula \(LB 06\) predicted an AAO of 46.82 \(SD 10.5, range 23-89\) when 10 years of age; with age at a disease )] TJ ET BT 26.250 718.419 Td /F1 9.8 Tf [(burden of 200, the predicted average AAO was 46.65 \(SD 10.14, range 23-74\). The agreement rate with the investigators )] TJ ET BT 26.250 706.515 Td /F1 9.8 Tf [(estimate was 0.46 \(Table 2\). In 280 participants \(140 women\) with the necessary data the Ranen formula predicted an AAO of )] TJ ET BT 26.250 694.610 Td /F1 9.8 Tf [(41.9 years \(SD 7.9, range 8-61\). In that group of participants this is similar to the investigators estimates of 42 years. The )] TJ ET BT 26.250 682.705 Td /F1 9.8 Tf [(agreement rate was 0.46 \(Table 2\).)] TJ ET BT 26.250 663.300 Td /F4 9.8 Tf [(Comparing formulae derived AAO)] TJ ET BT 26.250 643.896 Td /F1 9.8 Tf [(In a total of 206 REGISTRY patients \(109 women\) with complete data the best agreement rate was between the extrapolated )] TJ ET BT 26.250 631.991 Td /F1 9.8 Tf [(AAOs on the longitudinal TFC and motor score data \(0.76, Table 2\). Using parent AAO and CAG repeats resulted in the )] TJ ET BT 26.250 620.086 Td /F1 9.8 Tf [(following formula that best predicted the investigators AAO estimate \(Ranen analog\):)] TJ ET BT 26.250 600.681 Td /F1 9.8 Tf [(AAO=90.3918+0.3293*parent AAO-1.3996*CAG repeats)] TJ ET BT 26.250 581.277 Td /F1 9.8 Tf [(In a next step we entered all available data into a regression model for the prediction of the investigators estimate of AAO )] TJ ET BT 26.250 569.372 Td /F1 9.8 Tf [(\(Ranen extended\). Motor score, parent AAO, CAG repeats, and gender significantly contributed to the regression model )] TJ ET BT 26.250 557.467 Td /F1 9.8 Tf [(resulting in the following formula:)] TJ ET BT 26.250 538.062 Td /F1 9.8 Tf [(AAO=88.7546+0.0430*motorscore+0.3546*parent AAO-1.4311*CAG repeats+1.0124*gender \(male=1, female=0\). We then )] TJ ET BT 26.250 526.158 Td /F1 9.8 Tf [(entered the dataset of each participant into this formula to arrive at the calculated AAO.)] TJ ET BT 26.250 506.753 Td /F1 9.8 Tf [(The data driven formula resembles the Ranen and Ranen analogous formula with high agreement rates \(0.97, Table 2\) while )] TJ ET BT 26.250 494.848 Td /F1 9.8 Tf [(the agreement rates with other AAO calculations was much lower \(Table 2\).)] TJ ET BT 26.250 475.443 Td /F1 9.8 Tf [(We then assessed 145 participants with a motor onset. The findings were similar to the analyses including all participants )] TJ ET BT 26.250 463.539 Td /F1 9.8 Tf [(regardless of major symptom at onset \(Table 2\); the rater estimated an earlier onset than the AAO from the regression analyses.)] TJ ET BT 26.250 444.134 Td /F4 9.8 Tf [(Table 2.)] TJ ET 1.000 1.000 1.000 rg 26.250 67.484 555.000 366.769 re f 0.267 0.267 0.267 rg 26.625 433.128 72.770 0.750 re f 26.625 417.247 0.750 16.631 re f 98.645 433.128 72.770 0.750 re f 98.645 417.247 0.750 16.631 re f 170.665 433.128 35.400 0.750 re f 206.065 433.128 86.649 0.750 re f 292.715 433.128 38.675 0.750 re f 331.389 433.128 39.050 0.750 re f 170.665 417.247 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 423.273 Td /F4 9.8 Tf [(All participants)] TJ ET 0.267 0.267 0.267 rg 369.689 433.128 39.104 0.750 re f 408.793 433.128 88.829 0.750 re f 497.621 433.128 41.439 0.750 re f 539.061 433.128 41.814 0.750 re f 369.689 417.247 0.750 16.631 re f 580.125 417.247 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 423.273 Td /F4 9.8 Tf [(Participants with motor onset)] TJ ET 0.267 0.267 0.267 rg 26.625 417.247 72.770 0.750 re f 26.625 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 407.392 Td /F4 9.8 Tf [(Formula 1)] TJ ET 0.267 0.267 0.267 rg 98.645 417.247 72.770 0.750 re f 98.645 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 407.392 Td /F4 9.8 Tf [(Formula 2)] TJ ET 0.267 0.267 0.267 rg 170.665 417.247 35.775 0.750 re f 170.665 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 407.392 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 205.690 417.247 87.399 0.750 re f 205.690 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 407.392 Td /F4 9.8 Tf [(agreement rate)] TJ ET 0.267 0.267 0.267 rg 292.340 417.247 39.050 0.750 re f 331.389 417.247 39.050 0.750 re f 292.340 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 407.392 Td /F4 9.8 Tf [(95% CI)] TJ ET 0.267 0.267 0.267 rg 369.689 417.247 39.479 0.750 re f 369.689 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 407.392 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 408.418 417.247 89.579 0.750 re f 408.418 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 407.392 Td /F4 9.8 Tf [(Agreement rate)] TJ ET 0.267 0.267 0.267 rg 497.246 417.247 41.814 0.750 re f 539.061 417.247 41.814 0.750 re f 497.246 401.366 0.750 16.631 re f 580.125 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 407.392 Td /F4 9.8 Tf [(95% CI)] TJ ET 0.267 0.267 0.267 rg 26.625 401.366 72.770 0.750 re f 26.625 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 391.511 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 401.366 72.770 0.750 re f 98.645 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 391.511 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 401.366 35.775 0.750 re f 170.665 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 391.511 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 401.366 87.399 0.750 re f 205.690 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 391.511 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 401.366 39.425 0.750 re f 292.340 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 391.511 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 401.366 39.425 0.750 re f 331.014 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 391.511 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 401.366 39.479 0.750 re f 369.689 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 391.511 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 401.366 89.579 0.750 re f 408.418 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 391.511 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 497.246 401.366 42.189 0.750 re f 497.246 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 391.511 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 538.686 401.366 42.189 0.750 re f 538.686 385.484 0.750 16.631 re f 580.125 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 391.511 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 26.625 385.484 72.770 0.750 re f 26.625 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 375.629 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 385.484 72.770 0.750 re f 98.645 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 375.629 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 170.665 385.484 35.775 0.750 re f 170.665 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 375.629 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 385.484 87.399 0.750 re f 205.690 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 375.629 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 385.484 39.425 0.750 re f 292.340 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 375.629 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 385.484 39.425 0.750 re f 331.014 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 375.629 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 385.484 39.479 0.750 re f 369.689 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 375.629 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 385.484 89.579 0.750 re f 408.418 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 375.629 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 497.246 385.484 42.189 0.750 re f 497.246 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 375.629 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 538.686 385.484 42.189 0.750 re f 538.686 369.603 0.750 16.631 re f 580.125 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 375.629 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 26.625 369.603 72.770 0.750 re f 26.625 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 359.748 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 369.603 72.770 0.750 re f 98.645 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 359.748 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 369.603 35.775 0.750 re f 170.665 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 359.748 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 369.603 87.399 0.750 re f 205.690 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 359.748 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 292.340 369.603 39.425 0.750 re f 292.340 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 359.748 Td /F1 9.8 Tf [(0.94)] TJ ET 0.267 0.267 0.267 rg 331.014 369.603 39.425 0.750 re f 331.014 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 359.748 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 369.689 369.603 39.479 0.750 re f 369.689 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 359.748 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 369.603 89.579 0.750 re f 408.418 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 359.748 Td /F1 9.8 Tf [(0.96)] TJ ET 0.267 0.267 0.267 rg 497.246 369.603 42.189 0.750 re f 497.246 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 359.748 Td /F1 9.8 Tf [(0.91)] TJ ET 0.267 0.267 0.267 rg 538.686 369.603 42.189 0.750 re f 538.686 353.722 0.750 16.631 re f 580.125 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 359.748 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 26.625 353.722 72.770 0.750 re f 26.625 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 343.867 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 353.722 72.770 0.750 re f 98.645 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 343.867 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 353.722 35.775 0.750 re f 170.665 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 343.867 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 353.722 87.399 0.750 re f 205.690 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 343.867 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 292.340 353.722 39.425 0.750 re f 292.340 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 343.867 Td /F1 9.8 Tf [(0.94)] TJ ET 0.267 0.267 0.267 rg 331.014 353.722 39.425 0.750 re f 331.014 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 343.867 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 369.689 353.722 39.479 0.750 re f 369.689 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 343.867 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 353.722 89.579 0.750 re f 408.418 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 343.867 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 497.246 353.722 42.189 0.750 re f 497.246 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 343.867 Td /F1 9.8 Tf [(0.92)] TJ ET 0.267 0.267 0.267 rg 538.686 353.722 42.189 0.750 re f 538.686 337.840 0.750 16.631 re f 580.125 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 343.867 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 26.625 337.840 72.770 0.750 re f 26.625 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 327.985 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 337.840 72.770 0.750 re f 98.645 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 327.985 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 337.840 35.775 0.750 re f 170.665 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 327.985 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 337.840 87.399 0.750 re f 205.690 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 327.985 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 292.340 337.840 39.425 0.750 re f 292.340 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 327.985 Td /F1 9.8 Tf [(0.29)] TJ ET 0.267 0.267 0.267 rg 331.014 337.840 39.425 0.750 re f 331.014 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 327.985 Td /F1 9.8 Tf [(0.42)] TJ ET 0.267 0.267 0.267 rg 369.689 337.840 39.479 0.750 re f 369.689 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 327.985 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 337.840 89.579 0.750 re f 408.418 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 327.985 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 497.246 337.840 42.189 0.750 re f 497.246 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 327.985 Td /F1 9.8 Tf [(0.27)] TJ ET 0.267 0.267 0.267 rg 538.686 337.840 42.189 0.750 re f 538.686 321.959 0.750 16.631 re f 580.125 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 327.985 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 26.625 321.959 72.770 0.750 re f 26.625 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 312.104 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 321.959 72.770 0.750 re f 98.645 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 312.104 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 170.665 321.959 35.775 0.750 re f 170.665 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 312.104 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 321.959 87.399 0.750 re f 205.690 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 312.104 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 292.340 321.959 39.425 0.750 re f 292.340 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 312.104 Td /F1 9.8 Tf [(0.38)] TJ ET 0.267 0.267 0.267 rg 331.014 321.959 39.425 0.750 re f 331.014 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 312.104 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 369.689 321.959 39.479 0.750 re f 369.689 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 312.104 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 321.959 89.579 0.750 re f 408.418 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 312.104 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 497.246 321.959 42.189 0.750 re f 497.246 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 312.104 Td /F1 9.8 Tf [(0.36)] TJ ET 0.267 0.267 0.267 rg 538.686 321.959 42.189 0.750 re f 538.686 306.078 0.750 16.631 re f 580.125 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 312.104 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 26.625 306.078 72.770 0.750 re f 26.625 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 296.223 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 306.078 72.770 0.750 re f 98.645 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 296.223 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 306.078 35.775 0.750 re f 170.665 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 296.223 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 306.078 87.399 0.750 re f 205.690 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 296.223 Td /F1 9.8 Tf [(0.37)] TJ ET 0.267 0.267 0.267 rg 292.340 306.078 39.425 0.750 re f 292.340 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 296.223 Td /F1 9.8 Tf [(0.31)] TJ ET 0.267 0.267 0.267 rg 331.014 306.078 39.425 0.750 re f 331.014 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 296.223 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 369.689 306.078 39.479 0.750 re f 369.689 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 296.223 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 306.078 89.579 0.750 re f 408.418 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 296.223 Td /F1 9.8 Tf [(0.32)] TJ ET 0.267 0.267 0.267 rg 497.246 306.078 42.189 0.750 re f 497.246 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 296.223 Td /F1 9.8 Tf [(0.25)] TJ ET 0.267 0.267 0.267 rg 538.686 306.078 42.189 0.750 re f 538.686 290.197 0.750 16.631 re f 580.125 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 296.223 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 26.625 290.197 72.770 0.750 re f 26.625 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 280.342 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 290.197 72.770 0.750 re f 98.645 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 280.342 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 290.197 35.775 0.750 re f 170.665 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 280.342 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 290.197 87.399 0.750 re f 205.690 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 280.342 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 292.340 290.197 39.425 0.750 re f 292.340 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 280.342 Td /F1 9.8 Tf [(0.56)] TJ ET 0.267 0.267 0.267 rg 331.014 290.197 39.425 0.750 re f 331.014 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 280.342 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 369.689 290.197 39.479 0.750 re f 369.689 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 280.342 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 290.197 89.579 0.750 re f 408.418 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 280.342 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 290.197 42.189 0.750 re f 497.246 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 280.342 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 290.197 42.189 0.750 re f 538.686 274.315 0.750 16.631 re f 580.125 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 280.342 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 274.315 72.770 0.750 re f 26.625 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 264.460 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 274.315 72.770 0.750 re f 98.645 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 264.460 Td /F1 9.8 Tf [(R. Analog)] TJ ET 0.267 0.267 0.267 rg 170.665 274.315 35.775 0.750 re f 170.665 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 264.460 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 274.315 87.399 0.750 re f 205.690 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 264.460 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 292.340 274.315 39.425 0.750 re f 292.340 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 264.460 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 331.014 274.315 39.425 0.750 re f 331.014 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 264.460 Td /F1 9.8 Tf [(0.72)] TJ ET 0.267 0.267 0.267 rg 369.689 274.315 39.479 0.750 re f 369.689 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 264.460 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 274.315 89.579 0.750 re f 408.418 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 264.460 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 497.246 274.315 42.189 0.750 re f 497.246 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 264.460 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 538.686 274.315 42.189 0.750 re f 538.686 258.434 0.750 16.631 re f 580.125 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 264.460 Td /F1 9.8 Tf [(0.68)] TJ ET 0.267 0.267 0.267 rg 26.625 258.434 72.770 0.750 re f 26.625 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 248.579 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 258.434 72.770 0.750 re f 98.645 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 248.579 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 258.434 35.775 0.750 re f 170.665 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 248.579 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 258.434 87.399 0.750 re f 205.690 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 248.579 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 258.434 39.425 0.750 re f 292.340 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 248.579 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 258.434 39.425 0.750 re f 331.014 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 248.579 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 369.689 258.434 39.479 0.750 re f 369.689 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 248.579 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 258.434 89.579 0.750 re f 408.418 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 248.579 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 497.246 258.434 42.189 0.750 re f 497.246 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 248.579 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 538.686 258.434 42.189 0.750 re f 538.686 242.553 0.750 16.631 re f 580.125 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 248.579 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 26.625 242.553 72.770 0.750 re f 26.625 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 232.698 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 242.553 72.770 0.750 re f 98.645 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 232.698 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 242.553 35.775 0.750 re f 170.665 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 232.698 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 242.553 87.399 0.750 re f 205.690 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 232.698 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 242.553 39.425 0.750 re f 292.340 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 232.698 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 242.553 39.425 0.750 re f 331.014 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 232.698 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 242.553 39.479 0.750 re f 369.689 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 232.698 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 242.553 89.579 0.750 re f 408.418 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 232.698 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 242.553 42.189 0.750 re f 497.246 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 232.698 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 242.553 42.189 0.750 re f 538.686 226.672 0.750 16.631 re f 580.125 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 232.698 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 226.672 72.770 0.750 re f 26.625 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 216.817 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 226.672 72.770 0.750 re f 98.645 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 216.817 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 226.672 35.775 0.750 re f 170.665 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 216.817 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 226.672 87.399 0.750 re f 205.690 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 292.340 226.672 39.425 0.750 re f 292.340 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 216.817 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 331.014 226.672 39.425 0.750 re f 331.014 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 369.689 226.672 39.479 0.750 re f 369.689 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 216.817 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 226.672 89.579 0.750 re f 408.418 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 497.246 226.672 42.189 0.750 re f 497.246 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 216.817 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 538.686 226.672 42.189 0.750 re f 538.686 210.790 0.750 16.631 re f 580.125 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 26.625 210.790 72.770 0.750 re f 26.625 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 200.935 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 210.790 72.770 0.750 re f 98.645 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 200.935 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 210.790 35.775 0.750 re f 170.665 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 200.935 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 210.790 87.399 0.750 re f 205.690 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 200.935 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 292.340 210.790 39.425 0.750 re f 292.340 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 200.935 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 331.014 210.790 39.425 0.750 re f 331.014 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 200.935 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 369.689 210.790 39.479 0.750 re f 369.689 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 200.935 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 210.790 89.579 0.750 re f 408.418 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 200.935 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 210.790 42.189 0.750 re f 497.246 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 200.935 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 210.790 42.189 0.750 re f 538.686 194.909 0.750 16.631 re f 580.125 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 200.935 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 194.909 72.770 0.750 re f 26.625 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 185.054 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 194.909 72.770 0.750 re f 98.645 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 185.054 Td /F1 9.8 Tf [(R. Analog)] TJ ET 0.267 0.267 0.267 rg 170.665 194.909 35.775 0.750 re f 170.665 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 185.054 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 194.909 87.399 0.750 re f 205.690 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 185.054 Td /F1 9.8 Tf [(0.64)] TJ ET 0.267 0.267 0.267 rg 292.340 194.909 39.425 0.750 re f 292.340 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 185.054 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 331.014 194.909 39.425 0.750 re f 331.014 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 185.054 Td /F1 9.8 Tf [(0.70)] TJ ET 0.267 0.267 0.267 rg 369.689 194.909 39.479 0.750 re f 369.689 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 185.054 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 194.909 89.579 0.750 re f 408.418 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 185.054 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 194.909 42.189 0.750 re f 497.246 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 185.054 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 194.909 42.189 0.750 re f 538.686 179.028 0.750 16.631 re f 580.125 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 185.054 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 179.028 72.770 0.750 re f 26.625 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 169.173 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 179.028 72.770 0.750 re f 98.645 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 169.173 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 179.028 35.775 0.750 re f 170.665 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 169.173 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 179.028 87.399 0.750 re f 205.690 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 169.173 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 179.028 39.425 0.750 re f 292.340 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 169.173 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 179.028 39.425 0.750 re f 331.014 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 169.173 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 179.028 39.479 0.750 re f 369.689 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 169.173 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 179.028 89.579 0.750 re f 408.418 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 169.173 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 179.028 42.189 0.750 re f 497.246 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 169.173 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 179.028 42.189 0.750 re f 538.686 163.147 0.750 16.631 re f 580.125 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 169.173 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 163.147 72.770 0.750 re f 26.625 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 153.292 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 163.147 72.770 0.750 re f 98.645 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 153.292 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 163.147 35.775 0.750 re f 170.665 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 153.292 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 163.147 87.399 0.750 re f 205.690 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 153.292 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 163.147 39.425 0.750 re f 292.340 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 153.292 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 163.147 39.425 0.750 re f 331.014 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 153.292 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 163.147 39.479 0.750 re f 369.689 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 153.292 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 163.147 89.579 0.750 re f 408.418 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 153.292 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 163.147 42.189 0.750 re f 497.246 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 153.292 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 163.147 42.189 0.750 re f 538.686 147.265 0.750 16.631 re f 580.125 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 153.292 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 147.265 72.770 0.750 re f 26.625 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 137.410 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 147.265 72.770 0.750 re f 98.645 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 137.410 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 147.265 35.775 0.750 re f 170.665 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 137.410 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 147.265 87.399 0.750 re f 205.690 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 292.340 147.265 39.425 0.750 re f 292.340 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 137.410 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 331.014 147.265 39.425 0.750 re f 331.014 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 369.689 147.265 39.479 0.750 re f 369.689 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 137.410 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 147.265 89.579 0.750 re f 408.418 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 497.246 147.265 42.189 0.750 re f 497.246 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 137.410 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 538.686 147.265 42.189 0.750 re f 538.686 131.384 0.750 16.631 re f 580.125 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 26.625 131.384 72.770 0.750 re f 26.625 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 121.529 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 131.384 72.770 0.750 re f 98.645 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 121.529 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 131.384 35.775 0.750 re f 170.665 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 121.529 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 131.384 87.399 0.750 re f 205.690 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 121.529 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 292.340 131.384 39.425 0.750 re f 292.340 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 121.529 Td /F1 9.8 Tf [(0.34)] TJ ET 0.267 0.267 0.267 rg 331.014 131.384 39.425 0.750 re f 331.014 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 121.529 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 369.689 131.384 39.479 0.750 re f 369.689 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 121.529 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 131.384 89.579 0.750 re f 408.418 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 121.529 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 497.246 131.384 42.189 0.750 re f 497.246 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 121.529 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 538.686 131.384 42.189 0.750 re f 538.686 115.503 0.750 16.631 re f 580.125 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 121.529 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 26.625 115.503 72.770 0.750 re f 26.625 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 105.648 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 115.503 72.770 0.750 re f 98.645 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 105.648 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 115.503 35.775 0.750 re f 170.665 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 105.648 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 115.503 87.399 0.750 re f 205.690 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 105.648 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 292.340 115.503 39.425 0.750 re f 292.340 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 105.648 Td /F1 9.8 Tf [(0.36)] TJ ET 0.267 0.267 0.267 rg 331.014 115.503 39.425 0.750 re f 331.014 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 105.648 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 369.689 115.503 39.479 0.750 re f 369.689 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 105.648 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 115.503 89.579 0.750 re f 408.418 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 105.648 Td /F1 9.8 Tf [(0.40)] TJ ET 0.267 0.267 0.267 rg 497.246 115.503 42.189 0.750 re f 497.246 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 105.648 Td /F1 9.8 Tf [(0.32)] TJ ET 0.267 0.267 0.267 rg 538.686 115.503 42.189 0.750 re f 538.686 99.622 0.750 16.631 re f 580.125 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 105.648 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 26.625 99.622 72.770 0.750 re f 26.625 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 89.767 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 98.645 99.622 72.770 0.750 re f 98.645 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 89.767 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 99.622 35.775 0.750 re f 170.665 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 89.767 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 99.622 87.399 0.750 re f 205.690 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 89.767 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 292.340 99.622 39.425 0.750 re f 292.340 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 89.767 Td /F1 9.8 Tf [(0.34)] TJ ET 0.267 0.267 0.267 rg 331.014 99.622 39.425 0.750 re f 331.014 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 89.767 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 369.689 99.622 39.479 0.750 re f 369.689 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 89.767 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 99.622 89.579 0.750 re f 408.418 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 89.767 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 497.246 99.622 42.189 0.750 re f 497.246 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 89.767 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 538.686 99.622 42.189 0.750 re f 538.686 83.740 0.750 16.631 re f 580.125 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 89.767 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 26.625 83.740 72.770 0.750 re f 26.625 67.859 72.770 0.750 re f 26.625 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 73.885 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 98.645 83.740 72.770 0.750 re f 98.645 67.859 72.770 0.750 re f 98.645 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 73.885 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 83.740 35.775 0.750 re f 170.665 67.859 35.775 0.750 re f 170.665 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 73.885 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 83.740 87.399 0.750 re f 205.690 67.859 87.399 0.750 re f 205.690 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 73.885 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 292.340 83.740 39.425 0.750 re f 292.340 67.859 39.425 0.750 re f 292.340 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 73.885 Td /F1 9.8 Tf [(0.37)] TJ ET 0.267 0.267 0.267 rg 331.014 83.740 39.425 0.750 re f 331.014 67.859 39.425 0.750 re f 331.014 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 73.885 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 369.689 83.740 39.479 0.750 re f 369.689 67.859 39.479 0.750 re f 369.689 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 73.885 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 83.740 89.579 0.750 re f 408.418 67.859 89.579 0.750 re f 408.418 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 73.885 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 497.246 83.740 42.189 0.750 re f 497.246 67.859 42.189 0.750 re f 497.246 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 73.885 Td /F1 9.8 Tf [(0.33)] TJ ET 0.267 0.267 0.267 rg 538.686 83.740 42.189 0.750 re f 538.686 67.859 42.189 0.750 re f 538.686 67.859 0.750 16.631 re f 580.125 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 73.885 Td /F1 9.8 Tf [(0.49)] TJ ET Q q 15.000 67.484 577.500 709.516 re W n 0.271 0.267 0.267 rg BT 26.250 750.278 Td /F4 12.0 Tf [(Predicting AAO)] TJ ET BT 26.250 730.324 Td /F1 9.8 Tf [(The Langbehn formula \(LB 06\) predicted an AAO of 46.82 \(SD 10.5, range 23-89\) when 10 years of age; with age at a disease )] TJ ET BT 26.250 718.419 Td /F1 9.8 Tf [(burden of 200, the predicted average AAO was 46.65 \(SD 10.14, range 23-74\). The agreement rate with the investigators )] TJ ET BT 26.250 706.515 Td /F1 9.8 Tf [(estimate was 0.46 \(Table 2\). In 280 participants \(140 women\) with the necessary data the Ranen formula predicted an AAO of )] TJ ET BT 26.250 694.610 Td /F1 9.8 Tf [(41.9 years \(SD 7.9, range 8-61\). In that group of participants this is similar to the investigators estimates of 42 years. The )] TJ ET BT 26.250 682.705 Td /F1 9.8 Tf [(agreement rate was 0.46 \(Table 2\).)] TJ ET BT 26.250 663.300 Td /F4 9.8 Tf [(Comparing formulae derived AAO)] TJ ET BT 26.250 643.896 Td /F1 9.8 Tf [(In a total of 206 REGISTRY patients \(109 women\) with complete data the best agreement rate was between the extrapolated )] TJ ET BT 26.250 631.991 Td /F1 9.8 Tf [(AAOs on the longitudinal TFC and motor score data \(0.76, Table 2\). Using parent AAO and CAG repeats resulted in the )] TJ ET BT 26.250 620.086 Td /F1 9.8 Tf [(following formula that best predicted the investigators AAO estimate \(Ranen analog\):)] TJ ET BT 26.250 600.681 Td /F1 9.8 Tf [(AAO=90.3918+0.3293*parent AAO-1.3996*CAG repeats)] TJ ET BT 26.250 581.277 Td /F1 9.8 Tf [(In a next step we entered all available data into a regression model for the prediction of the investigators estimate of AAO )] TJ ET BT 26.250 569.372 Td /F1 9.8 Tf [(\(Ranen extended\). Motor score, parent AAO, CAG repeats, and gender significantly contributed to the regression model )] TJ ET BT 26.250 557.467 Td /F1 9.8 Tf [(resulting in the following formula:)] TJ ET BT 26.250 538.062 Td /F1 9.8 Tf [(AAO=88.7546+0.0430*motorscore+0.3546*parent AAO-1.4311*CAG repeats+1.0124*gender \(male=1, female=0\). We then )] TJ ET BT 26.250 526.158 Td /F1 9.8 Tf [(entered the dataset of each participant into this formula to arrive at the calculated AAO.)] TJ ET BT 26.250 506.753 Td /F1 9.8 Tf [(The data driven formula resembles the Ranen and Ranen analogous formula with high agreement rates \(0.97, Table 2\) while )] TJ ET BT 26.250 494.848 Td /F1 9.8 Tf [(the agreement rates with other AAO calculations was much lower \(Table 2\).)] TJ ET BT 26.250 475.443 Td /F1 9.8 Tf [(We then assessed 145 participants with a motor onset. The findings were similar to the analyses including all participants )] TJ ET BT 26.250 463.539 Td /F1 9.8 Tf [(regardless of major symptom at onset \(Table 2\); the rater estimated an earlier onset than the AAO from the regression analyses.)] TJ ET BT 26.250 444.134 Td /F4 9.8 Tf [(Table 2.)] TJ ET 1.000 1.000 1.000 rg 26.250 67.484 555.000 366.769 re f 0.267 0.267 0.267 rg 26.625 433.128 72.770 0.750 re f 26.625 417.247 0.750 16.631 re f 98.645 433.128 72.770 0.750 re f 98.645 417.247 0.750 16.631 re f 170.665 433.128 35.400 0.750 re f 206.065 433.128 86.649 0.750 re f 292.715 433.128 38.675 0.750 re f 331.389 433.128 39.050 0.750 re f 170.665 417.247 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 423.273 Td /F4 9.8 Tf [(All participants)] TJ ET 0.267 0.267 0.267 rg 369.689 433.128 39.104 0.750 re f 408.793 433.128 88.829 0.750 re f 497.621 433.128 41.439 0.750 re f 539.061 433.128 41.814 0.750 re f 369.689 417.247 0.750 16.631 re f 580.125 417.247 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 423.273 Td /F4 9.8 Tf [(Participants with motor onset)] TJ ET 0.267 0.267 0.267 rg 26.625 417.247 72.770 0.750 re f 26.625 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 407.392 Td /F4 9.8 Tf [(Formula 1)] TJ ET 0.267 0.267 0.267 rg 98.645 417.247 72.770 0.750 re f 98.645 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 407.392 Td /F4 9.8 Tf [(Formula 2)] TJ ET 0.267 0.267 0.267 rg 170.665 417.247 35.775 0.750 re f 170.665 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 407.392 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 205.690 417.247 87.399 0.750 re f 205.690 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 407.392 Td /F4 9.8 Tf [(agreement rate)] TJ ET 0.267 0.267 0.267 rg 292.340 417.247 39.050 0.750 re f 331.389 417.247 39.050 0.750 re f 292.340 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 407.392 Td /F4 9.8 Tf [(95% CI)] TJ ET 0.267 0.267 0.267 rg 369.689 417.247 39.479 0.750 re f 369.689 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 407.392 Td /F4 9.8 Tf [(N)] TJ ET 0.267 0.267 0.267 rg 408.418 417.247 89.579 0.750 re f 408.418 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 407.392 Td /F4 9.8 Tf [(Agreement rate)] TJ ET 0.267 0.267 0.267 rg 497.246 417.247 41.814 0.750 re f 539.061 417.247 41.814 0.750 re f 497.246 401.366 0.750 16.631 re f 580.125 401.366 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 407.392 Td /F4 9.8 Tf [(95% CI)] TJ ET 0.267 0.267 0.267 rg 26.625 401.366 72.770 0.750 re f 26.625 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 391.511 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 401.366 72.770 0.750 re f 98.645 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 391.511 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 401.366 35.775 0.750 re f 170.665 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 391.511 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 401.366 87.399 0.750 re f 205.690 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 391.511 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 401.366 39.425 0.750 re f 292.340 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 391.511 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 401.366 39.425 0.750 re f 331.014 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 391.511 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 401.366 39.479 0.750 re f 369.689 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 391.511 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 401.366 89.579 0.750 re f 408.418 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 391.511 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 497.246 401.366 42.189 0.750 re f 497.246 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 391.511 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 538.686 401.366 42.189 0.750 re f 538.686 385.484 0.750 16.631 re f 580.125 385.484 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 391.511 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 26.625 385.484 72.770 0.750 re f 26.625 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 375.629 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 385.484 72.770 0.750 re f 98.645 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 375.629 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 170.665 385.484 35.775 0.750 re f 170.665 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 375.629 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 385.484 87.399 0.750 re f 205.690 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 375.629 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 385.484 39.425 0.750 re f 292.340 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 375.629 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 385.484 39.425 0.750 re f 331.014 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 375.629 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 385.484 39.479 0.750 re f 369.689 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 375.629 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 385.484 89.579 0.750 re f 408.418 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 375.629 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 497.246 385.484 42.189 0.750 re f 497.246 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 375.629 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 538.686 385.484 42.189 0.750 re f 538.686 369.603 0.750 16.631 re f 580.125 369.603 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 375.629 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 26.625 369.603 72.770 0.750 re f 26.625 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 359.748 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 369.603 72.770 0.750 re f 98.645 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 359.748 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 369.603 35.775 0.750 re f 170.665 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 359.748 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 369.603 87.399 0.750 re f 205.690 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 359.748 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 292.340 369.603 39.425 0.750 re f 292.340 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 359.748 Td /F1 9.8 Tf [(0.94)] TJ ET 0.267 0.267 0.267 rg 331.014 369.603 39.425 0.750 re f 331.014 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 359.748 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 369.689 369.603 39.479 0.750 re f 369.689 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 359.748 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 369.603 89.579 0.750 re f 408.418 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 359.748 Td /F1 9.8 Tf [(0.96)] TJ ET 0.267 0.267 0.267 rg 497.246 369.603 42.189 0.750 re f 497.246 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 359.748 Td /F1 9.8 Tf [(0.91)] TJ ET 0.267 0.267 0.267 rg 538.686 369.603 42.189 0.750 re f 538.686 353.722 0.750 16.631 re f 580.125 353.722 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 359.748 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 26.625 353.722 72.770 0.750 re f 26.625 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 343.867 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 353.722 72.770 0.750 re f 98.645 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 343.867 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 353.722 35.775 0.750 re f 170.665 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 343.867 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 353.722 87.399 0.750 re f 205.690 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 343.867 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 292.340 353.722 39.425 0.750 re f 292.340 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 343.867 Td /F1 9.8 Tf [(0.94)] TJ ET 0.267 0.267 0.267 rg 331.014 353.722 39.425 0.750 re f 331.014 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 343.867 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 369.689 353.722 39.479 0.750 re f 369.689 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 343.867 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 353.722 89.579 0.750 re f 408.418 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 343.867 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 497.246 353.722 42.189 0.750 re f 497.246 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 343.867 Td /F1 9.8 Tf [(0.92)] TJ ET 0.267 0.267 0.267 rg 538.686 353.722 42.189 0.750 re f 538.686 337.840 0.750 16.631 re f 580.125 337.840 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 343.867 Td /F1 9.8 Tf [(0.99)] TJ ET 0.267 0.267 0.267 rg 26.625 337.840 72.770 0.750 re f 26.625 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 327.985 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 337.840 72.770 0.750 re f 98.645 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 327.985 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 337.840 35.775 0.750 re f 170.665 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 327.985 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 337.840 87.399 0.750 re f 205.690 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 327.985 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 292.340 337.840 39.425 0.750 re f 292.340 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 327.985 Td /F1 9.8 Tf [(0.29)] TJ ET 0.267 0.267 0.267 rg 331.014 337.840 39.425 0.750 re f 331.014 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 327.985 Td /F1 9.8 Tf [(0.42)] TJ ET 0.267 0.267 0.267 rg 369.689 337.840 39.479 0.750 re f 369.689 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 327.985 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 337.840 89.579 0.750 re f 408.418 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 327.985 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 497.246 337.840 42.189 0.750 re f 497.246 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 327.985 Td /F1 9.8 Tf [(0.27)] TJ ET 0.267 0.267 0.267 rg 538.686 337.840 42.189 0.750 re f 538.686 321.959 0.750 16.631 re f 580.125 321.959 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 327.985 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 26.625 321.959 72.770 0.750 re f 26.625 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 312.104 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 321.959 72.770 0.750 re f 98.645 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 312.104 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 170.665 321.959 35.775 0.750 re f 170.665 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 312.104 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 321.959 87.399 0.750 re f 205.690 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 312.104 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 292.340 321.959 39.425 0.750 re f 292.340 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 312.104 Td /F1 9.8 Tf [(0.38)] TJ ET 0.267 0.267 0.267 rg 331.014 321.959 39.425 0.750 re f 331.014 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 312.104 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 369.689 321.959 39.479 0.750 re f 369.689 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 312.104 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 321.959 89.579 0.750 re f 408.418 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 312.104 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 497.246 321.959 42.189 0.750 re f 497.246 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 312.104 Td /F1 9.8 Tf [(0.36)] TJ ET 0.267 0.267 0.267 rg 538.686 321.959 42.189 0.750 re f 538.686 306.078 0.750 16.631 re f 580.125 306.078 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 312.104 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 26.625 306.078 72.770 0.750 re f 26.625 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 296.223 Td /F1 9.8 Tf [(Ranen)] TJ ET 0.267 0.267 0.267 rg 98.645 306.078 72.770 0.750 re f 98.645 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 296.223 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 306.078 35.775 0.750 re f 170.665 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 296.223 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 306.078 87.399 0.750 re f 205.690 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 296.223 Td /F1 9.8 Tf [(0.37)] TJ ET 0.267 0.267 0.267 rg 292.340 306.078 39.425 0.750 re f 292.340 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 296.223 Td /F1 9.8 Tf [(0.31)] TJ ET 0.267 0.267 0.267 rg 331.014 306.078 39.425 0.750 re f 331.014 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 296.223 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 369.689 306.078 39.479 0.750 re f 369.689 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 296.223 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 306.078 89.579 0.750 re f 408.418 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 296.223 Td /F1 9.8 Tf [(0.32)] TJ ET 0.267 0.267 0.267 rg 497.246 306.078 42.189 0.750 re f 497.246 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 296.223 Td /F1 9.8 Tf [(0.25)] TJ ET 0.267 0.267 0.267 rg 538.686 306.078 42.189 0.750 re f 538.686 290.197 0.750 16.631 re f 580.125 290.197 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 296.223 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 26.625 290.197 72.770 0.750 re f 26.625 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 280.342 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 290.197 72.770 0.750 re f 98.645 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 280.342 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 290.197 35.775 0.750 re f 170.665 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 280.342 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 290.197 87.399 0.750 re f 205.690 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 280.342 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 292.340 290.197 39.425 0.750 re f 292.340 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 280.342 Td /F1 9.8 Tf [(0.56)] TJ ET 0.267 0.267 0.267 rg 331.014 290.197 39.425 0.750 re f 331.014 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 280.342 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 369.689 290.197 39.479 0.750 re f 369.689 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 280.342 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 290.197 89.579 0.750 re f 408.418 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 280.342 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 290.197 42.189 0.750 re f 497.246 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 280.342 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 290.197 42.189 0.750 re f 538.686 274.315 0.750 16.631 re f 580.125 274.315 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 280.342 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 274.315 72.770 0.750 re f 26.625 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 264.460 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 274.315 72.770 0.750 re f 98.645 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 264.460 Td /F1 9.8 Tf [(R. Analog)] TJ ET 0.267 0.267 0.267 rg 170.665 274.315 35.775 0.750 re f 170.665 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 264.460 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 274.315 87.399 0.750 re f 205.690 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 264.460 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 292.340 274.315 39.425 0.750 re f 292.340 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 264.460 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 331.014 274.315 39.425 0.750 re f 331.014 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 264.460 Td /F1 9.8 Tf [(0.72)] TJ ET 0.267 0.267 0.267 rg 369.689 274.315 39.479 0.750 re f 369.689 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 264.460 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 274.315 89.579 0.750 re f 408.418 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 264.460 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 497.246 274.315 42.189 0.750 re f 497.246 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 264.460 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 538.686 274.315 42.189 0.750 re f 538.686 258.434 0.750 16.631 re f 580.125 258.434 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 264.460 Td /F1 9.8 Tf [(0.68)] TJ ET 0.267 0.267 0.267 rg 26.625 258.434 72.770 0.750 re f 26.625 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 248.579 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 258.434 72.770 0.750 re f 98.645 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 248.579 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 258.434 35.775 0.750 re f 170.665 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 248.579 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 258.434 87.399 0.750 re f 205.690 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 248.579 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 258.434 39.425 0.750 re f 292.340 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 248.579 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 258.434 39.425 0.750 re f 331.014 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 248.579 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 369.689 258.434 39.479 0.750 re f 369.689 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 248.579 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 258.434 89.579 0.750 re f 408.418 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 248.579 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 497.246 258.434 42.189 0.750 re f 497.246 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 248.579 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 538.686 258.434 42.189 0.750 re f 538.686 242.553 0.750 16.631 re f 580.125 242.553 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 248.579 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 26.625 242.553 72.770 0.750 re f 26.625 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 232.698 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 98.645 242.553 72.770 0.750 re f 98.645 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 232.698 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 242.553 35.775 0.750 re f 170.665 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 232.698 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 242.553 87.399 0.750 re f 205.690 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 232.698 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 242.553 39.425 0.750 re f 292.340 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 232.698 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 242.553 39.425 0.750 re f 331.014 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 232.698 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 242.553 39.479 0.750 re f 369.689 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 232.698 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 242.553 89.579 0.750 re f 408.418 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 232.698 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 242.553 42.189 0.750 re f 497.246 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 232.698 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 242.553 42.189 0.750 re f 538.686 226.672 0.750 16.631 re f 580.125 226.672 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 232.698 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 226.672 72.770 0.750 re f 26.625 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 216.817 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 226.672 72.770 0.750 re f 98.645 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 216.817 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 226.672 35.775 0.750 re f 170.665 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 216.817 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 226.672 87.399 0.750 re f 205.690 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 292.340 226.672 39.425 0.750 re f 292.340 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 216.817 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 331.014 226.672 39.425 0.750 re f 331.014 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 369.689 226.672 39.479 0.750 re f 369.689 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 216.817 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 226.672 89.579 0.750 re f 408.418 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 497.246 226.672 42.189 0.750 re f 497.246 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 216.817 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 538.686 226.672 42.189 0.750 re f 538.686 210.790 0.750 16.631 re f 580.125 210.790 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 216.817 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 26.625 210.790 72.770 0.750 re f 26.625 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 200.935 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 210.790 72.770 0.750 re f 98.645 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 200.935 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 210.790 35.775 0.750 re f 170.665 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 200.935 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 210.790 87.399 0.750 re f 205.690 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 200.935 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 292.340 210.790 39.425 0.750 re f 292.340 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 200.935 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 331.014 210.790 39.425 0.750 re f 331.014 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 200.935 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 369.689 210.790 39.479 0.750 re f 369.689 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 200.935 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 210.790 89.579 0.750 re f 408.418 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 200.935 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 210.790 42.189 0.750 re f 497.246 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 200.935 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 210.790 42.189 0.750 re f 538.686 194.909 0.750 16.631 re f 580.125 194.909 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 200.935 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 194.909 72.770 0.750 re f 26.625 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 185.054 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 194.909 72.770 0.750 re f 98.645 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 185.054 Td /F1 9.8 Tf [(R. Analog)] TJ ET 0.267 0.267 0.267 rg 170.665 194.909 35.775 0.750 re f 170.665 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 185.054 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 194.909 87.399 0.750 re f 205.690 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 185.054 Td /F1 9.8 Tf [(0.64)] TJ ET 0.267 0.267 0.267 rg 292.340 194.909 39.425 0.750 re f 292.340 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 185.054 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 331.014 194.909 39.425 0.750 re f 331.014 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 185.054 Td /F1 9.8 Tf [(0.70)] TJ ET 0.267 0.267 0.267 rg 369.689 194.909 39.479 0.750 re f 369.689 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 185.054 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 194.909 89.579 0.750 re f 408.418 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 185.054 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 194.909 42.189 0.750 re f 497.246 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 185.054 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 194.909 42.189 0.750 re f 538.686 179.028 0.750 16.631 re f 580.125 179.028 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 185.054 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 179.028 72.770 0.750 re f 26.625 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 169.173 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 179.028 72.770 0.750 re f 98.645 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 169.173 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 179.028 35.775 0.750 re f 170.665 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 169.173 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 179.028 87.399 0.750 re f 205.690 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 169.173 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 179.028 39.425 0.750 re f 292.340 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 169.173 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 179.028 39.425 0.750 re f 331.014 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 169.173 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 179.028 39.479 0.750 re f 369.689 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 169.173 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 179.028 89.579 0.750 re f 408.418 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 169.173 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 497.246 179.028 42.189 0.750 re f 497.246 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 169.173 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 538.686 179.028 42.189 0.750 re f 538.686 163.147 0.750 16.631 re f 580.125 163.147 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 169.173 Td /F1 9.8 Tf [(0.67)] TJ ET 0.267 0.267 0.267 rg 26.625 163.147 72.770 0.750 re f 26.625 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 153.292 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 98.645 163.147 72.770 0.750 re f 98.645 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 153.292 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 163.147 35.775 0.750 re f 170.665 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 153.292 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 163.147 87.399 0.750 re f 205.690 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 153.292 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 163.147 39.425 0.750 re f 292.340 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 153.292 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 163.147 39.425 0.750 re f 331.014 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 153.292 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 163.147 39.479 0.750 re f 369.689 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 153.292 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 163.147 89.579 0.750 re f 408.418 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 153.292 Td /F1 9.8 Tf [(0.55)] TJ ET 0.267 0.267 0.267 rg 497.246 163.147 42.189 0.750 re f 497.246 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 153.292 Td /F1 9.8 Tf [(0.47)] TJ ET 0.267 0.267 0.267 rg 538.686 163.147 42.189 0.750 re f 538.686 147.265 0.750 16.631 re f 580.125 147.265 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 153.292 Td /F1 9.8 Tf [(0.63)] TJ ET 0.267 0.267 0.267 rg 26.625 147.265 72.770 0.750 re f 26.625 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 137.410 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 147.265 72.770 0.750 re f 98.645 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 137.410 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 147.265 35.775 0.750 re f 170.665 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 137.410 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 147.265 87.399 0.750 re f 205.690 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 292.340 147.265 39.425 0.750 re f 292.340 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 137.410 Td /F1 9.8 Tf [(0.98)] TJ ET 0.267 0.267 0.267 rg 331.014 147.265 39.425 0.750 re f 331.014 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 369.689 147.265 39.479 0.750 re f 369.689 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 137.410 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 147.265 89.579 0.750 re f 408.418 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 497.246 147.265 42.189 0.750 re f 497.246 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 137.410 Td /F1 9.8 Tf [(0.97)] TJ ET 0.267 0.267 0.267 rg 538.686 147.265 42.189 0.750 re f 538.686 131.384 0.750 16.631 re f 580.125 131.384 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 137.410 Td /F1 9.8 Tf [(1.00)] TJ ET 0.267 0.267 0.267 rg 26.625 131.384 72.770 0.750 re f 26.625 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 121.529 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 131.384 72.770 0.750 re f 98.645 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 121.529 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 131.384 35.775 0.750 re f 170.665 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 121.529 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 131.384 87.399 0.750 re f 205.690 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 121.529 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 292.340 131.384 39.425 0.750 re f 292.340 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 121.529 Td /F1 9.8 Tf [(0.34)] TJ ET 0.267 0.267 0.267 rg 331.014 131.384 39.425 0.750 re f 331.014 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 121.529 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 369.689 131.384 39.479 0.750 re f 369.689 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 121.529 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 131.384 89.579 0.750 re f 408.418 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 121.529 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 497.246 131.384 42.189 0.750 re f 497.246 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 121.529 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 538.686 131.384 42.189 0.750 re f 538.686 115.503 0.750 16.631 re f 580.125 115.503 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 121.529 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 26.625 115.503 72.770 0.750 re f 26.625 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 105.648 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 98.645 115.503 72.770 0.750 re f 98.645 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 105.648 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 115.503 35.775 0.750 re f 170.665 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 105.648 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 115.503 87.399 0.750 re f 205.690 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 105.648 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 292.340 115.503 39.425 0.750 re f 292.340 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 105.648 Td /F1 9.8 Tf [(0.36)] TJ ET 0.267 0.267 0.267 rg 331.014 115.503 39.425 0.750 re f 331.014 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 105.648 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 369.689 115.503 39.479 0.750 re f 369.689 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 105.648 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 115.503 89.579 0.750 re f 408.418 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 105.648 Td /F1 9.8 Tf [(0.40)] TJ ET 0.267 0.267 0.267 rg 497.246 115.503 42.189 0.750 re f 497.246 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 105.648 Td /F1 9.8 Tf [(0.32)] TJ ET 0.267 0.267 0.267 rg 538.686 115.503 42.189 0.750 re f 538.686 99.622 0.750 16.631 re f 580.125 99.622 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 105.648 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 26.625 99.622 72.770 0.750 re f 26.625 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 89.767 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 98.645 99.622 72.770 0.750 re f 98.645 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 89.767 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 99.622 35.775 0.750 re f 170.665 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 89.767 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 99.622 87.399 0.750 re f 205.690 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 89.767 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 292.340 99.622 39.425 0.750 re f 292.340 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 89.767 Td /F1 9.8 Tf [(0.34)] TJ ET 0.267 0.267 0.267 rg 331.014 99.622 39.425 0.750 re f 331.014 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 89.767 Td /F1 9.8 Tf [(0.48)] TJ ET 0.267 0.267 0.267 rg 369.689 99.622 39.479 0.750 re f 369.689 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 89.767 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 99.622 89.579 0.750 re f 408.418 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 89.767 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 497.246 99.622 42.189 0.750 re f 497.246 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 89.767 Td /F1 9.8 Tf [(0.35)] TJ ET 0.267 0.267 0.267 rg 538.686 99.622 42.189 0.750 re f 538.686 83.740 0.750 16.631 re f 580.125 83.740 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 89.767 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 26.625 83.740 72.770 0.750 re f 26.625 67.859 72.770 0.750 re f 26.625 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 73.885 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 98.645 83.740 72.770 0.750 re f 98.645 67.859 72.770 0.750 re f 98.645 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 73.885 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 83.740 35.775 0.750 re f 170.665 67.859 35.775 0.750 re f 170.665 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 73.885 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 83.740 87.399 0.750 re f 205.690 67.859 87.399 0.750 re f 205.690 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 73.885 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 292.340 83.740 39.425 0.750 re f 292.340 67.859 39.425 0.750 re f 292.340 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 73.885 Td /F1 9.8 Tf [(0.37)] TJ ET 0.267 0.267 0.267 rg 331.014 83.740 39.425 0.750 re f 331.014 67.859 39.425 0.750 re f 331.014 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 73.885 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 369.689 83.740 39.479 0.750 re f 369.689 67.859 39.479 0.750 re f 369.689 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 73.885 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 83.740 89.579 0.750 re f 408.418 67.859 89.579 0.750 re f 408.418 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 73.885 Td /F1 9.8 Tf [(0.41)] TJ ET 0.267 0.267 0.267 rg 497.246 83.740 42.189 0.750 re f 497.246 67.859 42.189 0.750 re f 497.246 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 73.885 Td /F1 9.8 Tf [(0.33)] TJ ET 0.267 0.267 0.267 rg 538.686 83.740 42.189 0.750 re f 538.686 67.859 42.189 0.750 re f 538.686 67.859 0.750 16.631 re f 580.125 67.859 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 73.885 Td /F1 9.8 Tf [(0.49)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(4)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 149 0 obj << /Type /Page /Parent 3 0 R /Annots [ 151 0 R 153 0 R 155 0 R 157 0 R 159 0 R 161 0 R 163 0 R 165 0 R 167 0 R ] /Contents 150 0 R >> endobj 150 0 obj << /Length 55243 >> stream 0.271 0.267 0.267 rg q 15.000 38.864 577.500 738.136 re W n 1.000 1.000 1.000 rg 26.250 649.706 555.000 127.294 re f 0.267 0.267 0.267 rg 26.625 776.625 72.770 0.750 re f 26.625 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 31.875 766.770 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 98.645 776.625 72.770 0.750 re f 98.645 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 103.895 766.770 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 776.625 35.775 0.750 re f 170.665 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 175.915 766.770 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 776.625 87.399 0.750 re f 205.690 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 210.940 766.770 Td /F1 9.8 Tf [(0.76)] TJ ET 0.267 0.267 0.267 rg 292.340 776.625 39.425 0.750 re f 292.340 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 297.590 766.770 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 331.014 776.625 39.425 0.750 re f 331.014 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 336.264 766.770 Td /F1 9.8 Tf [(0.81)] TJ ET 0.267 0.267 0.267 rg 369.689 776.625 39.479 0.750 re f 369.689 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 374.939 766.770 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 776.625 89.579 0.750 re f 408.418 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 413.668 766.770 Td /F1 9.8 Tf [(0.73)] TJ ET 0.267 0.267 0.267 rg 497.246 776.625 42.189 0.750 re f 497.246 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 502.496 766.770 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 538.686 776.625 42.189 0.750 re f 538.686 745.369 0.750 32.006 re f 580.125 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 543.936 766.770 Td /F1 9.8 Tf [(0.80)] TJ ET 0.267 0.267 0.267 rg 26.625 745.369 72.770 0.750 re f 26.625 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 735.514 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 745.369 72.770 0.750 re f 98.645 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 735.514 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 745.369 35.775 0.750 re f 170.665 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 735.514 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 745.369 87.399 0.750 re f 205.690 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 735.514 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 745.369 39.425 0.750 re f 292.340 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 735.514 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 745.369 39.425 0.750 re f 331.014 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 735.514 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 745.369 39.479 0.750 re f 369.689 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 735.514 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 745.369 89.579 0.750 re f 408.418 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 735.514 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 497.246 745.369 42.189 0.750 re f 497.246 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 735.514 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 538.686 745.369 42.189 0.750 re f 538.686 729.487 0.750 16.631 re f 580.125 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 735.514 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 26.625 729.487 72.770 0.750 re f 26.625 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 719.633 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 729.487 72.770 0.750 re f 98.645 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 719.633 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 170.665 729.487 35.775 0.750 re f 170.665 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 719.633 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 729.487 87.399 0.750 re f 205.690 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 719.633 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 729.487 39.425 0.750 re f 292.340 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 719.633 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 729.487 39.425 0.750 re f 331.014 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 719.633 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 369.689 729.487 39.479 0.750 re f 369.689 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 719.633 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 729.487 89.579 0.750 re f 408.418 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 719.633 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 729.487 42.189 0.750 re f 497.246 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 719.633 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 538.686 729.487 42.189 0.750 re f 538.686 713.606 0.750 16.631 re f 580.125 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 719.633 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 26.625 713.606 72.770 0.750 re f 26.625 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 703.751 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 713.606 72.770 0.750 re f 98.645 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 703.751 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 713.606 35.775 0.750 re f 170.665 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 703.751 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 713.606 87.399 0.750 re f 205.690 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 703.751 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 292.340 713.606 39.425 0.750 re f 292.340 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 703.751 Td /F1 9.8 Tf [(0.42)] TJ ET 0.267 0.267 0.267 rg 331.014 713.606 39.425 0.750 re f 331.014 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 703.751 Td /F1 9.8 Tf [(0.56)] TJ ET 0.267 0.267 0.267 rg 369.689 713.606 39.479 0.750 re f 369.689 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 703.751 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 713.606 89.579 0.750 re f 408.418 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 703.751 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 713.606 42.189 0.750 re f 497.246 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 703.751 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 538.686 713.606 42.189 0.750 re f 538.686 697.725 0.750 16.631 re f 580.125 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 703.751 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 26.625 697.725 72.770 0.750 re f 26.625 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 687.870 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 697.725 72.770 0.750 re f 98.645 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 687.870 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 697.725 35.775 0.750 re f 170.665 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 687.870 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 697.725 87.399 0.750 re f 205.690 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 687.870 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 292.340 697.725 39.425 0.750 re f 292.340 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 687.870 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 331.014 697.725 39.425 0.750 re f 331.014 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 687.870 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 369.689 697.725 39.479 0.750 re f 369.689 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 687.870 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 697.725 89.579 0.750 re f 408.418 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 687.870 Td /F1 9.8 Tf [(0.54)] TJ ET 0.267 0.267 0.267 rg 497.246 697.725 42.189 0.750 re f 497.246 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 687.870 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 538.686 697.725 42.189 0.750 re f 538.686 681.844 0.750 16.631 re f 580.125 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 687.870 Td /F1 9.8 Tf [(0.62)] TJ ET 0.267 0.267 0.267 rg 26.625 681.844 72.770 0.750 re f 26.625 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 671.989 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 681.844 72.770 0.750 re f 98.645 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 671.989 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 681.844 35.775 0.750 re f 170.665 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 671.989 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 681.844 87.399 0.750 re f 205.690 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 671.989 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 292.340 681.844 39.425 0.750 re f 292.340 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 671.989 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 331.014 681.844 39.425 0.750 re f 331.014 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 671.989 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 369.689 681.844 39.479 0.750 re f 369.689 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 671.989 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 681.844 89.579 0.750 re f 408.418 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 671.989 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 497.246 681.844 42.189 0.750 re f 497.246 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 671.989 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 538.686 681.844 42.189 0.750 re f 538.686 665.962 0.750 16.631 re f 580.125 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 671.989 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 26.625 665.962 72.770 0.750 re f 26.625 650.081 72.770 0.750 re f 26.625 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 656.108 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 665.962 72.770 0.750 re f 98.645 650.081 72.770 0.750 re f 98.645 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 656.108 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 665.962 35.775 0.750 re f 170.665 650.081 35.775 0.750 re f 170.665 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 656.108 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 665.962 87.399 0.750 re f 205.690 650.081 87.399 0.750 re f 205.690 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 656.108 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 292.340 665.962 39.425 0.750 re f 292.340 650.081 39.425 0.750 re f 292.340 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 656.108 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 331.014 665.962 39.425 0.750 re f 331.014 650.081 39.425 0.750 re f 331.014 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 656.108 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 369.689 665.962 39.479 0.750 re f 369.689 650.081 39.479 0.750 re f 369.689 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 656.108 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 665.962 89.579 0.750 re f 408.418 650.081 89.579 0.750 re f 408.418 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 656.108 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 665.962 42.189 0.750 re f 497.246 650.081 42.189 0.750 re f 497.246 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 656.108 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 538.686 665.962 42.189 0.750 re f 538.686 650.081 42.189 0.750 re f 538.686 650.081 0.750 16.631 re f 580.125 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 656.108 Td /F1 9.8 Tf [(0.61)] TJ ET BT 26.250 602.682 Td /F4 9.8 Tf [(Table 2.)] TJ ET BT 62.559 602.682 Td /F1 9.8 Tf [( Agreement rates \( 5years\) between different formulae. Agreement rates between pairs of estimates were calculated )] TJ ET BT 26.250 590.778 Td /F1 9.8 Tf [(with Clopper-Pearson 95% confidence intervals. If both methods arrived at the same result within a 5 year bracket the )] TJ ET BT 26.250 578.873 Td /F1 9.8 Tf [(agreement was defined as 1. If the results were more than 5 years different the agreement was defined as 0. For all )] TJ ET BT 26.250 566.968 Td /F1 9.8 Tf [(participants, the agreement rate was expressed as % agreement within accepted range. Abbreviations: Langb db 06: calculated )] TJ ET BT 26.250 555.063 Td /F1 9.8 Tf [(at an age corresponding to disease burden of 200, age when the predicted probability of signs exceeds 0.6. R. analog: Ranen )] TJ ET BT 26.250 543.159 Td /F1 9.8 Tf [(analogous. R. extended: Ranen extended.)] TJ ET BT 26.250 506.556 Td /F4 12.0 Tf [(DISCUSSION)] TJ ET BT 26.250 486.602 Td /F1 9.8 Tf [(The present study assessed how a data derived age-at-onset compares to the raters estimate, the commonly used definition of )] TJ ET BT 26.250 474.697 Td /F1 9.8 Tf [(AAO. Using longitudinal data from the REGISTRY large observational study, our results suggest that it can be useful to 1\) add )] TJ ET BT 26.250 462.792 Td /F1 9.8 Tf [(in the manifest population motor score regression derived AAO as additional motor onset; 2\) when patients are in mid- to late-)] TJ ET BT 26.250 450.888 Td /F1 9.8 Tf [(stage HD add TFC regression derived AAO for the onset of functional impact of HD; 3\) predictions of AAO suggest a later onset )] TJ ET BT 26.250 438.983 Td /F1 9.8 Tf [(than the actual emergence of unequivocal motor signs of HD.)] TJ ET BT 26.250 419.578 Td /F4 9.8 Tf [(Calculate age-at-onset in manifest HD)] TJ ET BT 26.250 400.173 Td /F1 9.8 Tf [(The current gold standard of AAO is a clinicians estimate integrating data from the patients history, collateral history of family )] TJ ET BT 26.250 388.269 Td /F1 9.8 Tf [(or carers and the examination of the patient. We compared a data derived AAO with the estimated AAO. We first used a simple )] TJ ET BT 26.250 376.364 Td /F1 9.8 Tf [(regression analysis of longitudinal UHDRS motor score data and calculated the patients age when the motor score was 5 or )] TJ ET BT 26.250 364.459 Td /F1 9.8 Tf [(greater, a cut-off used in TRACK-HD, a large longitudinal multi-centre study. )] TJ ET 0.267 0.267 0.267 rg BT 357.331 364.459 Td /F1 8.7 Tf [([10], [11])] TJ ET 0.271 0.267 0.267 rg BT 391.061 364.459 Td /F1 9.8 Tf [( The AAO from regressing motor scores )] TJ ET BT 26.250 352.554 Td /F1 9.8 Tf [(was 3 years later than the median AAO estimated by REGISTRY investigators. The agreement rates between onset in )] TJ ET BT 26.250 340.650 Td /F1 9.8 Tf [(REGISTRY data and the calculated motor onset revealed a difference of about 20 years in the 25%tile. REGISTRY participants )] TJ ET BT 26.250 328.745 Td /F1 9.8 Tf [(were enrolled when they already had manifest HD. This means that at the REGISTRY enrolment visit the investigator may have )] TJ ET BT 26.250 316.840 Td /F1 9.8 Tf [(had to judge AAO after many years of manifest disease. This AAO estimate would be less accurate than AAO observation. )] TJ ET BT 26.250 304.935 Td /F1 9.8 Tf [(However, in REGISTRY an earlier estimated onset than that calculated from longitudinal motor scores may also suggest that )] TJ ET BT 26.250 293.031 Td /F1 9.8 Tf [(investigators are not guided by motor signs alone.)] TJ ET BT 26.250 273.626 Td /F1 9.8 Tf [(Many studies of genetic modifiers relate their effect to a general onset of HD. It is possible that there are domain specific onset )] TJ ET BT 26.250 261.721 Td /F1 9.8 Tf [(modifiers. Such domain specific modifying effects may be overlooked unless domain specific onsets are defined. Our data )] TJ ET BT 26.250 249.816 Td /F1 9.8 Tf [(suggest that it is possible to use longitudinal motor score data to extrapolate a motor domain onset even in patients with a non-)] TJ ET BT 26.250 237.912 Td /F1 9.8 Tf [(motor onset. This approach has the added advantage that it is based on data collected by certified UHDRS motor scale raters )] TJ ET BT 26.250 226.007 Td /F1 9.8 Tf [(directly examining the patient. This removes some of the variability introduced by judging an onset retrospectively.)] TJ ET BT 26.250 206.602 Td /F1 9.8 Tf [(The UHDRS TFC reflects a general impact on the ability to work, handle finances, and the activities of daily living. )] TJ ET 0.267 0.267 0.267 rg BT 518.274 206.602 Td /F1 8.7 Tf [([12])] TJ ET 0.271 0.267 0.267 rg BT 532.730 206.602 Td /F1 9.8 Tf [( The )] TJ ET BT 26.250 194.697 Td /F1 9.8 Tf [(calculated TFC onset was about 4 years later than the rater estimate indicating that it may take a number of years before HD )] TJ ET BT 26.250 182.793 Td /F1 9.8 Tf [(manifestations have a substantial impact on daily life. The good agreement rate between the rater estimate and the calculated )] TJ ET BT 26.250 170.888 Td /F1 9.8 Tf [(TFC onset minus 4 years suggests this interval of 4 years is fairly robust and does not depend on the major sign at onset. A )] TJ ET BT 26.250 158.983 Td /F1 9.8 Tf [(TCF onset may add an important endpoint based on function. While in the prodromal phase new scales may have to be )] TJ ET BT 26.250 147.078 Td /F1 9.8 Tf [(devised, in midstage HD patients the calculation of an onset of functional impairment using the TFC may help identify the )] TJ ET BT 26.250 135.174 Td /F1 9.8 Tf [(factors that are most relevant to maintain function. )] TJ ET 0.267 0.267 0.267 rg BT 245.186 135.174 Td /F1 8.7 Tf [([13])] TJ ET 0.271 0.267 0.267 rg BT 26.250 115.769 Td /F4 9.8 Tf [(Predicting age-at-onset in prodromal HD)] TJ ET BT 26.250 96.364 Td /F1 9.8 Tf [(Assuming our manifest participants were prodromal we compared AAO estimations in the REGISTRY data using the Langbehn, )] TJ ET BT 26.250 84.459 Td /F1 9.8 Tf [(or Ranen, formula with the rater estimates of AAO. While the medians agree well, in a substantial proportion of cases the )] TJ ET BT 26.250 72.555 Td /F1 9.8 Tf [(difference was as large as 20 years. Overall, however, the Langbehn formula estimates the AAO later than the raters )] TJ ET BT 26.250 60.650 Td /F1 9.8 Tf [(observed AAO. This suggests that unequivocal motor signs of HD manifest earlier, sometimes many years, than predicted using )] TJ ET BT 26.250 48.745 Td /F1 9.8 Tf [(the Langbehn formula.)] TJ ET Q q 15.000 38.864 577.500 738.136 re W n 1.000 1.000 1.000 rg 26.250 649.706 555.000 127.294 re f 0.267 0.267 0.267 rg 26.625 776.625 72.770 0.750 re f 26.625 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 31.875 766.770 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 98.645 776.625 72.770 0.750 re f 98.645 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 103.895 766.770 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 776.625 35.775 0.750 re f 170.665 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 175.915 766.770 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 776.625 87.399 0.750 re f 205.690 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 210.940 766.770 Td /F1 9.8 Tf [(0.76)] TJ ET 0.267 0.267 0.267 rg 292.340 776.625 39.425 0.750 re f 292.340 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 297.590 766.770 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 331.014 776.625 39.425 0.750 re f 331.014 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 336.264 766.770 Td /F1 9.8 Tf [(0.81)] TJ ET 0.267 0.267 0.267 rg 369.689 776.625 39.479 0.750 re f 369.689 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 374.939 766.770 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 776.625 89.579 0.750 re f 408.418 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 413.668 766.770 Td /F1 9.8 Tf [(0.73)] TJ ET 0.267 0.267 0.267 rg 497.246 776.625 42.189 0.750 re f 497.246 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 502.496 766.770 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 538.686 776.625 42.189 0.750 re f 538.686 745.369 0.750 32.006 re f 580.125 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 543.936 766.770 Td /F1 9.8 Tf [(0.80)] TJ ET 0.267 0.267 0.267 rg 26.625 745.369 72.770 0.750 re f 26.625 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 735.514 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 745.369 72.770 0.750 re f 98.645 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 735.514 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 745.369 35.775 0.750 re f 170.665 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 735.514 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 745.369 87.399 0.750 re f 205.690 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 735.514 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 745.369 39.425 0.750 re f 292.340 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 735.514 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 745.369 39.425 0.750 re f 331.014 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 735.514 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 745.369 39.479 0.750 re f 369.689 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 735.514 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 745.369 89.579 0.750 re f 408.418 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 735.514 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 497.246 745.369 42.189 0.750 re f 497.246 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 735.514 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 538.686 745.369 42.189 0.750 re f 538.686 729.487 0.750 16.631 re f 580.125 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 735.514 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 26.625 729.487 72.770 0.750 re f 26.625 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 719.633 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 729.487 72.770 0.750 re f 98.645 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 719.633 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 170.665 729.487 35.775 0.750 re f 170.665 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 719.633 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 729.487 87.399 0.750 re f 205.690 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 719.633 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 729.487 39.425 0.750 re f 292.340 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 719.633 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 729.487 39.425 0.750 re f 331.014 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 719.633 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 369.689 729.487 39.479 0.750 re f 369.689 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 719.633 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 729.487 89.579 0.750 re f 408.418 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 719.633 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 729.487 42.189 0.750 re f 497.246 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 719.633 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 538.686 729.487 42.189 0.750 re f 538.686 713.606 0.750 16.631 re f 580.125 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 719.633 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 26.625 713.606 72.770 0.750 re f 26.625 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 703.751 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 713.606 72.770 0.750 re f 98.645 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 703.751 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 713.606 35.775 0.750 re f 170.665 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 703.751 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 713.606 87.399 0.750 re f 205.690 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 703.751 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 292.340 713.606 39.425 0.750 re f 292.340 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 703.751 Td /F1 9.8 Tf [(0.42)] TJ ET 0.267 0.267 0.267 rg 331.014 713.606 39.425 0.750 re f 331.014 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 703.751 Td /F1 9.8 Tf [(0.56)] TJ ET 0.267 0.267 0.267 rg 369.689 713.606 39.479 0.750 re f 369.689 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 703.751 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 713.606 89.579 0.750 re f 408.418 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 703.751 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 713.606 42.189 0.750 re f 497.246 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 703.751 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 538.686 713.606 42.189 0.750 re f 538.686 697.725 0.750 16.631 re f 580.125 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 703.751 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 26.625 697.725 72.770 0.750 re f 26.625 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 687.870 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 697.725 72.770 0.750 re f 98.645 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 687.870 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 697.725 35.775 0.750 re f 170.665 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 687.870 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 697.725 87.399 0.750 re f 205.690 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 687.870 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 292.340 697.725 39.425 0.750 re f 292.340 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 687.870 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 331.014 697.725 39.425 0.750 re f 331.014 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 687.870 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 369.689 697.725 39.479 0.750 re f 369.689 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 687.870 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 697.725 89.579 0.750 re f 408.418 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 687.870 Td /F1 9.8 Tf [(0.54)] TJ ET 0.267 0.267 0.267 rg 497.246 697.725 42.189 0.750 re f 497.246 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 687.870 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 538.686 697.725 42.189 0.750 re f 538.686 681.844 0.750 16.631 re f 580.125 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 687.870 Td /F1 9.8 Tf [(0.62)] TJ ET 0.267 0.267 0.267 rg 26.625 681.844 72.770 0.750 re f 26.625 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 671.989 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 681.844 72.770 0.750 re f 98.645 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 671.989 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 681.844 35.775 0.750 re f 170.665 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 671.989 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 681.844 87.399 0.750 re f 205.690 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 671.989 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 292.340 681.844 39.425 0.750 re f 292.340 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 671.989 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 331.014 681.844 39.425 0.750 re f 331.014 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 671.989 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 369.689 681.844 39.479 0.750 re f 369.689 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 671.989 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 681.844 89.579 0.750 re f 408.418 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 671.989 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 497.246 681.844 42.189 0.750 re f 497.246 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 671.989 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 538.686 681.844 42.189 0.750 re f 538.686 665.962 0.750 16.631 re f 580.125 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 671.989 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 26.625 665.962 72.770 0.750 re f 26.625 650.081 72.770 0.750 re f 26.625 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 656.108 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 665.962 72.770 0.750 re f 98.645 650.081 72.770 0.750 re f 98.645 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 656.108 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 665.962 35.775 0.750 re f 170.665 650.081 35.775 0.750 re f 170.665 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 656.108 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 665.962 87.399 0.750 re f 205.690 650.081 87.399 0.750 re f 205.690 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 656.108 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 292.340 665.962 39.425 0.750 re f 292.340 650.081 39.425 0.750 re f 292.340 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 656.108 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 331.014 665.962 39.425 0.750 re f 331.014 650.081 39.425 0.750 re f 331.014 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 656.108 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 369.689 665.962 39.479 0.750 re f 369.689 650.081 39.479 0.750 re f 369.689 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 656.108 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 665.962 89.579 0.750 re f 408.418 650.081 89.579 0.750 re f 408.418 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 656.108 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 665.962 42.189 0.750 re f 497.246 650.081 42.189 0.750 re f 497.246 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 656.108 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 538.686 665.962 42.189 0.750 re f 538.686 650.081 42.189 0.750 re f 538.686 650.081 0.750 16.631 re f 580.125 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 656.108 Td /F1 9.8 Tf [(0.61)] TJ ET BT 26.250 602.682 Td /F4 9.8 Tf [(Table 2.)] TJ ET BT 62.559 602.682 Td /F1 9.8 Tf [( Agreement rates \( 5years\) between different formulae. Agreement rates between pairs of estimates were calculated )] TJ ET BT 26.250 590.778 Td /F1 9.8 Tf [(with Clopper-Pearson 95% confidence intervals. If both methods arrived at the same result within a 5 year bracket the )] TJ ET BT 26.250 578.873 Td /F1 9.8 Tf [(agreement was defined as 1. If the results were more than 5 years different the agreement was defined as 0. For all )] TJ ET BT 26.250 566.968 Td /F1 9.8 Tf [(participants, the agreement rate was expressed as % agreement within accepted range. Abbreviations: Langb db 06: calculated )] TJ ET BT 26.250 555.063 Td /F1 9.8 Tf [(at an age corresponding to disease burden of 200, age when the predicted probability of signs exceeds 0.6. R. analog: Ranen )] TJ ET BT 26.250 543.159 Td /F1 9.8 Tf [(analogous. R. extended: Ranen extended.)] TJ ET BT 26.250 506.556 Td /F4 12.0 Tf [(DISCUSSION)] TJ ET BT 26.250 486.602 Td /F1 9.8 Tf [(The present study assessed how a data derived age-at-onset compares to the raters estimate, the commonly used definition of )] TJ ET BT 26.250 474.697 Td /F1 9.8 Tf [(AAO. Using longitudinal data from the REGISTRY large observational study, our results suggest that it can be useful to 1\) add )] TJ ET BT 26.250 462.792 Td /F1 9.8 Tf [(in the manifest population motor score regression derived AAO as additional motor onset; 2\) when patients are in mid- to late-)] TJ ET BT 26.250 450.888 Td /F1 9.8 Tf [(stage HD add TFC regression derived AAO for the onset of functional impact of HD; 3\) predictions of AAO suggest a later onset )] TJ ET BT 26.250 438.983 Td /F1 9.8 Tf [(than the actual emergence of unequivocal motor signs of HD.)] TJ ET BT 26.250 419.578 Td /F4 9.8 Tf [(Calculate age-at-onset in manifest HD)] TJ ET BT 26.250 400.173 Td /F1 9.8 Tf [(The current gold standard of AAO is a clinicians estimate integrating data from the patients history, collateral history of family )] TJ ET BT 26.250 388.269 Td /F1 9.8 Tf [(or carers and the examination of the patient. We compared a data derived AAO with the estimated AAO. We first used a simple )] TJ ET BT 26.250 376.364 Td /F1 9.8 Tf [(regression analysis of longitudinal UHDRS motor score data and calculated the patients age when the motor score was 5 or )] TJ ET BT 26.250 364.459 Td /F1 9.8 Tf [(greater, a cut-off used in TRACK-HD, a large longitudinal multi-centre study. )] TJ ET 0.267 0.267 0.267 rg BT 357.331 364.459 Td /F1 8.7 Tf [([10], [11])] TJ ET 0.271 0.267 0.267 rg BT 391.061 364.459 Td /F1 9.8 Tf [( The AAO from regressing motor scores )] TJ ET BT 26.250 352.554 Td /F1 9.8 Tf [(was 3 years later than the median AAO estimated by REGISTRY investigators. The agreement rates between onset in )] TJ ET BT 26.250 340.650 Td /F1 9.8 Tf [(REGISTRY data and the calculated motor onset revealed a difference of about 20 years in the 25%tile. REGISTRY participants )] TJ ET BT 26.250 328.745 Td /F1 9.8 Tf [(were enrolled when they already had manifest HD. This means that at the REGISTRY enrolment visit the investigator may have )] TJ ET BT 26.250 316.840 Td /F1 9.8 Tf [(had to judge AAO after many years of manifest disease. This AAO estimate would be less accurate than AAO observation. )] TJ ET BT 26.250 304.935 Td /F1 9.8 Tf [(However, in REGISTRY an earlier estimated onset than that calculated from longitudinal motor scores may also suggest that )] TJ ET BT 26.250 293.031 Td /F1 9.8 Tf [(investigators are not guided by motor signs alone.)] TJ ET BT 26.250 273.626 Td /F1 9.8 Tf [(Many studies of genetic modifiers relate their effect to a general onset of HD. It is possible that there are domain specific onset )] TJ ET BT 26.250 261.721 Td /F1 9.8 Tf [(modifiers. Such domain specific modifying effects may be overlooked unless domain specific onsets are defined. Our data )] TJ ET BT 26.250 249.816 Td /F1 9.8 Tf [(suggest that it is possible to use longitudinal motor score data to extrapolate a motor domain onset even in patients with a non-)] TJ ET BT 26.250 237.912 Td /F1 9.8 Tf [(motor onset. This approach has the added advantage that it is based on data collected by certified UHDRS motor scale raters )] TJ ET BT 26.250 226.007 Td /F1 9.8 Tf [(directly examining the patient. This removes some of the variability introduced by judging an onset retrospectively.)] TJ ET BT 26.250 206.602 Td /F1 9.8 Tf [(The UHDRS TFC reflects a general impact on the ability to work, handle finances, and the activities of daily living. )] TJ ET 0.267 0.267 0.267 rg BT 518.274 206.602 Td /F1 8.7 Tf [([12])] TJ ET 0.271 0.267 0.267 rg BT 532.730 206.602 Td /F1 9.8 Tf [( The )] TJ ET BT 26.250 194.697 Td /F1 9.8 Tf [(calculated TFC onset was about 4 years later than the rater estimate indicating that it may take a number of years before HD )] TJ ET BT 26.250 182.793 Td /F1 9.8 Tf [(manifestations have a substantial impact on daily life. The good agreement rate between the rater estimate and the calculated )] TJ ET BT 26.250 170.888 Td /F1 9.8 Tf [(TFC onset minus 4 years suggests this interval of 4 years is fairly robust and does not depend on the major sign at onset. A )] TJ ET BT 26.250 158.983 Td /F1 9.8 Tf [(TCF onset may add an important endpoint based on function. While in the prodromal phase new scales may have to be )] TJ ET BT 26.250 147.078 Td /F1 9.8 Tf [(devised, in midstage HD patients the calculation of an onset of functional impairment using the TFC may help identify the )] TJ ET BT 26.250 135.174 Td /F1 9.8 Tf [(factors that are most relevant to maintain function. )] TJ ET 0.267 0.267 0.267 rg BT 245.186 135.174 Td /F1 8.7 Tf [([13])] TJ ET 0.271 0.267 0.267 rg BT 26.250 115.769 Td /F4 9.8 Tf [(Predicting age-at-onset in prodromal HD)] TJ ET BT 26.250 96.364 Td /F1 9.8 Tf [(Assuming our manifest participants were prodromal we compared AAO estimations in the REGISTRY data using the Langbehn, )] TJ ET BT 26.250 84.459 Td /F1 9.8 Tf [(or Ranen, formula with the rater estimates of AAO. While the medians agree well, in a substantial proportion of cases the )] TJ ET BT 26.250 72.555 Td /F1 9.8 Tf [(difference was as large as 20 years. Overall, however, the Langbehn formula estimates the AAO later than the raters )] TJ ET BT 26.250 60.650 Td /F1 9.8 Tf [(observed AAO. This suggests that unequivocal motor signs of HD manifest earlier, sometimes many years, than predicted using )] TJ ET BT 26.250 48.745 Td /F1 9.8 Tf [(the Langbehn formula.)] TJ ET Q q 15.000 38.864 577.500 738.136 re W n 1.000 1.000 1.000 rg 26.250 649.706 555.000 127.294 re f 0.267 0.267 0.267 rg 26.625 776.625 72.770 0.750 re f 26.625 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 31.875 766.770 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 98.645 776.625 72.770 0.750 re f 98.645 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 103.895 766.770 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 776.625 35.775 0.750 re f 170.665 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 175.915 766.770 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 776.625 87.399 0.750 re f 205.690 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 210.940 766.770 Td /F1 9.8 Tf [(0.76)] TJ ET 0.267 0.267 0.267 rg 292.340 776.625 39.425 0.750 re f 292.340 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 297.590 766.770 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 331.014 776.625 39.425 0.750 re f 331.014 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 336.264 766.770 Td /F1 9.8 Tf [(0.81)] TJ ET 0.267 0.267 0.267 rg 369.689 776.625 39.479 0.750 re f 369.689 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 374.939 766.770 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 776.625 89.579 0.750 re f 408.418 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 413.668 766.770 Td /F1 9.8 Tf [(0.73)] TJ ET 0.267 0.267 0.267 rg 497.246 776.625 42.189 0.750 re f 497.246 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 502.496 766.770 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 538.686 776.625 42.189 0.750 re f 538.686 745.369 0.750 32.006 re f 580.125 745.369 0.750 32.006 re f 0.271 0.267 0.267 rg BT 543.936 766.770 Td /F1 9.8 Tf [(0.80)] TJ ET 0.267 0.267 0.267 rg 26.625 745.369 72.770 0.750 re f 26.625 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 735.514 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 745.369 72.770 0.750 re f 98.645 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 735.514 Td /F1 9.8 Tf [(Langb 06)] TJ ET 0.267 0.267 0.267 rg 170.665 745.369 35.775 0.750 re f 170.665 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 735.514 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 745.369 87.399 0.750 re f 205.690 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 735.514 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 292.340 745.369 39.425 0.750 re f 292.340 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 735.514 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 331.014 745.369 39.425 0.750 re f 331.014 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 735.514 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 369.689 745.369 39.479 0.750 re f 369.689 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 735.514 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 745.369 89.579 0.750 re f 408.418 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 735.514 Td /F1 9.8 Tf [(0.53)] TJ ET 0.267 0.267 0.267 rg 497.246 745.369 42.189 0.750 re f 497.246 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 735.514 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 538.686 745.369 42.189 0.750 re f 538.686 729.487 0.750 16.631 re f 580.125 729.487 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 735.514 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 26.625 729.487 72.770 0.750 re f 26.625 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 719.633 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 729.487 72.770 0.750 re f 98.645 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 719.633 Td /F1 9.8 Tf [(Langb db 06)] TJ ET 0.267 0.267 0.267 rg 170.665 729.487 35.775 0.750 re f 170.665 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 719.633 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 729.487 87.399 0.750 re f 205.690 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 719.633 Td /F1 9.8 Tf [(0.50)] TJ ET 0.267 0.267 0.267 rg 292.340 729.487 39.425 0.750 re f 292.340 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 719.633 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 331.014 729.487 39.425 0.750 re f 331.014 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 719.633 Td /F1 9.8 Tf [(0.57)] TJ ET 0.267 0.267 0.267 rg 369.689 729.487 39.479 0.750 re f 369.689 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 719.633 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 729.487 89.579 0.750 re f 408.418 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 719.633 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 729.487 42.189 0.750 re f 497.246 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 719.633 Td /F1 9.8 Tf [(0.43)] TJ ET 0.267 0.267 0.267 rg 538.686 729.487 42.189 0.750 re f 538.686 713.606 0.750 16.631 re f 580.125 713.606 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 719.633 Td /F1 9.8 Tf [(0.60)] TJ ET 0.267 0.267 0.267 rg 26.625 713.606 72.770 0.750 re f 26.625 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 703.751 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 713.606 72.770 0.750 re f 98.645 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 703.751 Td /F1 9.8 Tf [(R. extended)] TJ ET 0.267 0.267 0.267 rg 170.665 713.606 35.775 0.750 re f 170.665 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 703.751 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 713.606 87.399 0.750 re f 205.690 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 703.751 Td /F1 9.8 Tf [(0.49)] TJ ET 0.267 0.267 0.267 rg 292.340 713.606 39.425 0.750 re f 292.340 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 703.751 Td /F1 9.8 Tf [(0.42)] TJ ET 0.267 0.267 0.267 rg 331.014 713.606 39.425 0.750 re f 331.014 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 703.751 Td /F1 9.8 Tf [(0.56)] TJ ET 0.267 0.267 0.267 rg 369.689 713.606 39.479 0.750 re f 369.689 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 703.751 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 713.606 89.579 0.750 re f 408.418 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 703.751 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 713.606 42.189 0.750 re f 497.246 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 703.751 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 538.686 713.606 42.189 0.750 re f 538.686 697.725 0.750 16.631 re f 580.125 697.725 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 703.751 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 26.625 697.725 72.770 0.750 re f 26.625 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 687.870 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 697.725 72.770 0.750 re f 98.645 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 687.870 Td /F1 9.8 Tf [(R. analog)] TJ ET 0.267 0.267 0.267 rg 170.665 697.725 35.775 0.750 re f 170.665 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 687.870 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 697.725 87.399 0.750 re f 205.690 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 687.870 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 292.340 697.725 39.425 0.750 re f 292.340 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 687.870 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 331.014 697.725 39.425 0.750 re f 331.014 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 687.870 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 369.689 697.725 39.479 0.750 re f 369.689 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 687.870 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 697.725 89.579 0.750 re f 408.418 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 687.870 Td /F1 9.8 Tf [(0.54)] TJ ET 0.267 0.267 0.267 rg 497.246 697.725 42.189 0.750 re f 497.246 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 687.870 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 538.686 697.725 42.189 0.750 re f 538.686 681.844 0.750 16.631 re f 580.125 681.844 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 687.870 Td /F1 9.8 Tf [(0.62)] TJ ET 0.267 0.267 0.267 rg 26.625 681.844 72.770 0.750 re f 26.625 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 671.989 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 681.844 72.770 0.750 re f 98.645 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 671.989 Td /F1 9.8 Tf [(Motor)] TJ ET 0.267 0.267 0.267 rg 170.665 681.844 35.775 0.750 re f 170.665 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 671.989 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 681.844 87.399 0.750 re f 205.690 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 671.989 Td /F1 9.8 Tf [(0.58)] TJ ET 0.267 0.267 0.267 rg 292.340 681.844 39.425 0.750 re f 292.340 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 671.989 Td /F1 9.8 Tf [(0.51)] TJ ET 0.267 0.267 0.267 rg 331.014 681.844 39.425 0.750 re f 331.014 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 671.989 Td /F1 9.8 Tf [(0.65)] TJ ET 0.267 0.267 0.267 rg 369.689 681.844 39.479 0.750 re f 369.689 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 671.989 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 681.844 89.579 0.750 re f 408.418 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 671.989 Td /F1 9.8 Tf [(0.61)] TJ ET 0.267 0.267 0.267 rg 497.246 681.844 42.189 0.750 re f 497.246 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 671.989 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 538.686 681.844 42.189 0.750 re f 538.686 665.962 0.750 16.631 re f 580.125 665.962 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 671.989 Td /F1 9.8 Tf [(0.69)] TJ ET 0.267 0.267 0.267 rg 26.625 665.962 72.770 0.750 re f 26.625 650.081 72.770 0.750 re f 26.625 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 656.108 Td /F1 9.8 Tf [(Rater)] TJ ET 0.267 0.267 0.267 rg 98.645 665.962 72.770 0.750 re f 98.645 650.081 72.770 0.750 re f 98.645 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 103.895 656.108 Td /F1 9.8 Tf [(TFC)] TJ ET 0.267 0.267 0.267 rg 170.665 665.962 35.775 0.750 re f 170.665 650.081 35.775 0.750 re f 170.665 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 175.915 656.108 Td /F1 9.8 Tf [(206)] TJ ET 0.267 0.267 0.267 rg 205.690 665.962 87.399 0.750 re f 205.690 650.081 87.399 0.750 re f 205.690 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 210.940 656.108 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 292.340 665.962 39.425 0.750 re f 292.340 650.081 39.425 0.750 re f 292.340 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 297.590 656.108 Td /F1 9.8 Tf [(0.45)] TJ ET 0.267 0.267 0.267 rg 331.014 665.962 39.425 0.750 re f 331.014 650.081 39.425 0.750 re f 331.014 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 336.264 656.108 Td /F1 9.8 Tf [(0.59)] TJ ET 0.267 0.267 0.267 rg 369.689 665.962 39.479 0.750 re f 369.689 650.081 39.479 0.750 re f 369.689 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 374.939 656.108 Td /F1 9.8 Tf [(145)] TJ ET 0.267 0.267 0.267 rg 408.418 665.962 89.579 0.750 re f 408.418 650.081 89.579 0.750 re f 408.418 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 413.668 656.108 Td /F1 9.8 Tf [(0.52)] TJ ET 0.267 0.267 0.267 rg 497.246 665.962 42.189 0.750 re f 497.246 650.081 42.189 0.750 re f 497.246 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 502.496 656.108 Td /F1 9.8 Tf [(0.44)] TJ ET 0.267 0.267 0.267 rg 538.686 665.962 42.189 0.750 re f 538.686 650.081 42.189 0.750 re f 538.686 650.081 0.750 16.631 re f 580.125 650.081 0.750 16.631 re f 0.271 0.267 0.267 rg BT 543.936 656.108 Td /F1 9.8 Tf [(0.61)] TJ ET BT 26.250 602.682 Td /F4 9.8 Tf [(Table 2.)] TJ ET BT 62.559 602.682 Td /F1 9.8 Tf [( Agreement rates \( 5years\) between different formulae. Agreement rates between pairs of estimates were calculated )] TJ ET BT 26.250 590.778 Td /F1 9.8 Tf [(with Clopper-Pearson 95% confidence intervals. If both methods arrived at the same result within a 5 year bracket the )] TJ ET BT 26.250 578.873 Td /F1 9.8 Tf [(agreement was defined as 1. If the results were more than 5 years different the agreement was defined as 0. For all )] TJ ET BT 26.250 566.968 Td /F1 9.8 Tf [(participants, the agreement rate was expressed as % agreement within accepted range. Abbreviations: Langb db 06: calculated )] TJ ET BT 26.250 555.063 Td /F1 9.8 Tf [(at an age corresponding to disease burden of 200, age when the predicted probability of signs exceeds 0.6. R. analog: Ranen )] TJ ET BT 26.250 543.159 Td /F1 9.8 Tf [(analogous. R. extended: Ranen extended.)] TJ ET BT 26.250 506.556 Td /F4 12.0 Tf [(DISCUSSION)] TJ ET BT 26.250 486.602 Td /F1 9.8 Tf [(The present study assessed how a data derived age-at-onset compares to the raters estimate, the commonly used definition of )] TJ ET BT 26.250 474.697 Td /F1 9.8 Tf [(AAO. Using longitudinal data from the REGISTRY large observational study, our results suggest that it can be useful to 1\) add )] TJ ET BT 26.250 462.792 Td /F1 9.8 Tf [(in the manifest population motor score regression derived AAO as additional motor onset; 2\) when patients are in mid- to late-)] TJ ET BT 26.250 450.888 Td /F1 9.8 Tf [(stage HD add TFC regression derived AAO for the onset of functional impact of HD; 3\) predictions of AAO suggest a later onset )] TJ ET BT 26.250 438.983 Td /F1 9.8 Tf [(than the actual emergence of unequivocal motor signs of HD.)] TJ ET BT 26.250 419.578 Td /F4 9.8 Tf [(Calculate age-at-onset in manifest HD)] TJ ET BT 26.250 400.173 Td /F1 9.8 Tf [(The current gold standard of AAO is a clinicians estimate integrating data from the patients history, collateral history of family )] TJ ET BT 26.250 388.269 Td /F1 9.8 Tf [(or carers and the examination of the patient. We compared a data derived AAO with the estimated AAO. We first used a simple )] TJ ET BT 26.250 376.364 Td /F1 9.8 Tf [(regression analysis of longitudinal UHDRS motor score data and calculated the patients age when the motor score was 5 or )] TJ ET BT 26.250 364.459 Td /F1 9.8 Tf [(greater, a cut-off used in TRACK-HD, a large longitudinal multi-centre study. )] TJ ET 0.267 0.267 0.267 rg BT 357.331 364.459 Td /F1 8.7 Tf [([10], [11])] TJ ET 0.271 0.267 0.267 rg BT 391.061 364.459 Td /F1 9.8 Tf [( The AAO from regressing motor scores )] TJ ET BT 26.250 352.554 Td /F1 9.8 Tf [(was 3 years later than the median AAO estimated by REGISTRY investigators. The agreement rates between onset in )] TJ ET BT 26.250 340.650 Td /F1 9.8 Tf [(REGISTRY data and the calculated motor onset revealed a difference of about 20 years in the 25%tile. REGISTRY participants )] TJ ET BT 26.250 328.745 Td /F1 9.8 Tf [(were enrolled when they already had manifest HD. This means that at the REGISTRY enrolment visit the investigator may have )] TJ ET BT 26.250 316.840 Td /F1 9.8 Tf [(had to judge AAO after many years of manifest disease. This AAO estimate would be less accurate than AAO observation. )] TJ ET BT 26.250 304.935 Td /F1 9.8 Tf [(However, in REGISTRY an earlier estimated onset than that calculated from longitudinal motor scores may also suggest that )] TJ ET BT 26.250 293.031 Td /F1 9.8 Tf [(investigators are not guided by motor signs alone.)] TJ ET BT 26.250 273.626 Td /F1 9.8 Tf [(Many studies of genetic modifiers relate their effect to a general onset of HD. It is possible that there are domain specific onset )] TJ ET BT 26.250 261.721 Td /F1 9.8 Tf [(modifiers. Such domain specific modifying effects may be overlooked unless domain specific onsets are defined. Our data )] TJ ET BT 26.250 249.816 Td /F1 9.8 Tf [(suggest that it is possible to use longitudinal motor score data to extrapolate a motor domain onset even in patients with a non-)] TJ ET BT 26.250 237.912 Td /F1 9.8 Tf [(motor onset. This approach has the added advantage that it is based on data collected by certified UHDRS motor scale raters )] TJ ET BT 26.250 226.007 Td /F1 9.8 Tf [(directly examining the patient. This removes some of the variability introduced by judging an onset retrospectively.)] TJ ET BT 26.250 206.602 Td /F1 9.8 Tf [(The UHDRS TFC reflects a general impact on the ability to work, handle finances, and the activities of daily living. )] TJ ET 0.267 0.267 0.267 rg BT 518.274 206.602 Td /F1 8.7 Tf [([12])] TJ ET 0.271 0.267 0.267 rg BT 532.730 206.602 Td /F1 9.8 Tf [( The )] TJ ET BT 26.250 194.697 Td /F1 9.8 Tf [(calculated TFC onset was about 4 years later than the rater estimate indicating that it may take a number of years before HD )] TJ ET BT 26.250 182.793 Td /F1 9.8 Tf [(manifestations have a substantial impact on daily life. The good agreement rate between the rater estimate and the calculated )] TJ ET BT 26.250 170.888 Td /F1 9.8 Tf [(TFC onset minus 4 years suggests this interval of 4 years is fairly robust and does not depend on the major sign at onset. A )] TJ ET BT 26.250 158.983 Td /F1 9.8 Tf [(TCF onset may add an important endpoint based on function. While in the prodromal phase new scales may have to be )] TJ ET BT 26.250 147.078 Td /F1 9.8 Tf [(devised, in midstage HD patients the calculation of an onset of functional impairment using the TFC may help identify the )] TJ ET BT 26.250 135.174 Td /F1 9.8 Tf [(factors that are most relevant to maintain function. )] TJ ET 0.267 0.267 0.267 rg BT 245.186 135.174 Td /F1 8.7 Tf [([13])] TJ ET 0.271 0.267 0.267 rg BT 26.250 115.769 Td /F4 9.8 Tf [(Predicting age-at-onset in prodromal HD)] TJ ET BT 26.250 96.364 Td /F1 9.8 Tf [(Assuming our manifest participants were prodromal we compared AAO estimations in the REGISTRY data using the Langbehn, )] TJ ET BT 26.250 84.459 Td /F1 9.8 Tf [(or Ranen, formula with the rater estimates of AAO. While the medians agree well, in a substantial proportion of cases the )] TJ ET BT 26.250 72.555 Td /F1 9.8 Tf [(difference was as large as 20 years. Overall, however, the Langbehn formula estimates the AAO later than the raters )] TJ ET BT 26.250 60.650 Td /F1 9.8 Tf [(observed AAO. This suggests that unequivocal motor signs of HD manifest earlier, sometimes many years, than predicted using )] TJ ET BT 26.250 48.745 Td /F1 9.8 Tf [(the Langbehn formula.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(5)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 151 0 obj << /Type /Annot /Subtype /Link /A 152 0 R /Border [0 0 0] /H /I /Rect [ 357.3308 363.6575 391.0614 372.4759 ] >> endobj 152 0 obj << /Type /Action >> endobj 153 0 obj << /Type /Annot /Subtype /Link /A 154 0 R /Border [0 0 0] /H /I /Rect [ 518.2740 205.8005 532.7300 214.6189 ] >> endobj 154 0 obj << /Type /Action >> endobj 155 0 obj << /Type /Annot /Subtype /Link /A 156 0 R /Border [0 0 0] /H /I /Rect [ 245.1863 134.3720 259.6423 143.1904 ] >> endobj 156 0 obj << /Type /Action >> endobj 157 0 obj << /Type /Annot /Subtype /Link /A 158 0 R /Border [0 0 0] /H /I /Rect [ 357.3308 363.6575 391.0614 372.4759 ] >> endobj 158 0 obj << /Type /Action >> endobj 159 0 obj << /Type /Annot /Subtype /Link /A 160 0 R /Border [0 0 0] /H /I /Rect [ 518.2740 205.8005 532.7300 214.6189 ] >> endobj 160 0 obj << /Type /Action >> endobj 161 0 obj << /Type /Annot /Subtype /Link /A 162 0 R /Border [0 0 0] /H /I /Rect [ 245.1863 134.3720 259.6423 143.1904 ] >> endobj 162 0 obj << /Type /Action >> endobj 163 0 obj << /Type /Annot /Subtype /Link /A 164 0 R /Border [0 0 0] /H /I /Rect [ 357.3308 363.6575 391.0614 372.4759 ] >> endobj 164 0 obj << /Type /Action >> endobj 165 0 obj << /Type /Annot /Subtype /Link /A 166 0 R /Border [0 0 0] /H /I /Rect [ 518.2740 205.8005 532.7300 214.6189 ] >> endobj 166 0 obj << /Type /Action >> endobj 167 0 obj << /Type /Annot /Subtype /Link /A 168 0 R /Border [0 0 0] /H /I /Rect [ 245.1863 134.3720 259.6423 143.1904 ] >> endobj 168 0 obj << /Type /Action >> endobj 169 0 obj << /Type /Page /Parent 3 0 R /Annots [ 171 0 R 173 0 R 175 0 R 177 0 R 179 0 R 181 0 R ] /Contents 170 0 R >> endobj 170 0 obj << /Length 27445 >> stream 0.271 0.267 0.267 rg q 15.000 16.277 577.500 760.723 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(We next used the data to model predictions of the rater estimate of AAO. Integrating the parent AAO and the individual CAG )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(repeat length resulted in a formula in very good agreement with the Ranen formula. The agreement rates of the Ranen, or )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Ranen analogous, formula with the rater estimate or the extrapolated AAO revealed a large window of 20 years. Overall, the )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(difference of the population based analyses, i.e. median, is unbiased, but on individual levels high deviances from the rater )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(estimate were found. This suggests that other factors may also influence the AAO on an individual level that average out on a )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(group level.)] TJ ET BT 26.250 688.548 Td /F4 9.8 Tf [(Conclusions and limitations)] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(A methodological limitation relates to the assumption of linear progression. Rates of decline of TFC in our study agree )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(reasonably well with previous data in documenting the rate of decline is slower in the later stages of the disease than in the )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(earlier stages probably reflecting a floor effect. )] TJ ET 0.267 0.267 0.267 rg BT 228.923 645.333 Td /F1 8.7 Tf [([12])] TJ ET 0.271 0.267 0.267 rg BT 243.379 645.333 Td /F1 9.8 Tf [( Progression of HD may not be linear in all stages. Since the population was )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(too small further studies need to investigate rates of progression of HD in large data sets using for example non-linear statistical )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(models. We had to exclude a substantial proportion of participants from the data based extrapolations because the slopes were )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(in the wrong direction. Such individuals present a challenge for the proposed technique of estimating individual onset by )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(extrapolating backwards.)] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(Our results suggest inaccuracies of the concept of a rater estimated AAO. Observing the onset may result in a more accurate )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(AAO than estimating the AAO from a distance of many years even if experienced HD clinicians use all available information )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(from patients, relatives, and carers. We do not have an objective measure of AAO, or the truth, so we cannot reliably say which )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(of the AAOs we have evaluated is the best. AAO implies it is possible to identify a point in time when HD signs manifest while )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(clinically it would be more appropriate to refer to a transition period of sometimes several years from the prodromal to the )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(manifest stage of HD. Based on our results we suggest to add in manifest HD cohorts a data derived AAO, especially for the )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(motor domain. This may be particularly important when using REGISTRY data where the rater estimate of AAO seems less )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(reliable. For predictions of AAO in the prodromal phase of HD, our data suggest that the Langbehn formula works better than )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(the formula integrating parental AAO. The challenge for the future is to find objective means to define AAO, both predicted and )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(retrospective. REGISTRY and PREDICT-HD, and also TRACK-HD, offer large collections of longitudinal data that can be used )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(to meet this challenge. )] TJ ET 0.267 0.267 0.267 rg BT 126.509 459.262 Td /F1 8.7 Tf [([10])] TJ ET 0.271 0.267 0.267 rg BT 26.250 422.660 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 402.705 Td /F4 9.8 Tf [(Expansion of Collaborator List)] TJ ET BT 26.250 383.301 Td /F4 9.8 Tf [(European Huntingtons Disease Registry Contributors)] TJ ET BT 26.250 363.896 Td /F1 9.8 Tf [(A-C Bachoud-Lvi,Registry Steering committee AR Bentivoglio, Registry Steering committee I Biunno, R Bonelli, Registry )] TJ ET BT 26.250 351.991 Td /F1 9.8 Tf [(Steering committee J-M Burgunder, Registry Steering committee SB Dunnett, Registry Steering committee JJ Ferreira, Registry )] TJ ET BT 26.250 340.086 Td /F1 9.8 Tf [(Steering committee OJ Handley, Registry Steering committee A Heiberg, Registry Steering committee T Illmann, Registry )] TJ ET BT 26.250 328.182 Td /F1 9.8 Tf [(Steering committee GB Landwehrmeyer, Registry Steering committee J Levey, Registry Steering committee JE Nielsen, )] TJ ET BT 26.250 316.277 Td /F1 9.8 Tf [(Registry Steering committee M Pivrinta, Registry Steering committee RAC Roos, Registry Steering committee A Rojo )] TJ ET BT 26.250 304.372 Td /F1 9.8 Tf [(Sebastin, Registry Steering committee SJ Tabrizi, Registry Steering committee W Vandenberghe, Registry Steering committee )] TJ ET BT 26.250 292.467 Td /F1 9.8 Tf [(C Verellen-Dumoulin, Registry Steering committee J Zaremba, Registry Steering committee T Uhrova, Registry Steering )] TJ ET BT 26.250 280.563 Td /F1 9.8 Tf [(committee J Wahlstrm, Registry Steering committee T Illmann,Information technology M Wallner, Information technology )] TJ ET BT 26.250 268.658 Td /F1 9.8 Tf [(Katrin Barth,Central coordination and Language coordinator Leonor Correia-Guedes, Central coordination and Language )] TJ ET BT 26.250 256.753 Td /F1 9.8 Tf [(coordinator Ana Maria Finisterra,Central coordination and Language coordinator Monica Bascuana Garde, Central )] TJ ET BT 26.250 244.848 Td /F1 9.8 Tf [(coordination and Language coordinator Reineke Bos, Central coordination and Language coordinator Sabrina Burg, Central )] TJ ET BT 26.250 232.944 Td /F1 9.8 Tf [(coordination and Language coordinator Daniel Ecker, Central coordination and Language coordinator Olivia J Handley, Central )] TJ ET BT 26.250 221.039 Td /F1 9.8 Tf [(coordination and Language coordinator Christine Held, Central coordination and Language coordinator Kerstin Koppers, Central )] TJ ET BT 26.250 209.134 Td /F1 9.8 Tf [(coordination and Language coordinator Mathilde Laur, Central coordination and Language coordinator Asuncin Martnez )] TJ ET BT 26.250 197.229 Td /F1 9.8 Tf [(Descals, Central coordination and Language coordinator Tim McLean, Central coordination and Language coordinator Tiago )] TJ ET BT 26.250 185.325 Td /F1 9.8 Tf [(Mestre,Central coordination and Language coordinator Sara Minster,Central coordination and Language coordinator Daniela )] TJ ET BT 26.250 173.420 Td /F1 9.8 Tf [(Monza, Central coordination and Language coordinator Jenny Townhill \(formerly Naji\), Central coordination and Language )] TJ ET BT 26.250 161.515 Td /F1 9.8 Tf [(coordinator Michael Orth, Central coordination and Language coordinator Helene Padieu, Central coordination and Language )] TJ ET BT 26.250 149.610 Td /F1 9.8 Tf [(coordinator Laurent Paterski, Central coordination and Language coordinator Nadia Peppa, Central coordination and Language )] TJ ET BT 26.250 137.706 Td /F1 9.8 Tf [(coordinator Susana Pro Koivisto, Central coordination and Language coordinator Amandine Rialland, Central coordination and )] TJ ET BT 26.250 125.801 Td /F1 9.8 Tf [(Language coordinator Niini Rren \(formerly Heinonen\), Central coordination and Language coordinator Pavla ainkov, )] TJ ET BT 26.250 113.896 Td /F1 9.8 Tf [(Central coordination and Language coordinator Patricia Trigo Cubillo, Central coordination and Language coordinator Christine )] TJ ET BT 26.250 101.991 Td /F1 9.8 Tf [(Tritsch, Central coordination and Language coordinator Marlene R van Walsem, Central coordination and Language coordinator )] TJ ET BT 26.250 90.087 Td /F1 9.8 Tf [(Marie-Noelle Witjes-An,Central coordination and Language coordinator Elizaveta Yudina \(formerly Tarasova\),Central )] TJ ET BT 26.250 78.182 Td /F1 9.8 Tf [(coordination and Language coordinator Daniel Zielonka, Central coordination and Language coordinator Eugeniusz Zielonka, )] TJ ET BT 26.250 66.277 Td /F1 9.8 Tf [(Central coordination and Language coordinator Paola Zinzi, Central coordination and Language coordinator Raphael M. Bonelli, )] TJ ET BT 26.250 54.372 Td /F1 9.8 Tf [(Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Brigitte Herranhof, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Anna )] TJ ET BT 26.250 42.468 Td /F1 9.8 Tf [(Holl \(formerly Hdl\), Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Markus Magnet, Graz \(LKH Graz, Abteilung fr )] TJ ET BT 26.250 30.563 Td /F1 9.8 Tf [(Psychiatrie\), Austria Daniela Otti, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Annamaria Painold, Graz \(LKH Graz, )] TJ ET Q q 15.000 16.277 577.500 760.723 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(We next used the data to model predictions of the rater estimate of AAO. Integrating the parent AAO and the individual CAG )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(repeat length resulted in a formula in very good agreement with the Ranen formula. The agreement rates of the Ranen, or )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Ranen analogous, formula with the rater estimate or the extrapolated AAO revealed a large window of 20 years. Overall, the )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(difference of the population based analyses, i.e. median, is unbiased, but on individual levels high deviances from the rater )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(estimate were found. This suggests that other factors may also influence the AAO on an individual level that average out on a )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(group level.)] TJ ET BT 26.250 688.548 Td /F4 9.8 Tf [(Conclusions and limitations)] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(A methodological limitation relates to the assumption of linear progression. Rates of decline of TFC in our study agree )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(reasonably well with previous data in documenting the rate of decline is slower in the later stages of the disease than in the )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(earlier stages probably reflecting a floor effect. )] TJ ET 0.267 0.267 0.267 rg BT 228.923 645.333 Td /F1 8.7 Tf [([12])] TJ ET 0.271 0.267 0.267 rg BT 243.379 645.333 Td /F1 9.8 Tf [( Progression of HD may not be linear in all stages. Since the population was )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(too small further studies need to investigate rates of progression of HD in large data sets using for example non-linear statistical )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(models. We had to exclude a substantial proportion of participants from the data based extrapolations because the slopes were )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(in the wrong direction. Such individuals present a challenge for the proposed technique of estimating individual onset by )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(extrapolating backwards.)] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(Our results suggest inaccuracies of the concept of a rater estimated AAO. Observing the onset may result in a more accurate )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(AAO than estimating the AAO from a distance of many years even if experienced HD clinicians use all available information )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(from patients, relatives, and carers. We do not have an objective measure of AAO, or the truth, so we cannot reliably say which )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(of the AAOs we have evaluated is the best. AAO implies it is possible to identify a point in time when HD signs manifest while )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(clinically it would be more appropriate to refer to a transition period of sometimes several years from the prodromal to the )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(manifest stage of HD. Based on our results we suggest to add in manifest HD cohorts a data derived AAO, especially for the )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(motor domain. This may be particularly important when using REGISTRY data where the rater estimate of AAO seems less )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(reliable. For predictions of AAO in the prodromal phase of HD, our data suggest that the Langbehn formula works better than )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(the formula integrating parental AAO. The challenge for the future is to find objective means to define AAO, both predicted and )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(retrospective. REGISTRY and PREDICT-HD, and also TRACK-HD, offer large collections of longitudinal data that can be used )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(to meet this challenge. )] TJ ET 0.267 0.267 0.267 rg BT 126.509 459.262 Td /F1 8.7 Tf [([10])] TJ ET 0.271 0.267 0.267 rg BT 26.250 422.660 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 402.705 Td /F4 9.8 Tf [(Expansion of Collaborator List)] TJ ET BT 26.250 383.301 Td /F4 9.8 Tf [(European Huntingtons Disease Registry Contributors)] TJ ET BT 26.250 363.896 Td /F1 9.8 Tf [(A-C Bachoud-Lvi,Registry Steering committee AR Bentivoglio, Registry Steering committee I Biunno, R Bonelli, Registry )] TJ ET BT 26.250 351.991 Td /F1 9.8 Tf [(Steering committee J-M Burgunder, Registry Steering committee SB Dunnett, Registry Steering committee JJ Ferreira, Registry )] TJ ET BT 26.250 340.086 Td /F1 9.8 Tf [(Steering committee OJ Handley, Registry Steering committee A Heiberg, Registry Steering committee T Illmann, Registry )] TJ ET BT 26.250 328.182 Td /F1 9.8 Tf [(Steering committee GB Landwehrmeyer, Registry Steering committee J Levey, Registry Steering committee JE Nielsen, )] TJ ET BT 26.250 316.277 Td /F1 9.8 Tf [(Registry Steering committee M Pivrinta, Registry Steering committee RAC Roos, Registry Steering committee A Rojo )] TJ ET BT 26.250 304.372 Td /F1 9.8 Tf [(Sebastin, Registry Steering committee SJ Tabrizi, Registry Steering committee W Vandenberghe, Registry Steering committee )] TJ ET BT 26.250 292.467 Td /F1 9.8 Tf [(C Verellen-Dumoulin, Registry Steering committee J Zaremba, Registry Steering committee T Uhrova, Registry Steering )] TJ ET BT 26.250 280.563 Td /F1 9.8 Tf [(committee J Wahlstrm, Registry Steering committee T Illmann,Information technology M Wallner, Information technology )] TJ ET BT 26.250 268.658 Td /F1 9.8 Tf [(Katrin Barth,Central coordination and Language coordinator Leonor Correia-Guedes, Central coordination and Language )] TJ ET BT 26.250 256.753 Td /F1 9.8 Tf [(coordinator Ana Maria Finisterra,Central coordination and Language coordinator Monica Bascuana Garde, Central )] TJ ET BT 26.250 244.848 Td /F1 9.8 Tf [(coordination and Language coordinator Reineke Bos, Central coordination and Language coordinator Sabrina Burg, Central )] TJ ET BT 26.250 232.944 Td /F1 9.8 Tf [(coordination and Language coordinator Daniel Ecker, Central coordination and Language coordinator Olivia J Handley, Central )] TJ ET BT 26.250 221.039 Td /F1 9.8 Tf [(coordination and Language coordinator Christine Held, Central coordination and Language coordinator Kerstin Koppers, Central )] TJ ET BT 26.250 209.134 Td /F1 9.8 Tf [(coordination and Language coordinator Mathilde Laur, Central coordination and Language coordinator Asuncin Martnez )] TJ ET BT 26.250 197.229 Td /F1 9.8 Tf [(Descals, Central coordination and Language coordinator Tim McLean, Central coordination and Language coordinator Tiago )] TJ ET BT 26.250 185.325 Td /F1 9.8 Tf [(Mestre,Central coordination and Language coordinator Sara Minster,Central coordination and Language coordinator Daniela )] TJ ET BT 26.250 173.420 Td /F1 9.8 Tf [(Monza, Central coordination and Language coordinator Jenny Townhill \(formerly Naji\), Central coordination and Language )] TJ ET BT 26.250 161.515 Td /F1 9.8 Tf [(coordinator Michael Orth, Central coordination and Language coordinator Helene Padieu, Central coordination and Language )] TJ ET BT 26.250 149.610 Td /F1 9.8 Tf [(coordinator Laurent Paterski, Central coordination and Language coordinator Nadia Peppa, Central coordination and Language )] TJ ET BT 26.250 137.706 Td /F1 9.8 Tf [(coordinator Susana Pro Koivisto, Central coordination and Language coordinator Amandine Rialland, Central coordination and )] TJ ET BT 26.250 125.801 Td /F1 9.8 Tf [(Language coordinator Niini Rren \(formerly Heinonen\), Central coordination and Language coordinator Pavla ainkov, )] TJ ET BT 26.250 113.896 Td /F1 9.8 Tf [(Central coordination and Language coordinator Patricia Trigo Cubillo, Central coordination and Language coordinator Christine )] TJ ET BT 26.250 101.991 Td /F1 9.8 Tf [(Tritsch, Central coordination and Language coordinator Marlene R van Walsem, Central coordination and Language coordinator )] TJ ET BT 26.250 90.087 Td /F1 9.8 Tf [(Marie-Noelle Witjes-An,Central coordination and Language coordinator Elizaveta Yudina \(formerly Tarasova\),Central )] TJ ET BT 26.250 78.182 Td /F1 9.8 Tf [(coordination and Language coordinator Daniel Zielonka, Central coordination and Language coordinator Eugeniusz Zielonka, )] TJ ET BT 26.250 66.277 Td /F1 9.8 Tf [(Central coordination and Language coordinator Paola Zinzi, Central coordination and Language coordinator Raphael M. Bonelli, )] TJ ET BT 26.250 54.372 Td /F1 9.8 Tf [(Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Brigitte Herranhof, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Anna )] TJ ET BT 26.250 42.468 Td /F1 9.8 Tf [(Holl \(formerly Hdl\), Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Markus Magnet, Graz \(LKH Graz, Abteilung fr )] TJ ET BT 26.250 30.563 Td /F1 9.8 Tf [(Psychiatrie\), Austria Daniela Otti, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Annamaria Painold, Graz \(LKH Graz, )] TJ ET Q q 15.000 16.277 577.500 760.723 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(We next used the data to model predictions of the rater estimate of AAO. Integrating the parent AAO and the individual CAG )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(repeat length resulted in a formula in very good agreement with the Ranen formula. The agreement rates of the Ranen, or )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Ranen analogous, formula with the rater estimate or the extrapolated AAO revealed a large window of 20 years. Overall, the )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(difference of the population based analyses, i.e. median, is unbiased, but on individual levels high deviances from the rater )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(estimate were found. This suggests that other factors may also influence the AAO on an individual level that average out on a )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(group level.)] TJ ET BT 26.250 688.548 Td /F4 9.8 Tf [(Conclusions and limitations)] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(A methodological limitation relates to the assumption of linear progression. Rates of decline of TFC in our study agree )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(reasonably well with previous data in documenting the rate of decline is slower in the later stages of the disease than in the )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(earlier stages probably reflecting a floor effect. )] TJ ET 0.267 0.267 0.267 rg BT 228.923 645.333 Td /F1 8.7 Tf [([12])] TJ ET 0.271 0.267 0.267 rg BT 243.379 645.333 Td /F1 9.8 Tf [( Progression of HD may not be linear in all stages. Since the population was )] TJ ET BT 26.250 633.429 Td /F1 9.8 Tf [(too small further studies need to investigate rates of progression of HD in large data sets using for example non-linear statistical )] TJ ET BT 26.250 621.524 Td /F1 9.8 Tf [(models. We had to exclude a substantial proportion of participants from the data based extrapolations because the slopes were )] TJ ET BT 26.250 609.619 Td /F1 9.8 Tf [(in the wrong direction. Such individuals present a challenge for the proposed technique of estimating individual onset by )] TJ ET BT 26.250 597.714 Td /F1 9.8 Tf [(extrapolating backwards.)] TJ ET BT 26.250 578.310 Td /F1 9.8 Tf [(Our results suggest inaccuracies of the concept of a rater estimated AAO. Observing the onset may result in a more accurate )] TJ ET BT 26.250 566.405 Td /F1 9.8 Tf [(AAO than estimating the AAO from a distance of many years even if experienced HD clinicians use all available information )] TJ ET BT 26.250 554.500 Td /F1 9.8 Tf [(from patients, relatives, and carers. We do not have an objective measure of AAO, or the truth, so we cannot reliably say which )] TJ ET BT 26.250 542.595 Td /F1 9.8 Tf [(of the AAOs we have evaluated is the best. AAO implies it is possible to identify a point in time when HD signs manifest while )] TJ ET BT 26.250 530.691 Td /F1 9.8 Tf [(clinically it would be more appropriate to refer to a transition period of sometimes several years from the prodromal to the )] TJ ET BT 26.250 518.786 Td /F1 9.8 Tf [(manifest stage of HD. Based on our results we suggest to add in manifest HD cohorts a data derived AAO, especially for the )] TJ ET BT 26.250 506.881 Td /F1 9.8 Tf [(motor domain. This may be particularly important when using REGISTRY data where the rater estimate of AAO seems less )] TJ ET BT 26.250 494.976 Td /F1 9.8 Tf [(reliable. For predictions of AAO in the prodromal phase of HD, our data suggest that the Langbehn formula works better than )] TJ ET BT 26.250 483.072 Td /F1 9.8 Tf [(the formula integrating parental AAO. The challenge for the future is to find objective means to define AAO, both predicted and )] TJ ET BT 26.250 471.167 Td /F1 9.8 Tf [(retrospective. REGISTRY and PREDICT-HD, and also TRACK-HD, offer large collections of longitudinal data that can be used )] TJ ET BT 26.250 459.262 Td /F1 9.8 Tf [(to meet this challenge. )] TJ ET 0.267 0.267 0.267 rg BT 126.509 459.262 Td /F1 8.7 Tf [([10])] TJ ET 0.271 0.267 0.267 rg BT 26.250 422.660 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 402.705 Td /F4 9.8 Tf [(Expansion of Collaborator List)] TJ ET BT 26.250 383.301 Td /F4 9.8 Tf [(European Huntingtons Disease Registry Contributors)] TJ ET BT 26.250 363.896 Td /F1 9.8 Tf [(A-C Bachoud-Lvi,Registry Steering committee AR Bentivoglio, Registry Steering committee I Biunno, R Bonelli, Registry )] TJ ET BT 26.250 351.991 Td /F1 9.8 Tf [(Steering committee J-M Burgunder, Registry Steering committee SB Dunnett, Registry Steering committee JJ Ferreira, Registry )] TJ ET BT 26.250 340.086 Td /F1 9.8 Tf [(Steering committee OJ Handley, Registry Steering committee A Heiberg, Registry Steering committee T Illmann, Registry )] TJ ET BT 26.250 328.182 Td /F1 9.8 Tf [(Steering committee GB Landwehrmeyer, Registry Steering committee J Levey, Registry Steering committee JE Nielsen, )] TJ ET BT 26.250 316.277 Td /F1 9.8 Tf [(Registry Steering committee M Pivrinta, Registry Steering committee RAC Roos, Registry Steering committee A Rojo )] TJ ET BT 26.250 304.372 Td /F1 9.8 Tf [(Sebastin, Registry Steering committee SJ Tabrizi, Registry Steering committee W Vandenberghe, Registry Steering committee )] TJ ET BT 26.250 292.467 Td /F1 9.8 Tf [(C Verellen-Dumoulin, Registry Steering committee J Zaremba, Registry Steering committee T Uhrova, Registry Steering )] TJ ET BT 26.250 280.563 Td /F1 9.8 Tf [(committee J Wahlstrm, Registry Steering committee T Illmann,Information technology M Wallner, Information technology )] TJ ET BT 26.250 268.658 Td /F1 9.8 Tf [(Katrin Barth,Central coordination and Language coordinator Leonor Correia-Guedes, Central coordination and Language )] TJ ET BT 26.250 256.753 Td /F1 9.8 Tf [(coordinator Ana Maria Finisterra,Central coordination and Language coordinator Monica Bascuana Garde, Central )] TJ ET BT 26.250 244.848 Td /F1 9.8 Tf [(coordination and Language coordinator Reineke Bos, Central coordination and Language coordinator Sabrina Burg, Central )] TJ ET BT 26.250 232.944 Td /F1 9.8 Tf [(coordination and Language coordinator Daniel Ecker, Central coordination and Language coordinator Olivia J Handley, Central )] TJ ET BT 26.250 221.039 Td /F1 9.8 Tf [(coordination and Language coordinator Christine Held, Central coordination and Language coordinator Kerstin Koppers, Central )] TJ ET BT 26.250 209.134 Td /F1 9.8 Tf [(coordination and Language coordinator Mathilde Laur, Central coordination and Language coordinator Asuncin Martnez )] TJ ET BT 26.250 197.229 Td /F1 9.8 Tf [(Descals, Central coordination and Language coordinator Tim McLean, Central coordination and Language coordinator Tiago )] TJ ET BT 26.250 185.325 Td /F1 9.8 Tf [(Mestre,Central coordination and Language coordinator Sara Minster,Central coordination and Language coordinator Daniela )] TJ ET BT 26.250 173.420 Td /F1 9.8 Tf [(Monza, Central coordination and Language coordinator Jenny Townhill \(formerly Naji\), Central coordination and Language )] TJ ET BT 26.250 161.515 Td /F1 9.8 Tf [(coordinator Michael Orth, Central coordination and Language coordinator Helene Padieu, Central coordination and Language )] TJ ET BT 26.250 149.610 Td /F1 9.8 Tf [(coordinator Laurent Paterski, Central coordination and Language coordinator Nadia Peppa, Central coordination and Language )] TJ ET BT 26.250 137.706 Td /F1 9.8 Tf [(coordinator Susana Pro Koivisto, Central coordination and Language coordinator Amandine Rialland, Central coordination and )] TJ ET BT 26.250 125.801 Td /F1 9.8 Tf [(Language coordinator Niini Rren \(formerly Heinonen\), Central coordination and Language coordinator Pavla ainkov, )] TJ ET BT 26.250 113.896 Td /F1 9.8 Tf [(Central coordination and Language coordinator Patricia Trigo Cubillo, Central coordination and Language coordinator Christine )] TJ ET BT 26.250 101.991 Td /F1 9.8 Tf [(Tritsch, Central coordination and Language coordinator Marlene R van Walsem, Central coordination and Language coordinator )] TJ ET BT 26.250 90.087 Td /F1 9.8 Tf [(Marie-Noelle Witjes-An,Central coordination and Language coordinator Elizaveta Yudina \(formerly Tarasova\),Central )] TJ ET BT 26.250 78.182 Td /F1 9.8 Tf [(coordination and Language coordinator Daniel Zielonka, Central coordination and Language coordinator Eugeniusz Zielonka, )] TJ ET BT 26.250 66.277 Td /F1 9.8 Tf [(Central coordination and Language coordinator Paola Zinzi, Central coordination and Language coordinator Raphael M. Bonelli, )] TJ ET BT 26.250 54.372 Td /F1 9.8 Tf [(Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Brigitte Herranhof, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Anna )] TJ ET BT 26.250 42.468 Td /F1 9.8 Tf [(Holl \(formerly Hdl\), Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Markus Magnet, Graz \(LKH Graz, Abteilung fr )] TJ ET BT 26.250 30.563 Td /F1 9.8 Tf [(Psychiatrie\), Austria Daniela Otti, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Annamaria Painold, Graz \(LKH Graz, )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(6)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 171 0 obj << /Type /Annot /Subtype /Link /A 172 0 R /Border [0 0 0] /H /I /Rect [ 228.9232 644.5318 243.3793 653.3501 ] >> endobj 172 0 obj << /Type /Action >> endobj 173 0 obj << /Type /Annot /Subtype /Link /A 174 0 R /Border [0 0 0] /H /I /Rect [ 126.5092 458.4605 140.9653 467.2789 ] >> endobj 174 0 obj << /Type /Action >> endobj 175 0 obj << /Type /Annot /Subtype /Link /A 176 0 R /Border [0 0 0] /H /I /Rect [ 228.9232 644.5318 243.3793 653.3501 ] >> endobj 176 0 obj << /Type /Action >> endobj 177 0 obj << /Type /Annot /Subtype /Link /A 178 0 R /Border [0 0 0] /H /I /Rect [ 126.5092 458.4605 140.9653 467.2789 ] >> endobj 178 0 obj << /Type /Action >> endobj 179 0 obj << /Type /Annot /Subtype /Link /A 180 0 R /Border [0 0 0] /H /I /Rect [ 228.9232 644.5318 243.3793 653.3501 ] >> endobj 180 0 obj << /Type /Action >> endobj 181 0 obj << /Type /Annot /Subtype /Link /A 182 0 R /Border [0 0 0] /H /I /Rect [ 126.5092 458.4605 140.9653 467.2789 ] >> endobj 182 0 obj << /Type /Action >> endobj 183 0 obj << /Type /Page /Parent 3 0 R /Contents 184 0 R >> endobj 184 0 obj << /Length 31648 >> stream 0.271 0.267 0.267 rg q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Abteilung fr Psychiatrie\), Austria Karin Reisinger, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Monika Scheibl, Graz )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(\(LKH Graz, Abteilung fr Psychiatrie\), Austria Helmut Schggl, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Pascale )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Riba, Charleroi, Institut de Pathologie et de Gntique \(IPG\), Belgium Christine Verellen-Dumoulin, Charleroi, Institut de )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Pathologie et de Gntique \(IPG\), Belgium Andrea Boogaerts, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium Wim )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Vandenberghe, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium Dimphna van Reijen, Universitair Ziekenhuis )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Gasthuisberg, Leuven, Belgium Ji? Klemp?; Extrapyramidov centrum, Neurologick klinika, 1. LF UK a VFN, Prague, Czech )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Republic Jan Roth, Extrapyramidov centrum, Neurologick klinika, 1. LF UK a VFN, Prague, Czech Republic Jrgen E. )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Nielsen, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Lena E. Hjermind, )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Oda Jakobsen, Hukommelsesklinikken, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Rigshospitalet; Panum Instituttet, Copenhage, Denmark Jette Stokholm, Hukommelsesklinikken, Rigshospitalet; Panum )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Instituttet, Copenhage, Denmark Lis Hasholt, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Anne Nrremlle, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Sven Asger Srensen, )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Heli Hiivola, Rehabilitation Centre Suvituuli, )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Turku-Suvituuli, Finland Kirsti Martikainen, Rehabilitation Centre Suvituuli, Turku-Suvituuli, Finland Katri Tuuha, Rehabilitation )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Centre Suvituuli, Turku-Suvituuli, Finland Maire Santala, Terveystalo Healthcare Service Centre, Tamper, Finland Christoph )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Michael Kosinski, Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany Eva Milkereit, Universittsklinikum )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Aachen, Neurologische Klinik, Aachen, Germany Daniela Probst, Universittsklinikum Aachen, Neurologische Klinik, Aachen, )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Germany Christian Sass, Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany JohannesSchiefer, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany Christiane Schlangen, Universittsklinikum Aachen, )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Neurologische Klinik, Aachen, Germany Cornelius J. Werner, Universittsklinikum Aachen, Neurologische Klinik, Aachen, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Germany Harald Gelderblom, Klinik und Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Josef )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Priller, Klinik und Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Harald Pr, Klinik und )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Eike Jakob Spruth, Klinik und Poliklinik fr )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Jrgen Andrich)] TJ ET BT 382.778 493.667 Td /F4 9.8 Tf [(, )] TJ ET BT 388.199 493.667 Td /F1 9.8 Tf [(Huntington-Zentrum \(NRW\) Bochum im St. )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Josef-Hospital, Bochum, Germany Gisa Ellrichmann, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Germany Rainer Hoffmann, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Christian Prehn, )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Carsten Saft, Huntington-Zentrum \(NRW\) )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Bochum im St. Josef-Hospital, Bochum, Germany Stephan Salmen, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Bochum, Germany Christiane Stamm, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Tanja )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Steiner, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Katrin Straburge, Huntington-Zentrum )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(\(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Herwig Lange, Reha Zentrum in Dinslaken im Gesundheitszentrums )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Lang, Dinslake, German Matthias Lhle, Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(und Poliklinik fr Neurologie, Dresden, Germany Simone Schmidt, Universittsklinikum Carl Gustav Carus an der Technischen )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, Germany Alexander Storch, Universittsklinikum Carl Gustav )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, Germany Annett Wolz, )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Germany Martin Wolz, Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Neurologie, Dresden, Germany Johann Lambeck, Universittsklinik Freiburg, Neurologie, Freiburg, Germany Birgit Zucker, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Universittsklinik Freiburg, Neurologie, Freiburg, Germany Ute Hidding, Universittsklinikum Hamburg-Eppendorf, Klinik und )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Poliklinik fr Neurologie, Hamburg, Germany Jan Lewerenz, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(Neurologie, Hamburg, Germany Alexander Mnchau, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Neurologie, Hamburg, Germany Michael Orth, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Hamburg, Germany Jenny Schmalfeld, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Germany Lars Stubbe, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, Germany )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Simone Zittel, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, Germany Walburgis )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Heinicke, Psychatrium Heiligenhafen, Heiligenhafe, Germany Bernhard Longinus, Klinik fr Psychiatrie und Psychotherapie )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Marburg-Sd, Marburg KP, Germany Jens Carsten Mller, Universitt Marburg, Neurologie, Marburg Uni, Germany Ida )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Rissling, Universitt Marburg, Neurologie, Marburg Uni, Germany Alexander Peinemann, Huntington-Ambulanz im Neuro-)] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Kopfzentrum Klinikum rechts der Isar der Neurologischen Klinik und Poliklinik der Technischen Universitt Mnchen, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Mnchen, Germany Michael Stdtler, Huntington-Ambulanz im Neuro-Kopfzentrum Klinikum rechts der Isar der )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Neurologischen Klinik und Poliklinik der Technischen Universitt Mnchen, Mnchen, Germany Adolf Weindl, Huntington-)] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Ambulanz im Neuro-Kopfzentrum Klinikum rechts der Isar der Neurologischen Klinik und Poliklinik der Technischen )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Universitt Mnchen, Mnchen, Germany Stefan Bohlen, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Mnste, Germany Eva Hlzner, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, Mnste, Germany Herwig )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Lange, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, Mnste, Germany Ralf Reilmann, Universittsklinikum )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Mnster, Klinik und Poliklinik fr Neurologie, Mnste, German Antonie Beister, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Taufkirchen, Germany Matthias Dose, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Kathrin Hammer, )] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Janina Kieni, Isar-Amper-Klinikum Klinik Taufkirchen )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(\(Vils\), Taufkirchen, Germany Gabriele Leythaeuser, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Ralf )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Marquard, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Tina Raab, Isar-Amper-Klinikum Klinik )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Taufkirchen \(Vils\), Taufkirchen, Germany Sven Richter, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(Amina Selimbegovic-Turkovic, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Caroline Schrenk, Isar-)] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Michele Schuierer;, Isar-Amper-Klinikum Klinik Taufkirchen )] TJ ET Q q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Abteilung fr Psychiatrie\), Austria Karin Reisinger, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Monika Scheibl, Graz )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(\(LKH Graz, Abteilung fr Psychiatrie\), Austria Helmut Schggl, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Pascale )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Riba, Charleroi, Institut de Pathologie et de Gntique \(IPG\), Belgium Christine Verellen-Dumoulin, Charleroi, Institut de )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Pathologie et de Gntique \(IPG\), Belgium Andrea Boogaerts, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium Wim )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Vandenberghe, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium Dimphna van Reijen, Universitair Ziekenhuis )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Gasthuisberg, Leuven, Belgium Ji? Klemp?; Extrapyramidov centrum, Neurologick klinika, 1. LF UK a VFN, Prague, Czech )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Republic Jan Roth, Extrapyramidov centrum, Neurologick klinika, 1. LF UK a VFN, Prague, Czech Republic Jrgen E. )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Nielsen, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Lena E. Hjermind, )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Oda Jakobsen, Hukommelsesklinikken, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Rigshospitalet; Panum Instituttet, Copenhage, Denmark Jette Stokholm, Hukommelsesklinikken, Rigshospitalet; Panum )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Instituttet, Copenhage, Denmark Lis Hasholt, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Anne Nrremlle, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Sven Asger Srensen, )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Heli Hiivola, Rehabilitation Centre Suvituuli, )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Turku-Suvituuli, Finland Kirsti Martikainen, Rehabilitation Centre Suvituuli, Turku-Suvituuli, Finland Katri Tuuha, Rehabilitation )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Centre Suvituuli, Turku-Suvituuli, Finland Maire Santala, Terveystalo Healthcare Service Centre, Tamper, Finland Christoph )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Michael Kosinski, Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany Eva Milkereit, Universittsklinikum )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Aachen, Neurologische Klinik, Aachen, Germany Daniela Probst, Universittsklinikum Aachen, Neurologische Klinik, Aachen, )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Germany Christian Sass, Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany JohannesSchiefer, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany Christiane Schlangen, Universittsklinikum Aachen, )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Neurologische Klinik, Aachen, Germany Cornelius J. Werner, Universittsklinikum Aachen, Neurologische Klinik, Aachen, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Germany Harald Gelderblom, Klinik und Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Josef )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Priller, Klinik und Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Harald Pr, Klinik und )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Eike Jakob Spruth, Klinik und Poliklinik fr )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Jrgen Andrich)] TJ ET BT 382.778 493.667 Td /F4 9.8 Tf [(, )] TJ ET BT 388.199 493.667 Td /F1 9.8 Tf [(Huntington-Zentrum \(NRW\) Bochum im St. )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Josef-Hospital, Bochum, Germany Gisa Ellrichmann, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Germany Rainer Hoffmann, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Christian Prehn, )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Carsten Saft, Huntington-Zentrum \(NRW\) )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Bochum im St. Josef-Hospital, Bochum, Germany Stephan Salmen, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Bochum, Germany Christiane Stamm, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Tanja )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Steiner, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Katrin Straburge, Huntington-Zentrum )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(\(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Herwig Lange, Reha Zentrum in Dinslaken im Gesundheitszentrums )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Lang, Dinslake, German Matthias Lhle, Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(und Poliklinik fr Neurologie, Dresden, Germany Simone Schmidt, Universittsklinikum Carl Gustav Carus an der Technischen )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, Germany Alexander Storch, Universittsklinikum Carl Gustav )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, Germany Annett Wolz, )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Germany Martin Wolz, Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Neurologie, Dresden, Germany Johann Lambeck, Universittsklinik Freiburg, Neurologie, Freiburg, Germany Birgit Zucker, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Universittsklinik Freiburg, Neurologie, Freiburg, Germany Ute Hidding, Universittsklinikum Hamburg-Eppendorf, Klinik und )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Poliklinik fr Neurologie, Hamburg, Germany Jan Lewerenz, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(Neurologie, Hamburg, Germany Alexander Mnchau, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Neurologie, Hamburg, Germany Michael Orth, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Hamburg, Germany Jenny Schmalfeld, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Germany Lars Stubbe, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, Germany )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Simone Zittel, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, Germany Walburgis )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Heinicke, Psychatrium Heiligenhafen, Heiligenhafe, Germany Bernhard Longinus, Klinik fr Psychiatrie und Psychotherapie )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Marburg-Sd, Marburg KP, Germany Jens Carsten Mller, Universitt Marburg, Neurologie, Marburg Uni, Germany Ida )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Rissling, Universitt Marburg, Neurologie, Marburg Uni, Germany Alexander Peinemann, Huntington-Ambulanz im Neuro-)] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Kopfzentrum Klinikum rechts der Isar der Neurologischen Klinik und Poliklinik der Technischen Universitt Mnchen, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Mnchen, Germany Michael Stdtler, Huntington-Ambulanz im Neuro-Kopfzentrum Klinikum rechts der Isar der )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Neurologischen Klinik und Poliklinik der Technischen Universitt Mnchen, Mnchen, Germany Adolf Weindl, Huntington-)] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Ambulanz im Neuro-Kopfzentrum Klinikum rechts der Isar der Neurologischen Klinik und Poliklinik der Technischen )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Universitt Mnchen, Mnchen, Germany Stefan Bohlen, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Mnste, Germany Eva Hlzner, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, Mnste, Germany Herwig )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Lange, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, Mnste, Germany Ralf Reilmann, Universittsklinikum )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Mnster, Klinik und Poliklinik fr Neurologie, Mnste, German Antonie Beister, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Taufkirchen, Germany Matthias Dose, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Kathrin Hammer, )] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Janina Kieni, Isar-Amper-Klinikum Klinik Taufkirchen )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(\(Vils\), Taufkirchen, Germany Gabriele Leythaeuser, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Ralf )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Marquard, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Tina Raab, Isar-Amper-Klinikum Klinik )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Taufkirchen \(Vils\), Taufkirchen, Germany Sven Richter, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(Amina Selimbegovic-Turkovic, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Caroline Schrenk, Isar-)] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Michele Schuierer;, Isar-Amper-Klinikum Klinik Taufkirchen )] TJ ET Q q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Abteilung fr Psychiatrie\), Austria Karin Reisinger, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Monika Scheibl, Graz )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(\(LKH Graz, Abteilung fr Psychiatrie\), Austria Helmut Schggl, Graz \(LKH Graz, Abteilung fr Psychiatrie\), Austria Pascale )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Riba, Charleroi, Institut de Pathologie et de Gntique \(IPG\), Belgium Christine Verellen-Dumoulin, Charleroi, Institut de )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Pathologie et de Gntique \(IPG\), Belgium Andrea Boogaerts, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium Wim )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Vandenberghe, Universitair Ziekenhuis Gasthuisberg, Leuven, Belgium Dimphna van Reijen, Universitair Ziekenhuis )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Gasthuisberg, Leuven, Belgium Ji? Klemp?; Extrapyramidov centrum, Neurologick klinika, 1. LF UK a VFN, Prague, Czech )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Republic Jan Roth, Extrapyramidov centrum, Neurologick klinika, 1. LF UK a VFN, Prague, Czech Republic Jrgen E. )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Nielsen, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Lena E. Hjermind, )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Oda Jakobsen, Hukommelsesklinikken, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Rigshospitalet; Panum Instituttet, Copenhage, Denmark Jette Stokholm, Hukommelsesklinikken, Rigshospitalet; Panum )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Instituttet, Copenhage, Denmark Lis Hasholt, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Anne Nrremlle, Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Sven Asger Srensen, )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Hukommelsesklinikken, Rigshospitalet; Panum Instituttet, Copenhage, Denmark Heli Hiivola, Rehabilitation Centre Suvituuli, )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Turku-Suvituuli, Finland Kirsti Martikainen, Rehabilitation Centre Suvituuli, Turku-Suvituuli, Finland Katri Tuuha, Rehabilitation )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Centre Suvituuli, Turku-Suvituuli, Finland Maire Santala, Terveystalo Healthcare Service Centre, Tamper, Finland Christoph )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Michael Kosinski, Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany Eva Milkereit, Universittsklinikum )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Aachen, Neurologische Klinik, Aachen, Germany Daniela Probst, Universittsklinikum Aachen, Neurologische Klinik, Aachen, )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Germany Christian Sass, Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany JohannesSchiefer, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Universittsklinikum Aachen, Neurologische Klinik, Aachen, Germany Christiane Schlangen, Universittsklinikum Aachen, )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Neurologische Klinik, Aachen, Germany Cornelius J. Werner, Universittsklinikum Aachen, Neurologische Klinik, Aachen, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Germany Harald Gelderblom, Klinik und Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Josef )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Priller, Klinik und Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Harald Pr, Klinik und )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Poliklinik fr Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Eike Jakob Spruth, Klinik und Poliklinik fr )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Neurologie Charit Universittsmedizin Berlin, Berlin, Germany Jrgen Andrich)] TJ ET BT 382.778 493.667 Td /F4 9.8 Tf [(, )] TJ ET BT 388.199 493.667 Td /F1 9.8 Tf [(Huntington-Zentrum \(NRW\) Bochum im St. )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Josef-Hospital, Bochum, Germany Gisa Ellrichmann, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Germany Rainer Hoffmann, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Christian Prehn, )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Carsten Saft, Huntington-Zentrum \(NRW\) )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Bochum im St. Josef-Hospital, Bochum, Germany Stephan Salmen, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Bochum, Germany Christiane Stamm, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Tanja )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Steiner, Huntington-Zentrum \(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Katrin Straburge, Huntington-Zentrum )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(\(NRW\) Bochum im St. Josef-Hospital, Bochum, Germany Herwig Lange, Reha Zentrum in Dinslaken im Gesundheitszentrums )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Lang, Dinslake, German Matthias Lhle, Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(und Poliklinik fr Neurologie, Dresden, Germany Simone Schmidt, Universittsklinikum Carl Gustav Carus an der Technischen )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, Germany Alexander Storch, Universittsklinikum Carl Gustav )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, Germany Annett Wolz, )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr Neurologie, Dresden, )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Germany Martin Wolz, Universittsklinikum Carl Gustav Carus an der Technischen Universitt Dresden, Klinik und Poliklinik fr )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Neurologie, Dresden, Germany Johann Lambeck, Universittsklinik Freiburg, Neurologie, Freiburg, Germany Birgit Zucker, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Universittsklinik Freiburg, Neurologie, Freiburg, Germany Ute Hidding, Universittsklinikum Hamburg-Eppendorf, Klinik und )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Poliklinik fr Neurologie, Hamburg, Germany Jan Lewerenz, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(Neurologie, Hamburg, Germany Alexander Mnchau, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Neurologie, Hamburg, Germany Michael Orth, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Hamburg, Germany Jenny Schmalfeld, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Germany Lars Stubbe, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, Germany )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Simone Zittel, Universittsklinikum Hamburg-Eppendorf, Klinik und Poliklinik fr Neurologie, Hamburg, Germany Walburgis )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Heinicke, Psychatrium Heiligenhafen, Heiligenhafe, Germany Bernhard Longinus, Klinik fr Psychiatrie und Psychotherapie )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Marburg-Sd, Marburg KP, Germany Jens Carsten Mller, Universitt Marburg, Neurologie, Marburg Uni, Germany Ida )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Rissling, Universitt Marburg, Neurologie, Marburg Uni, Germany Alexander Peinemann, Huntington-Ambulanz im Neuro-)] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Kopfzentrum Klinikum rechts der Isar der Neurologischen Klinik und Poliklinik der Technischen Universitt Mnchen, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Mnchen, Germany Michael Stdtler, Huntington-Ambulanz im Neuro-Kopfzentrum Klinikum rechts der Isar der )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Neurologischen Klinik und Poliklinik der Technischen Universitt Mnchen, Mnchen, Germany Adolf Weindl, Huntington-)] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Ambulanz im Neuro-Kopfzentrum Klinikum rechts der Isar der Neurologischen Klinik und Poliklinik der Technischen )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Universitt Mnchen, Mnchen, Germany Stefan Bohlen, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Mnste, Germany Eva Hlzner, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, Mnste, Germany Herwig )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Lange, Universittsklinikum Mnster, Klinik und Poliklinik fr Neurologie, Mnste, Germany Ralf Reilmann, Universittsklinikum )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Mnster, Klinik und Poliklinik fr Neurologie, Mnste, German Antonie Beister, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Taufkirchen, Germany Matthias Dose, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Kathrin Hammer, )] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Janina Kieni, Isar-Amper-Klinikum Klinik Taufkirchen )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(\(Vils\), Taufkirchen, Germany Gabriele Leythaeuser, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Ralf )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Marquard, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Tina Raab, Isar-Amper-Klinikum Klinik )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Taufkirchen \(Vils\), Taufkirchen, Germany Sven Richter, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(Amina Selimbegovic-Turkovic, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Caroline Schrenk, Isar-)] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany Michele Schuierer;, Isar-Amper-Klinikum Klinik Taufkirchen )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(7)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 185 0 obj << /Type /Page /Parent 3 0 R /Contents 186 0 R >> endobj 186 0 obj << /Length 26338 >> stream 0.271 0.267 0.267 rg q 15.000 27.834 577.500 749.166 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(\(Vils\), Taufkirchen, Germany Alexandra Wiedemann, Isar-Amper-Klinikum Klinik Taufkirchen \(Vils\), Taufkirchen, Germany )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Katrin Barth, Universittsklinikum Ulm, Neurologie, Ulm, Germany Andrea Buck, Universittsklinikum Ulm, Neurologie, Ulm, )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Germany Julia Connemann, Universittsklinikum Ulm, Neurologie, Ulm, Germany Daniel Ecker, Universittsklinikum Ulm, )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Neurologie, Ulm, 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\(DiNOG\), Universit di Genova, Genoa, Italy Giovanna )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Ferrandes, Dipartimento di Neuroscienze, Oftalmologia e Genetica \(DiNOG\), Universit di Genova, Genoa, Italy Paola Mandich, )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Dipartimento di Neuroscienze, Oftalmologia e Genetica \(DiNOG\), Universit di Genova, Genoa, Italy Roberta Marchese, )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(Dipartimento di Neuroscienze, Oftalmologia e Genetica \(DiNOG\),Universit di Genova, Genoa, Italy)] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Alberto Albanese, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 379.024 Td /F1 9.8 Tf [(Daniela Di Bella, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 359.619 Td /F1 9.8 Tf [(Stefano Di Donato, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 340.215 Td /F1 9.8 Tf [(Cinzia Gellera, Fondazione IRCCS Istituto Neurologico Carlo 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Careggi, Florence, Italy Claudia Mechi, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Dipartimento di Scienze Neurologiche e Psichiatriche Universita degli Studi di Firenze-Azienda Ospedaliera Universitaria )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Careggi, Florence, Italy Marco Paganini, Dipartimento di Scienze Neurologiche e Psichiatriche Universita degli Studi di Firenze-)] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Azienda Ospedaliera Universitaria Careggi, Florence, Italy Silvia Piacentini, Dipartimento di Scienze Neurologiche e )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Psichiatriche Universita degli Studi di Firenze-Azienda Ospedaliera Universitaria Careggi, Florence, Italy Silvia Pradella, )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Dipartimento di Scienze Neurologiche e Psichiatriche Universita degli Studi di Firenze-Azienda Ospedaliera Universitaria )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Careggi, Florence, Italy Anna Maria Romoli, Dipartimento di Scienze Neurologiche e Psichiatriche Universita degli Studi di )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Firenze-Azienda Ospedaliera Universitaria Careggi, Florence, Italy Sandro Sorbi, Dipartimento di Scienze Neurologiche e )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Psichiatriche Universita degli Studi di Firenze-Azienda Ospedaliera Universitaria Careggi, Florence, Italy Giovanni Abbruzzese, )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Dipartimento di Neuroscienze, Oftalmologia e Genetica \(DiNOG\), Universit di Genova, Genoa, Italy Monica Bandettini di )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Poggio, Dipartimento di Neuroscienze, Oftalmologia e Genetica \(DiNOG\), Universit di Genova, Genoa, Italy Giovanna )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Ferrandes, Dipartimento di Neuroscienze, Oftalmologia e Genetica \(DiNOG\), Universit di Genova, Genoa, Italy Paola Mandich, )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Dipartimento di Neuroscienze, Oftalmologia e Genetica \(DiNOG\), Universit di Genova, Genoa, Italy Roberta Marchese, )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(Dipartimento di Neuroscienze, Oftalmologia e Genetica \(DiNOG\),Universit di Genova, Genoa, Italy)] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Alberto Albanese, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 379.024 Td /F1 9.8 Tf [(Daniela Di Bella, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 359.619 Td /F1 9.8 Tf [(Stefano Di Donato, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 340.215 Td /F1 9.8 Tf [(Cinzia Gellera, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 320.810 Td /F1 9.8 Tf [(Silvia Genitrini, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 301.405 Td /F1 9.8 Tf [(Caterina Mariotti, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 282.000 Td /F1 9.8 Tf [(Daniela Monza, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 262.596 Td /F1 9.8 Tf [(Lorenzo Nanetti, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 243.191 Td /F1 9.8 Tf [(Dominga Paridi, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 223.786 Td /F1 9.8 Tf [(Paola Soliveri, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 204.381 Td /F1 9.8 Tf [(Chiara Tomasello, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy)] TJ ET BT 26.250 184.977 Td /F1 9.8 Tf [(Giuseppe De Michele, Dipartimento di Scienze NeurologicheAzienda Ospedaliera Universitaria Federico II, Naples, Italy Luigi Di )] TJ ET BT 26.250 173.072 Td /F1 9.8 Tf [(Maio, Dipartimento di Scienze NeurologicheAzienda Ospedaliera Universitaria Federico II, Naples, Italy Carlo Rinaldi, )] TJ ET BT 26.250 161.167 Td /F1 9.8 Tf [(Dipartimento di Scienze NeurologicheAzienda Ospedaliera Universitaria Federico II, Naples, Italy 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Andrea Buck, Universittsklinikum Ulm, Neurologie, Ulm, )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Germany Julia Connemann, Universittsklinikum Ulm, Neurologie, Ulm, Germany Daniel Ecker, Universittsklinikum Ulm, )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Neurologie, Ulm, Germany Carolin Eschenbach, Universittsklinikum Ulm, Neurologie, Ulm, Germany Christine Held, )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Universittsklinikum Ulm, Neurologie, Ulm, Germany Bernhard Landwehrmeyer, Universittsklinikum Ulm, Neurologie, Ulm, )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Germany Franziska Lezius, Universittsklinikum Ulm, Neurologie, Ulm, Germany Anke Niess, Universittsklinikum Ulm, )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Neurologie, Ulm, Germany Michael Orth, Universittsklinikum Ulm, Neurologie, Ulm, Germany Sigurd Smuth, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Universittsklinikum Ulm, Neurologie, Ulm, Germany Sonja Trautmann, Universittsklinikum Ulm, Neurologie, Ulm, Germany )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Patrick Weydt, Universittsklinikum Ulm, Neurologie, Ulm, Germany Claudia Cormio, Dipartimento di Scienze Neurologiche e )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Psichiatriche Universita di Bari, Bari, Italy Olimpia Difruscolo, Dipartimento di Scienze Neurologiche e Psichiatriche Universita )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(di Bari, Bari, Italy Vittorio Sciruicchio, Dipartimento di Scienze Neurologiche e Psichiatriche Universita di Bari, Bari, Italy Claudia )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Serpino, Dipartimento di Scienze Neurologiche e Psichiatriche Universita di Bari, Bari, Italy Marina de Tommaso, Dipartimento )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(di Scienze Neurologiche e Psichiatriche Universita di Bari, Bari, Italy Elisabetta Bertini, Dipartimento di Scienze Neurologiche e )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Psichiatriche Universita degli Studi di Firenze-Azienda Ospedaliera Universitaria Careggi, Florence, Italy 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Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 716.762 Td /F1 9.8 Tf [(Raffaella Di Giacopo, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 704.857 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 685.452 Td /F1 9.8 Tf [(Alfonso Fasano, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 673.548 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 654.143 Td /F1 9.8 Tf [(Marina Frontali, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 642.238 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 622.833 Td /F1 9.8 Tf [(Arianna Guidubaldi, Istituto di Neurobiologia e Medicina Molecolare 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/CNR;Istituto )] TJ ET BT 26.250 391.762 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 372.357 Td /F1 9.8 Tf [(Francesco Soleti, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 360.453 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 341.048 Td /F1 9.8 Tf [(Maria Spadaro, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 329.143 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 309.738 Td /F1 9.8 Tf [(Paola Zinzi, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto di )] TJ ET BT 26.250 297.834 Td /F1 9.8 Tf [(Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 278.429 Td /F1 9.8 Tf [(Monique S.E. van Hout, Medisch Spectrum Twente, Ensched, Netherlands Jeroen P.P. van Vugt, Medisch Spectrum Twente, )] TJ ET BT 26.250 266.524 Td /F1 9.8 Tf [(Ensched, Netherlands A. Marit de Weert, Medisch Spectrum Twente, Ensched, Netherlands J.J.W. Bolwijn, Polikliniek )] TJ ET BT 26.250 254.619 Td /F1 9.8 Tf [(Neurologie, Groningen, Netherlands M. Dekker, Polikliniek Neurologie, Groningen, Netherlands K.L. Leenders, Polikliniek )] TJ ET BT 26.250 242.715 Td /F1 9.8 Tf [(Neurologie, Groningen, Netherlands J.C.H. van Oostrom, Polikliniek Neurologie, Groningen, Netherlands Reineke Bos, Leiden )] TJ ET BT 26.250 230.810 Td /F1 9.8 Tf [(University Medical Centre \(LUMC\), Leide, Netherlands Eve M. Dumas, Leiden University Medical Centre \(LUMC\), Leide, )] TJ ET BT 26.250 218.905 Td /F1 9.8 Tf [(Netherlands Caroline K. Jurgens, Leiden University Medical Centre \(LUMC\), Leide, Netherlands Simon J. A. van den Bogaard, )] TJ ET BT 26.250 207.000 Td /F1 9.8 Tf [(Leiden University Medical Centre \(LUMC\), Leide, Netherlands Raymund A.C. 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Verstappen, Universitair Medisch Centrum St. Radboud, Neurology, Nijmege, )] TJ ET BT 26.250 159.381 Td /F1 9.8 Tf [(Netherland Arvid Heiberg, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway )] TJ ET BT 26.250 147.477 Td /F1 9.8 Tf [(Marleen R van Walsem, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Jan )] TJ ET BT 26.250 135.572 Td /F1 9.8 Tf [(Frich, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Olaf Aaserud, )] TJ ET BT 26.250 123.667 Td /F1 9.8 Tf [(Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Raghild Wehu, )] TJ ET BT 26.250 111.762 Td /F1 9.8 Tf [(Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Kathrine Bjrgo, Ulleval, )] TJ ET BT 26.250 99.858 Td /F1 9.8 Tf [(Dept of Medical Genetics and Department, Oslo University Hospital, 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Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 642.238 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 622.833 Td /F1 9.8 Tf [(Arianna Guidubaldi, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 610.929 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 591.524 Td /F1 9.8 Tf [(Tamara Ialongo, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 579.619 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 560.214 Td /F1 9.8 Tf [(Gioia Jacopini, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 548.310 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 528.905 Td /F1 9.8 Tf [(Giovanna Loria, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 517.000 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 497.595 Td /F1 9.8 Tf [(Carla Piano, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto di )] TJ ET BT 26.250 485.691 Td /F1 9.8 Tf [(Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 466.286 Td /F1 9.8 Tf [(Piccininni Chiara, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 454.381 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 434.976 Td /F1 9.8 Tf [(Davide Quaranta, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 423.072 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 403.667 Td /F1 9.8 Tf [(Silvia Romano, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 391.762 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 372.357 Td /F1 9.8 Tf [(Francesco Soleti, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 360.453 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 341.048 Td /F1 9.8 Tf [(Maria Spadaro, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 329.143 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 309.738 Td /F1 9.8 Tf [(Paola Zinzi, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto di )] TJ ET BT 26.250 297.834 Td /F1 9.8 Tf [(Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 278.429 Td /F1 9.8 Tf [(Monique S.E. van Hout, Medisch Spectrum Twente, Ensched, Netherlands Jeroen P.P. van Vugt, Medisch Spectrum Twente, )] TJ ET BT 26.250 266.524 Td /F1 9.8 Tf [(Ensched, Netherlands A. Marit de Weert, Medisch Spectrum Twente, Ensched, Netherlands J.J.W. Bolwijn, Polikliniek )] TJ ET BT 26.250 254.619 Td /F1 9.8 Tf [(Neurologie, Groningen, Netherlands M. Dekker, Polikliniek Neurologie, Groningen, Netherlands K.L. Leenders, Polikliniek )] TJ ET BT 26.250 242.715 Td /F1 9.8 Tf [(Neurologie, Groningen, Netherlands J.C.H. van Oostrom, Polikliniek Neurologie, Groningen, Netherlands Reineke Bos, Leiden )] TJ ET BT 26.250 230.810 Td /F1 9.8 Tf [(University Medical Centre \(LUMC\), Leide, Netherlands Eve M. Dumas, Leiden University Medical Centre \(LUMC\), Leide, )] TJ ET BT 26.250 218.905 Td /F1 9.8 Tf [(Netherlands Caroline K. Jurgens, Leiden University Medical Centre \(LUMC\), Leide, Netherlands Simon J. A. van den Bogaard, )] TJ ET BT 26.250 207.000 Td /F1 9.8 Tf [(Leiden University Medical Centre \(LUMC\), Leide, Netherlands Raymund A.C. Roos, Leiden University Medical Centre \(LUMC\), )] TJ ET BT 26.250 195.096 Td /F1 9.8 Tf [(Leide, Netherlands Ellen P. t Hart, Leiden University Medical Centre \(LUMC\), Leide, Netherlands Marie-Nolle Witjes-An, )] TJ ET BT 26.250 183.191 Td /F1 9.8 Tf [(Leiden University Medical Centre \(LUMC\), Leide, Netherlands Berry Kremer, Universitair Medisch Centrum St. Radboud, )] TJ ET BT 26.250 171.286 Td /F1 9.8 Tf [(Neurology, Nijmege, Netherlands C.C.P. Verstappen, Universitair Medisch Centrum St. Radboud, Neurology, Nijmege, )] TJ ET BT 26.250 159.381 Td /F1 9.8 Tf [(Netherland Arvid Heiberg, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway )] TJ ET BT 26.250 147.477 Td /F1 9.8 Tf [(Marleen R van Walsem, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Jan )] TJ ET BT 26.250 135.572 Td /F1 9.8 Tf [(Frich, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Olaf Aaserud, )] TJ ET BT 26.250 123.667 Td /F1 9.8 Tf [(Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Raghild Wehu, )] TJ ET BT 26.250 111.762 Td /F1 9.8 Tf [(Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Kathrine Bjrgo, Ulleval, )] TJ ET BT 26.250 99.858 Td /F1 9.8 Tf [(Dept of Medical Genetics and Department, Oslo University Hospital, Norway Madelein Fannemel, Ulleval, Dept of Medical )] TJ ET BT 26.250 87.953 Td /F1 9.8 Tf [(Genetics and Department, Oslo University Hospital, Norway Per Grvell, Ulleval, Dept of Medical Genetics and Department, )] TJ ET BT 26.250 76.048 Td /F1 9.8 Tf [(Oslo University Hospital, Norway Eirin Lorentzen, Ulleval, Dept of Medical Genetics and Department, Oslo University Hospital, )] TJ ET BT 26.250 64.143 Td /F1 9.8 Tf [(Norway Susana Pro Koivisto, Ulleval, Dept of Medical Genetics and Department, Oslo University Hospital, Norway Lars )] TJ ET BT 26.250 52.239 Td /F1 9.8 Tf [(Retterstl, Ulleval, Dept of Medical Genetics and Department, Oslo University Hospital, Norway Inga Bjrnevoll, St. Olavs )] TJ ET BT 26.250 40.334 Td /F1 9.8 Tf [(Hospital, Trondheim, Norway Sigrid Botne Sando, St. Olavs Hospital, Trondheim, Norway Emilia Sitek, St. Adalbert Hospital, )] TJ ET Q q 15.000 26.048 577.500 750.952 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 748.071 Td /F1 9.8 Tf [(Claudio Catalli, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 716.762 Td /F1 9.8 Tf [(Raffaella Di Giacopo, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 704.857 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 685.452 Td /F1 9.8 Tf [(Alfonso Fasano, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 673.548 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 654.143 Td /F1 9.8 Tf [(Marina Frontali, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 642.238 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 622.833 Td /F1 9.8 Tf [(Arianna Guidubaldi, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 610.929 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 591.524 Td /F1 9.8 Tf [(Tamara Ialongo, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 579.619 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 560.214 Td /F1 9.8 Tf [(Gioia Jacopini, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 548.310 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 528.905 Td /F1 9.8 Tf [(Giovanna Loria, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 517.000 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 497.595 Td /F1 9.8 Tf [(Carla Piano, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto di )] TJ ET BT 26.250 485.691 Td /F1 9.8 Tf [(Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 466.286 Td /F1 9.8 Tf [(Piccininni Chiara, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 454.381 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 434.976 Td /F1 9.8 Tf [(Davide Quaranta, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 423.072 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 403.667 Td /F1 9.8 Tf [(Silvia Romano, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 391.762 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 372.357 Td /F1 9.8 Tf [(Francesco Soleti, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione )] TJ ET BT 26.250 360.453 Td /F1 9.8 Tf [(/CNR;Istituto di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 341.048 Td /F1 9.8 Tf [(Maria Spadaro, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto )] TJ ET BT 26.250 329.143 Td /F1 9.8 Tf [(di Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 309.738 Td /F1 9.8 Tf [(Paola Zinzi, Istituto di Neurobiologia e Medicina Molecolare & Istituto di Scienze e Tecnologie della Cognizione /CNR;Istituto di )] TJ ET BT 26.250 297.834 Td /F1 9.8 Tf [(Neurologia Universit Cattolica del Sacro Cuore, Rome, Italy)] TJ ET BT 26.250 278.429 Td /F1 9.8 Tf [(Monique S.E. van Hout, Medisch Spectrum Twente, Ensched, Netherlands Jeroen P.P. van Vugt, Medisch Spectrum Twente, )] TJ ET BT 26.250 266.524 Td /F1 9.8 Tf [(Ensched, Netherlands A. Marit de Weert, Medisch Spectrum Twente, Ensched, Netherlands J.J.W. Bolwijn, Polikliniek )] TJ ET BT 26.250 254.619 Td /F1 9.8 Tf [(Neurologie, Groningen, Netherlands M. Dekker, Polikliniek Neurologie, Groningen, Netherlands K.L. Leenders, Polikliniek )] TJ ET BT 26.250 242.715 Td /F1 9.8 Tf [(Neurologie, Groningen, Netherlands J.C.H. van Oostrom, Polikliniek Neurologie, Groningen, Netherlands Reineke Bos, Leiden )] TJ ET BT 26.250 230.810 Td /F1 9.8 Tf [(University Medical Centre \(LUMC\), Leide, Netherlands Eve M. Dumas, Leiden University Medical Centre \(LUMC\), Leide, )] TJ ET BT 26.250 218.905 Td /F1 9.8 Tf [(Netherlands Caroline K. Jurgens, Leiden University Medical Centre \(LUMC\), Leide, Netherlands Simon J. A. van den Bogaard, )] TJ ET BT 26.250 207.000 Td /F1 9.8 Tf [(Leiden University Medical Centre \(LUMC\), Leide, Netherlands Raymund A.C. Roos, Leiden University Medical Centre \(LUMC\), )] TJ ET BT 26.250 195.096 Td /F1 9.8 Tf [(Leide, Netherlands Ellen P. t Hart, Leiden University Medical Centre \(LUMC\), Leide, Netherlands Marie-Nolle Witjes-An, )] TJ ET BT 26.250 183.191 Td /F1 9.8 Tf [(Leiden University Medical Centre \(LUMC\), Leide, Netherlands Berry Kremer, Universitair Medisch Centrum St. Radboud, )] TJ ET BT 26.250 171.286 Td /F1 9.8 Tf [(Neurology, Nijmege, Netherlands C.C.P. Verstappen, Universitair Medisch Centrum St. Radboud, Neurology, Nijmege, )] TJ ET BT 26.250 159.381 Td /F1 9.8 Tf [(Netherland Arvid Heiberg, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway )] TJ ET BT 26.250 147.477 Td /F1 9.8 Tf [(Marleen R van Walsem, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Jan )] TJ ET BT 26.250 135.572 Td /F1 9.8 Tf [(Frich, Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Olaf Aaserud, )] TJ ET BT 26.250 123.667 Td /F1 9.8 Tf [(Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Raghild Wehu, )] TJ ET BT 26.250 111.762 Td /F1 9.8 Tf [(Rikshospitalet, Dept. of Medical Genetics and Dep. of Neurology, Oslo University Hospital, Norway Kathrine Bjrgo, Ulleval, )] TJ ET BT 26.250 99.858 Td /F1 9.8 Tf [(Dept of Medical Genetics and Department, Oslo University Hospital, Norway Madelein Fannemel, Ulleval, Dept of Medical )] TJ ET BT 26.250 87.953 Td /F1 9.8 Tf [(Genetics and Department, Oslo University Hospital, Norway Per Grvell, Ulleval, Dept of Medical Genetics and Department, )] TJ ET BT 26.250 76.048 Td /F1 9.8 Tf [(Oslo University Hospital, Norway Eirin Lorentzen, Ulleval, Dept of Medical Genetics and Department, Oslo University Hospital, )] TJ ET BT 26.250 64.143 Td /F1 9.8 Tf [(Norway Susana Pro Koivisto, Ulleval, Dept of Medical Genetics and Department, Oslo University Hospital, Norway Lars )] TJ ET BT 26.250 52.239 Td /F1 9.8 Tf [(Retterstl, Ulleval, Dept of Medical Genetics and Department, Oslo University Hospital, Norway Inga Bjrnevoll, St. Olavs )] TJ ET BT 26.250 40.334 Td /F1 9.8 Tf [(Hospital, Trondheim, Norway Sigrid Botne Sando, St. Olavs Hospital, Trondheim, Norway Emilia Sitek, St. Adalbert Hospital, )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(9)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 189 0 obj << /Type /Page /Parent 3 0 R /Contents 190 0 R >> endobj 190 0 obj << /Length 31496 >> stream 0.271 0.267 0.267 rg q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, Poland Jaroslaw Slawek, St. )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Adalbert Hospital, Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, Poland Witold )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Soltan, St. Adalbert Hospital, Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Poland Magdalena Boczarska-Jedynak, Silesian Medical University Katowice, Katowice, Poland Barbara Jasinska-Myga, )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Silesian Medical University Katowice, Katowice, Poland Gregorz Opala, Silesian Medical University Katowice, Katowice, Poland )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Gabriela K?odowska Duda, Silesian Medical University Katowice, Katowice, Poland Krzysztof Banaszkiewicz, Krakowska )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Akademia Neurologii, Krako, Poland Andrzej Szczudlik, Krakowska Akademia Neurologii, Krako, Poland Monika Rudzi?ska, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Krakowska Akademia Neurologii, Krako, Poland Magdalena Wjcik, Krakowska Akademia Neurologii, Krako, Poland )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Ma?gorzata Dec, Krakowska Akademia Neurologii, Krako, Poland Malgorzata Krawczyk, Krakowska Akademia Neurologii, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Krako, Poland Anna Bryl, Medical University of Pozna?, Poznan, Poland Anna Ciesielska, Medical University of Pozna?, )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Poznan, Poland Aneta Klimberg, Medical University of Pozna?, Poznan, Poland Jerzy Marcinkowski, Medical University of )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Pozna?, Poznan, Poland Justyna Sempo?owicz, Medical University of Pozna?, Poznan, Poland Daniel Zielonka, Medical )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(University of Pozna?, Poznan, Poland Husam Samara, Medical University of Pozna?, Poznan, Poland Piotr Janik, Medical )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(University of Warsaw, Neurology, Warsaw-MU, Poland Anna Gogol, Medical University of Warsaw, Neurology, Warsaw-MU, )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Poland Hubert Kwiecinski, Medical University of Warsaw, Neurology, Warsaw-MU, Poland Zygmunt Jamrozik, Medical )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(University of Warsaw, Neurology, Warsaw-MU, Poland Jakub Antczak, Institute of Psychiatry and Neurology Dep. of Genetics, )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Dep. of Neurology, Warsaw-IPiN, Poland Katarzyna Jachinska, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Neurology, Warsaw-IPiN, Poland Maria Rakowicz, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Warsaw-IPiN, Poland Przemyslaw Richter, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-)] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(IPiN, Poland Danuta Ryglewicz, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Poland Grzegorz Witkowski, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Elzbieta Zdzienicka, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Jacek )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Zaremba, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Anna Su?ek, )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Wioletta Krysa, Institute of )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Tiago Mestre)] TJ ET BT 454.324 481.762 Td /F4 9.8 Tf [(, )] TJ ET BT 459.745 481.762 Td /F1 9.8 Tf [(Hospital de Santa Maria; )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Leonor Correia-Guedes, Hospital de )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Miguel Coelho, Hospital de )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Joaquim J Ferreira, Hospital )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(de Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal ngela Timteo, Hospital )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Fernando da Fonseca, Lisbon, Portugal Cristina Costa, Hospital Fernando da Fonseca, Lisbon, Portugal Miguel Gago, Hospital )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(de So Joo, Porto, Portugal Carolina Garrett, Hospital de So Joo, Porto, Portugal Maria Roslia Guerra, Hospital de So )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Joo, Porto, Portugal Carmen Durn Herrera, Hospital Infanta Cristina, Badajoz, Spain Patrocinio Moreno Garcia, Hospital )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Infanta Cristina, Badajoz, Spain Francisco Barrero, Hospital Universitario San Cecilio, Neurologa, Granada, Spain Blas Morale, )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Hospital Universitario San Cecilio, Neurologa, Granada, Spain Esther Cubo, Servicio de Neurologa Hospital General Yage, )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Burgos, Spain Natividad Mariscal, Servicio de Neurologa Hospital General Yage, Burgos, Spain Jess Snchez, Servicio de )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Neurologa Hospital General Yage, Burgos, Spain Fernando Alonso-Frech, Hospital Universitario de Fuenlabrada, )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Fuenlabrada, Spain Maria Rabasa Perez, Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain Mara Fenollar, Hospital )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Clnico Universitario San Carlos, Madrid-Clinico, Spain Roco Garca-Ramos Garca, Hospital Clnico Universitario San Carlos, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Madrid-Clinico, Spain Purificacion Pin Quiroga, Hospital Clnico Universitario San Carlos, Madrid-Clinico, Spain Susana )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Vzquez Rivera, Hospital Clnico Universitario San Carlos, Madrid-Clinico, Spain Clara Villanuev, Hospital Clnico Universitario )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(San Carlos, Madrid-Clinico, Spain Mnica Bascuana, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Marta Fats )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Ventura, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Guillermo Garca Ribas, Garcia Riva, Hospital Ramn y )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Cajal, Neurologa, Madrid RYC, Spain Justo Garca de Ybenes, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Jos )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Luis Lpez Sendn Moreno, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Patricia Trigo Cubillo, Hospital Ramn y )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Cajal, Neurologa, Madrid RYC, Spain Pedro J Garca Ruz, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Asuncin )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Martnez-Descals, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Mara Jos Saiz Artiga, Madrid-Fundacin Jimnez )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Daz, Madrid FJD, Spain Vicenta Snchez, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Miquel Aguilar Barbera, )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Barcelona-Hospital Mtua de Terrassa, Spain Dolors Badenes Guia, Barcelona-Hospital Mtua de Terrassa, Spain Laura )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Casas Hernanz, Barcelona-Hospital Mtua de Terrassa, Spain Judit Lpez Catena, Barcelona-Hospital Mtua de Terrassa, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Spain Ana Rojo Sebastin, Barcelona-Hospital Mtua de Terrassa, Spain Pilar Quilz Ferrer, Barcelona-Hospital Mtua de )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Terrassa, Spain Gemma Tome Carruesco, Barcelona-Hospital Mtua de Terrassa, Spain Jordi Bas, Hospital Universitari de )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Bellvitge, Barcelona-Bellvitge, Spain Nria Busquets, Hospital Universitari de Bellvitge, Barcelona-Bellvitge, Spain Matilde )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Calopa, Hospital Universitari de Bellvitge, Barcelona-Bellvitge, Spain Maria Teresa Buongiorno, Barcelona- Hospital Clinico, )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Spain Esteban Muoz, Barcelona- Hospital Clinico, Spain Marina Dalmau Elorza, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Cristbal Dez-Aja Lpez, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Santiago )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Durn-Sindreu Terol, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Misericordia Floriach Robert, Hospital )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Mare de Deu de La Merced, Barcelona-Merced, Spain Beln Garzn Ruz, Hospital Mare de Deu de La Merced, Barcelona-)] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(Merced, Spain Ana Gonzlez Casado, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Isabel Haro Martnez, )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Celia Mareca Viladrich, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Regina Pons i Crdenas, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Elvira Roca, )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Joan Roig Llesoy, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Jess Miguel Ruiz Idiago, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Mar Ruz )] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Vergara, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Socorro Soriano Garca, Hospital Mare de Deu de La )] TJ ET Q q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, Poland Jaroslaw Slawek, St. )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Adalbert Hospital, Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, Poland Witold )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Soltan, St. Adalbert Hospital, Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Poland Magdalena Boczarska-Jedynak, Silesian Medical University Katowice, Katowice, Poland Barbara Jasinska-Myga, )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Silesian Medical University Katowice, Katowice, Poland Gregorz Opala, Silesian Medical University Katowice, Katowice, Poland )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Gabriela K?odowska Duda, Silesian Medical University Katowice, Katowice, Poland Krzysztof Banaszkiewicz, Krakowska )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Akademia Neurologii, Krako, Poland Andrzej Szczudlik, Krakowska Akademia Neurologii, Krako, Poland Monika Rudzi?ska, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Krakowska Akademia Neurologii, Krako, Poland Magdalena Wjcik, Krakowska Akademia Neurologii, Krako, Poland )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Ma?gorzata Dec, Krakowska Akademia Neurologii, Krako, Poland Malgorzata Krawczyk, Krakowska Akademia Neurologii, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Krako, Poland Anna Bryl, Medical University of Pozna?, Poznan, Poland Anna Ciesielska, Medical University of Pozna?, )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Poznan, Poland Aneta Klimberg, Medical University of Pozna?, Poznan, Poland Jerzy Marcinkowski, Medical University of )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Pozna?, Poznan, Poland Justyna Sempo?owicz, Medical University of Pozna?, Poznan, Poland Daniel Zielonka, Medical )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(University of Pozna?, Poznan, Poland Husam Samara, Medical University of Pozna?, Poznan, Poland Piotr Janik, Medical )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(University of Warsaw, Neurology, Warsaw-MU, Poland Anna Gogol, Medical University of Warsaw, Neurology, Warsaw-MU, )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Poland Hubert Kwiecinski, Medical University of Warsaw, Neurology, Warsaw-MU, Poland Zygmunt Jamrozik, Medical )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(University of Warsaw, Neurology, Warsaw-MU, Poland Jakub Antczak, Institute of Psychiatry and Neurology Dep. of Genetics, )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Dep. of Neurology, Warsaw-IPiN, Poland Katarzyna Jachinska, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Neurology, Warsaw-IPiN, Poland Maria Rakowicz, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Warsaw-IPiN, Poland Przemyslaw Richter, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-)] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(IPiN, Poland Danuta Ryglewicz, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Poland Grzegorz Witkowski, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Elzbieta Zdzienicka, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Jacek )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Zaremba, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Anna Su?ek, )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Wioletta Krysa, Institute of )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Tiago Mestre)] TJ ET BT 454.324 481.762 Td /F4 9.8 Tf [(, )] TJ ET BT 459.745 481.762 Td /F1 9.8 Tf [(Hospital de Santa Maria; )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Leonor Correia-Guedes, Hospital de )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Miguel Coelho, Hospital de )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Joaquim J Ferreira, Hospital )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(de Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal ngela Timteo, Hospital )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Fernando da Fonseca, Lisbon, Portugal Cristina Costa, Hospital Fernando da Fonseca, Lisbon, Portugal Miguel Gago, Hospital )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(de So Joo, Porto, Portugal Carolina Garrett, Hospital de So Joo, Porto, Portugal Maria Roslia Guerra, Hospital de So )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Joo, Porto, Portugal Carmen Durn Herrera, Hospital Infanta Cristina, Badajoz, Spain Patrocinio Moreno Garcia, Hospital )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Infanta Cristina, Badajoz, Spain Francisco Barrero, Hospital Universitario San Cecilio, Neurologa, Granada, Spain Blas Morale, )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Hospital Universitario San Cecilio, Neurologa, Granada, Spain Esther Cubo, Servicio de Neurologa Hospital General Yage, )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Burgos, Spain Natividad Mariscal, Servicio de Neurologa Hospital General Yage, Burgos, Spain Jess Snchez, Servicio de )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Neurologa Hospital General Yage, Burgos, Spain Fernando Alonso-Frech, Hospital Universitario de Fuenlabrada, )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Fuenlabrada, Spain Maria Rabasa Perez, Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain Mara Fenollar, Hospital )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Clnico Universitario San Carlos, Madrid-Clinico, Spain Roco Garca-Ramos Garca, Hospital Clnico Universitario San Carlos, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Madrid-Clinico, Spain Purificacion Pin Quiroga, Hospital Clnico Universitario San Carlos, Madrid-Clinico, Spain Susana )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Vzquez Rivera, Hospital Clnico Universitario San Carlos, Madrid-Clinico, Spain Clara Villanuev, Hospital Clnico Universitario )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(San Carlos, Madrid-Clinico, Spain Mnica Bascuana, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Marta Fats )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Ventura, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Guillermo Garca Ribas, Garcia Riva, Hospital Ramn y )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Cajal, Neurologa, Madrid RYC, Spain Justo Garca de Ybenes, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Jos )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Luis Lpez Sendn Moreno, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Patricia Trigo Cubillo, Hospital Ramn y )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Cajal, Neurologa, Madrid RYC, Spain Pedro J Garca Ruz, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Asuncin )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Martnez-Descals, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Mara Jos Saiz Artiga, Madrid-Fundacin Jimnez )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Daz, Madrid FJD, Spain Vicenta Snchez, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Miquel Aguilar Barbera, )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Barcelona-Hospital Mtua de Terrassa, Spain Dolors Badenes Guia, Barcelona-Hospital Mtua de Terrassa, Spain Laura )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Casas Hernanz, Barcelona-Hospital Mtua de Terrassa, Spain Judit Lpez Catena, Barcelona-Hospital Mtua de Terrassa, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Spain Ana Rojo Sebastin, Barcelona-Hospital Mtua de Terrassa, Spain Pilar Quilz Ferrer, Barcelona-Hospital Mtua de )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Terrassa, Spain Gemma Tome Carruesco, Barcelona-Hospital Mtua de Terrassa, Spain Jordi Bas, Hospital Universitari de )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Bellvitge, Barcelona-Bellvitge, Spain Nria Busquets, Hospital Universitari de Bellvitge, Barcelona-Bellvitge, Spain Matilde )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Calopa, Hospital Universitari de Bellvitge, Barcelona-Bellvitge, Spain Maria Teresa Buongiorno, Barcelona- Hospital Clinico, )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Spain Esteban Muoz, Barcelona- Hospital Clinico, Spain Marina Dalmau Elorza, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Cristbal Dez-Aja Lpez, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Santiago )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Durn-Sindreu Terol, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Misericordia Floriach Robert, Hospital )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Mare de Deu de La Merced, Barcelona-Merced, Spain Beln Garzn Ruz, Hospital Mare de Deu de La Merced, Barcelona-)] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(Merced, Spain Ana Gonzlez Casado, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Isabel Haro Martnez, )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Celia Mareca Viladrich, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Regina Pons i Crdenas, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Elvira Roca, )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Joan Roig Llesoy, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Jess Miguel Ruiz Idiago, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Mar Ruz )] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Vergara, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Socorro Soriano Garca, Hospital Mare de Deu de La )] TJ ET Q q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, Poland Jaroslaw Slawek, St. )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Adalbert Hospital, Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, Poland Witold )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Soltan, St. Adalbert Hospital, Gdansk; Medical University of Gdansk, Neurological and Psychiatric Nursing Dpt., Gdansk, )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Poland Magdalena Boczarska-Jedynak, Silesian Medical University Katowice, Katowice, Poland Barbara Jasinska-Myga, )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Silesian Medical University Katowice, Katowice, Poland Gregorz Opala, Silesian Medical University Katowice, Katowice, Poland )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Gabriela K?odowska Duda, Silesian Medical University Katowice, Katowice, Poland Krzysztof Banaszkiewicz, Krakowska )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Akademia Neurologii, Krako, Poland Andrzej Szczudlik, Krakowska Akademia Neurologii, Krako, Poland Monika Rudzi?ska, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Krakowska Akademia Neurologii, Krako, Poland Magdalena Wjcik, Krakowska Akademia Neurologii, Krako, Poland )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Ma?gorzata Dec, Krakowska Akademia Neurologii, Krako, Poland Malgorzata Krawczyk, Krakowska Akademia Neurologii, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Krako, Poland Anna Bryl, Medical University of Pozna?, Poznan, Poland Anna Ciesielska, Medical University of Pozna?, )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Poznan, Poland Aneta Klimberg, Medical University of Pozna?, Poznan, Poland Jerzy Marcinkowski, Medical University of )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Pozna?, Poznan, Poland Justyna Sempo?owicz, Medical University of Pozna?, Poznan, Poland Daniel Zielonka, Medical )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(University of Pozna?, Poznan, Poland Husam Samara, Medical University of Pozna?, Poznan, Poland Piotr Janik, Medical )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(University of Warsaw, Neurology, Warsaw-MU, Poland Anna Gogol, Medical University of Warsaw, Neurology, Warsaw-MU, )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Poland Hubert Kwiecinski, Medical University of Warsaw, Neurology, Warsaw-MU, Poland Zygmunt Jamrozik, Medical )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(University of Warsaw, Neurology, Warsaw-MU, Poland Jakub Antczak, Institute of Psychiatry and Neurology Dep. of Genetics, )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Dep. of Neurology, Warsaw-IPiN, Poland Katarzyna Jachinska, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Neurology, Warsaw-IPiN, Poland Maria Rakowicz, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Warsaw-IPiN, Poland Przemyslaw Richter, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-)] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(IPiN, Poland Danuta Ryglewicz, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Poland Grzegorz Witkowski, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Elzbieta Zdzienicka, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Jacek )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Zaremba, Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Anna Su?ek, )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Institute of Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Wioletta Krysa, Institute of )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Psychiatry and Neurology Dep. of Genetics, Dep. of Neurology, Warsaw-IPiN, Poland Tiago Mestre)] TJ ET BT 454.324 481.762 Td /F4 9.8 Tf [(, )] TJ ET BT 459.745 481.762 Td /F1 9.8 Tf [(Hospital de Santa Maria; )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Leonor Correia-Guedes, Hospital de )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Miguel Coelho, Hospital de )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal Joaquim J Ferreira, Hospital )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(de Santa Maria; Neurological Clinical Research Unit, Instituto de Medicina Molecular, Lisbon, Portugal ngela Timteo, Hospital )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Fernando da Fonseca, Lisbon, Portugal Cristina Costa, Hospital Fernando da Fonseca, Lisbon, Portugal Miguel Gago, Hospital )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(de So Joo, Porto, Portugal Carolina Garrett, Hospital de So Joo, Porto, Portugal Maria Roslia Guerra, Hospital de So )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Joo, Porto, Portugal Carmen Durn Herrera, Hospital Infanta Cristina, Badajoz, Spain Patrocinio Moreno Garcia, Hospital )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Infanta Cristina, Badajoz, Spain Francisco Barrero, Hospital Universitario San Cecilio, Neurologa, Granada, Spain Blas Morale, )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Hospital Universitario San Cecilio, Neurologa, Granada, Spain Esther Cubo, Servicio de Neurologa Hospital General Yage, )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Burgos, Spain Natividad Mariscal, Servicio de Neurologa Hospital General Yage, Burgos, Spain Jess Snchez, Servicio de )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Neurologa Hospital General Yage, Burgos, Spain Fernando Alonso-Frech, Hospital Universitario de Fuenlabrada, )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Fuenlabrada, Spain Maria Rabasa Perez, Hospital Universitario de Fuenlabrada, Fuenlabrada, Spain Mara Fenollar, Hospital )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Clnico Universitario San Carlos, Madrid-Clinico, Spain Roco Garca-Ramos Garca, Hospital Clnico Universitario San Carlos, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Madrid-Clinico, Spain Purificacion Pin Quiroga, Hospital Clnico Universitario San Carlos, Madrid-Clinico, Spain Susana )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Vzquez Rivera, Hospital Clnico Universitario San Carlos, Madrid-Clinico, Spain Clara Villanuev, Hospital Clnico Universitario )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(San Carlos, Madrid-Clinico, Spain Mnica Bascuana, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Marta Fats )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Ventura, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Guillermo Garca Ribas, Garcia Riva, Hospital Ramn y )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Cajal, Neurologa, Madrid RYC, Spain Justo Garca de Ybenes, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Jos )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Luis Lpez Sendn Moreno, Hospital Ramn y Cajal, Neurologa, Madrid RYC, Spain Patricia Trigo Cubillo, Hospital Ramn y )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Cajal, Neurologa, Madrid RYC, Spain Pedro J Garca Ruz, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Asuncin )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Martnez-Descals, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Mara Jos Saiz Artiga, Madrid-Fundacin Jimnez )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Daz, Madrid FJD, Spain Vicenta Snchez, Madrid-Fundacin Jimnez Daz, Madrid FJD, Spain Miquel Aguilar Barbera, )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Barcelona-Hospital Mtua de Terrassa, Spain Dolors Badenes Guia, Barcelona-Hospital Mtua de Terrassa, Spain Laura )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Casas Hernanz, Barcelona-Hospital Mtua de Terrassa, Spain Judit Lpez Catena, Barcelona-Hospital Mtua de Terrassa, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Spain Ana Rojo Sebastin, Barcelona-Hospital Mtua de Terrassa, Spain Pilar Quilz Ferrer, Barcelona-Hospital Mtua de )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Terrassa, Spain Gemma Tome Carruesco, Barcelona-Hospital Mtua de Terrassa, Spain Jordi Bas, Hospital Universitari de )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Bellvitge, Barcelona-Bellvitge, Spain Nria Busquets, Hospital Universitari de Bellvitge, Barcelona-Bellvitge, Spain Matilde )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Calopa, Hospital Universitari de Bellvitge, Barcelona-Bellvitge, Spain Maria Teresa Buongiorno, Barcelona- Hospital Clinico, )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Spain Esteban Muoz, Barcelona- Hospital Clinico, Spain Marina Dalmau Elorza, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Cristbal Dez-Aja Lpez, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Santiago )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Durn-Sindreu Terol, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Misericordia Floriach Robert, Hospital )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Mare de Deu de La Merced, Barcelona-Merced, Spain Beln Garzn Ruz, Hospital Mare de Deu de La Merced, Barcelona-)] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(Merced, Spain Ana Gonzlez Casado, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Isabel Haro Martnez, )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Celia Mareca Viladrich, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Regina Pons i Crdenas, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Elvira Roca, )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Joan Roig Llesoy, Hospital Mare de Deu de La Merced, )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(Barcelona-Merced, Spain Jess Miguel Ruiz Idiago, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Mar Ruz )] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Vergara, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain Socorro Soriano Garca, Hospital Mare de Deu de La )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(10)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 191 0 obj << /Type /Page /Parent 3 0 R /Contents 192 0 R >> endobj 192 0 obj << /Length 31310 >> stream 0.271 0.267 0.267 rg q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Merced, Barcelona-Merced, Spain Antonio Villa Riballo, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Aranzaz Gorospe, Hospital Son Dureta, Palma, Spain Ins Legarda, Hospital Son Dureta, Palma, Spain Penelope Navas )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Arques, Hospital Son Dureta, Palma, Spain Mara Jos Torres Rodrguez, Hospital Son Dureta, Palma, Spain Barbara Vives, )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Hospital Son Dureta, Palma, Spain Itziar Gaston, Hospital Virgen del Camino, Medical Genetic, Pamplona, Spain Maria A. )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Ramos-Arroyo,Hospital Virgen del Camino, Medical Genetic, Pamplona, Spain Maria Dolores Martinez-Jaurrieta, Hospital )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Virgen del Camino, Medical Genetic, Pamplona, Spain Sven E Plhagen, Karolinska University Hospital, Stockholm, Sweden )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Martin Paucar, Karolinska University Hospital, Stockholm, Sweden Per Svenningsson, Karolinska University Hospital, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Stockholm, Sweden Tina Walldn Reza-Soltani, Karolinska University Hospital, Stockholm, Sweden Arja Hglund, Karolinska )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(University Hospital, Stockholm, Sweden Britta Sandstr, Karolinska University Hospital, Stockholm, Sweden Joakim Tedroff, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(NeuroHealth Consulting Sweden HB, Karolinska Institute, Stockholm-Ersta, Sweden Mona Esmaeilzadeh, NeuroHealth )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Consulting Sweden HB, Karolinska Institute, Stockholm-Ersta, Sweden Elisabeth Winnberg, NeuroHealth Consulting Sweden )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(HB, Karolinska Institute, Stockholm-Ersta, Sweden Anders Johansson, Uppsala University Hospital, Uppsal, Sweden Leif )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Wiklund, Uppsala University Hospital, Uppsal, Sweden Camilla Ekwall, Uppsala University Hospital, Uppsal, Sweden Marie-)] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Louise Gller, Uppsala University Hospital, Uppsal, Sweden Yvonne Bjrn, Uppsala University Hospital, Uppsal, Sweden Jean-)] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Marc Burgunder, Neurologische Klinik des Inselspitals, Bern, Switzerland Yvonne Burgunder, Neurologische Klinik des )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Inselspitals, Bern, Switzerland Yanik Stebler, Neurologische Klinik des Inselspitals, Bern, Switzerland Alain Kaelin, Zentrum fr )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Bewegungsstrungen, Neurologische Klinik und Poliklinik, Bern, Switzerland Irene Romero, Zentrum fr Bewegungsstrungen, )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Neurologische Klinik und Poliklinik, Bern, Switzerland Michael Schpbach, Zentrum fr Bewegungsstrungen, Neurologische )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Klinik und Poliklinik, Bern, Switzerland Sabine Weber Zaugg, Zentrum fr Bewegungsstrungen, Neurologische Klinik und )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Poliklinik, Bern, Switzerland Roisin Jack, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Kirsty Matheson, NHS )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Grampian, Clinical Genetics Centre, Aberdeen, UK Zosia Miedzybrodzka, NHS Grampian, Clinical Genetics Centre, Aberdeen, )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(UK Daniela Rae, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Sheila Simpson, NHS Grampian, Clinical Genetics )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Centre, Aberdeen, UK Fiona Summers, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Alexandra Ure, NHS )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Grampian, Clinical Genetics Centre, Aberdeen, UK Adrienne Curtis, The Barberry Centre, Dept of Psychiatry, Birmingham, UK )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Jenny de Souza \(Keylock\), The Barberry Centre, Dept of Psychiatry, Birmingham, UK Hugh Rickards, The Barberry Centre, )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Dept of Psychiatry, Birmingham, UK Jan Wright, The Barberry Centre, Dept of Psychiatry, Birmingham, UK Matthew Armstrong, )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Roger A. Barker, Cambridge Centre for Brain Repair, Forvie )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Site, Cambridge, UK Deidre OKeefe, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Anna Di Pietro, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Kate Fisher, Cambridge Centre for Brain Repair, Forvie Site, )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Cambridge, UK Anna Goodman, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Susan Hill, Cambridge Centre )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(for Brain Repair, Forvie Site, Cambridge, UK Ann Kershaw, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Sarah Mason, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Nicole Paterson, Cambridge Centre for Brain )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Repair, Forvie Site, Cambridge, UK Rachel Swain, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Lucy )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Raymon, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Monica Busse, The Institute of Medical Genetics, )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(University Hospital of Wales, Cardif, UK Stephen Dunnett, The Institute of Medical Genetics, University Hospital of Wales, )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Cardif, UK Catherine Clenaghan, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Ruth Fullham, The )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Sarah Hunt, The Institute of Medical Genetics, University )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Hospital of Wales, Cardif, UK Lesley Jones, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Una )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Jones, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Hanan Khalil, The Institute of Medical )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Genetics, University Hospital of Wales, Cardif, UK Sara Minster, The Institute of Medical Genetics, University Hospital of Wales, )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(Cardif, UK Michael Owen, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Kathleen Price, The )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Jenny Townshill,The Institute of Medical Genetics, )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(University Hospital of Wales, Cardif, UK Anne Rosser, The Institute of Medical Genetics, University Hospital of Wales, Cardif, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(UK Maureen Edwards, Molecular Medicine Centre, Western General Hospital, Department of Clinical Genetics, Edinburg, UK )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Teresa Hughes \(Scottish Huntingtons Association\), Molecular Medicine Centre, Western General Hospital, Department of )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Clinical Genetics, Edinburg, UK Marie McGill, Molecular Medicine Centre, Western General Hospital, Department of Clinical )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Genetics, Edinburg, UK Pauline Pearson, Molecular Medicine Centre, Western General Hospital, Department of Clinical )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Genetics, Edinburg, UK Mary Porteous, Molecular Medicine Centre, Western General Hospital, Department of Clinical Genetics, )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Edinburg, UK Paul Smith \(Scottish Huntingtons Association\), Molecular Medicine Centre, Western General Hospital, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Department of Clinical Genetics, Edinburg, UK Adam Zeman, Molecular Medicine Centre, Western General Hospital, )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Department of Clinical Genetics, Edinburg, UK Peter Brockie, Scottish Huntingtons Association Whytemans Brae Hospital, )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Fife, UK Jillian Foster, Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Nicola Johns, Scottish )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Huntingtons Association Whytemans Brae Hospital, Fife, UK Sue McKenzie, Scottish Huntingtons Association Whytemans )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Brae Hospital, Fife, UK Jean Rothery, Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Gareth Thomas, )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Shona Yates, Scottish Huntingtons Association )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Whytemans Brae Hospital, Fife, UK Joanne Miller, Abercromby Center, Glasgow, UK Stuart Ritchie, Abercromby Center, )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Glasgow, UK Liz Burrows, Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Amy Fletcher, Department )] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(of Neurology Gloucestershire Royal Hospital, Gloucester, UK Alison Harding, Department of Neurology Gloucestershire Royal )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(Hospital, Gloucester, UK Fiona Laver, Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Mark Silva, )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Aileen Thomson, Department of Neurology )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Gloucestershire Royal Hospital, Gloucester, UK Peter Burns, Castle Hill Hospital, Hull, UK Carol Chu, Castle Hill Hospital, Hull, )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(UK Carole Evans, Castle Hill Hospital, Hull, UK Stephanie Hamer, Castle Hill Hospital, Hull, UK Ivana Markova, Castle Hill )] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Hospital, Hull, UK Julie Miller, Castle Hill Hospital, Hull, UK Ashok Raman, Castle Hill Hospital, Hull, UK Kathy Barnes, Chapel )] TJ ET Q q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Merced, Barcelona-Merced, Spain Antonio Villa Riballo, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Aranzaz Gorospe, Hospital Son Dureta, Palma, Spain Ins Legarda, Hospital Son Dureta, Palma, Spain Penelope Navas )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Arques, Hospital Son Dureta, Palma, Spain Mara Jos Torres Rodrguez, Hospital Son Dureta, Palma, Spain Barbara Vives, )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Hospital Son Dureta, Palma, Spain Itziar Gaston, Hospital Virgen del Camino, Medical Genetic, Pamplona, Spain Maria A. )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Ramos-Arroyo,Hospital Virgen del Camino, Medical Genetic, Pamplona, Spain Maria Dolores Martinez-Jaurrieta, Hospital )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Virgen del Camino, Medical Genetic, Pamplona, Spain Sven E Plhagen, Karolinska University Hospital, Stockholm, Sweden )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Martin Paucar, Karolinska University Hospital, Stockholm, Sweden Per Svenningsson, Karolinska University Hospital, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Stockholm, Sweden Tina Walldn Reza-Soltani, Karolinska University Hospital, Stockholm, Sweden Arja Hglund, Karolinska )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(University Hospital, Stockholm, Sweden Britta Sandstr, Karolinska University Hospital, Stockholm, Sweden Joakim Tedroff, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(NeuroHealth Consulting Sweden HB, Karolinska Institute, Stockholm-Ersta, Sweden Mona Esmaeilzadeh, NeuroHealth )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Consulting Sweden HB, Karolinska Institute, Stockholm-Ersta, Sweden Elisabeth Winnberg, NeuroHealth Consulting Sweden )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(HB, Karolinska Institute, Stockholm-Ersta, Sweden Anders Johansson, Uppsala University Hospital, Uppsal, Sweden Leif )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Wiklund, Uppsala University Hospital, Uppsal, Sweden Camilla Ekwall, Uppsala University Hospital, Uppsal, Sweden Marie-)] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Louise Gller, Uppsala University Hospital, Uppsal, Sweden Yvonne Bjrn, Uppsala University Hospital, Uppsal, Sweden Jean-)] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Marc Burgunder, Neurologische Klinik des Inselspitals, Bern, Switzerland Yvonne Burgunder, Neurologische Klinik des )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Inselspitals, Bern, Switzerland Yanik Stebler, Neurologische Klinik des Inselspitals, Bern, Switzerland Alain Kaelin, Zentrum fr )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Bewegungsstrungen, Neurologische Klinik und Poliklinik, Bern, Switzerland Irene Romero, Zentrum fr Bewegungsstrungen, )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Neurologische Klinik und Poliklinik, Bern, Switzerland Michael Schpbach, Zentrum fr Bewegungsstrungen, Neurologische )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Klinik und Poliklinik, Bern, Switzerland Sabine Weber Zaugg, Zentrum fr Bewegungsstrungen, Neurologische Klinik und )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Poliklinik, Bern, Switzerland Roisin Jack, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Kirsty Matheson, NHS )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Grampian, Clinical Genetics Centre, Aberdeen, UK Zosia Miedzybrodzka, NHS Grampian, Clinical Genetics Centre, Aberdeen, )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(UK Daniela Rae, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Sheila Simpson, NHS Grampian, Clinical Genetics )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Centre, Aberdeen, UK Fiona Summers, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Alexandra Ure, NHS )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Grampian, Clinical Genetics Centre, Aberdeen, UK Adrienne Curtis, The Barberry Centre, Dept of Psychiatry, Birmingham, UK )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Jenny de Souza \(Keylock\), The Barberry Centre, Dept of Psychiatry, Birmingham, UK Hugh Rickards, The Barberry Centre, )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Dept of Psychiatry, Birmingham, UK Jan Wright, The Barberry Centre, Dept of Psychiatry, Birmingham, UK Matthew Armstrong, )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Roger A. Barker, Cambridge Centre for Brain Repair, Forvie )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Site, Cambridge, UK Deidre OKeefe, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Anna Di Pietro, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Kate Fisher, Cambridge Centre for Brain Repair, Forvie Site, )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Cambridge, UK Anna Goodman, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Susan Hill, Cambridge Centre )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(for Brain Repair, Forvie Site, Cambridge, UK Ann Kershaw, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Sarah Mason, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Nicole Paterson, Cambridge Centre for Brain )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Repair, Forvie Site, Cambridge, UK Rachel Swain, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Lucy )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Raymon, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Monica Busse, The Institute of Medical Genetics, )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(University Hospital of Wales, Cardif, UK Stephen Dunnett, The Institute of Medical Genetics, University Hospital of Wales, )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Cardif, UK Catherine Clenaghan, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Ruth Fullham, The )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Sarah Hunt, The Institute of Medical Genetics, University )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Hospital of Wales, Cardif, UK Lesley Jones, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Una )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Jones, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Hanan Khalil, The Institute of Medical )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Genetics, University Hospital of Wales, Cardif, UK Sara Minster, The Institute of Medical Genetics, University Hospital of Wales, )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(Cardif, UK Michael Owen, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Kathleen Price, The )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Jenny Townshill,The Institute of Medical Genetics, )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(University Hospital of Wales, Cardif, UK Anne Rosser, The Institute of Medical Genetics, University Hospital of Wales, Cardif, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(UK Maureen Edwards, Molecular Medicine Centre, Western General Hospital, Department of Clinical Genetics, Edinburg, UK )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Teresa Hughes \(Scottish Huntingtons Association\), Molecular Medicine Centre, Western General Hospital, Department of )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Clinical Genetics, Edinburg, UK Marie McGill, Molecular Medicine Centre, Western General Hospital, Department of Clinical )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Genetics, Edinburg, UK Pauline Pearson, Molecular Medicine Centre, Western General Hospital, Department of Clinical )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Genetics, Edinburg, UK Mary Porteous, Molecular Medicine Centre, Western General Hospital, Department of Clinical Genetics, )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Edinburg, UK Paul Smith \(Scottish Huntingtons Association\), Molecular Medicine Centre, Western General Hospital, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Department of Clinical Genetics, Edinburg, UK Adam Zeman, Molecular Medicine Centre, Western General Hospital, )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Department of Clinical Genetics, Edinburg, UK Peter Brockie, Scottish Huntingtons Association Whytemans Brae Hospital, )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Fife, UK Jillian Foster, Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Nicola Johns, Scottish )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Huntingtons Association Whytemans Brae Hospital, Fife, UK Sue McKenzie, Scottish Huntingtons Association Whytemans )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Brae Hospital, Fife, UK Jean Rothery, Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Gareth Thomas, )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Shona Yates, Scottish Huntingtons Association )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Whytemans Brae Hospital, Fife, UK Joanne Miller, Abercromby Center, Glasgow, UK Stuart Ritchie, Abercromby Center, )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Glasgow, UK Liz Burrows, Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Amy Fletcher, Department )] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(of Neurology Gloucestershire Royal Hospital, Gloucester, UK Alison Harding, Department of Neurology Gloucestershire Royal )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(Hospital, Gloucester, UK Fiona Laver, Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Mark Silva, )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Aileen Thomson, Department of Neurology )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Gloucestershire Royal Hospital, Gloucester, UK Peter Burns, Castle Hill Hospital, Hull, UK Carol Chu, Castle Hill Hospital, Hull, )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(UK Carole Evans, Castle Hill Hospital, Hull, UK Stephanie Hamer, Castle Hill Hospital, Hull, UK Ivana Markova, Castle Hill )] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Hospital, Hull, UK Julie Miller, Castle Hill Hospital, Hull, UK Ashok Raman, Castle Hill Hospital, Hull, UK Kathy Barnes, Chapel )] TJ ET Q q 15.000 15.096 577.500 761.904 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Merced, Barcelona-Merced, Spain Antonio Villa Riballo, Hospital Mare de Deu de La Merced, Barcelona-Merced, Spain )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Aranzaz Gorospe, Hospital Son Dureta, Palma, Spain Ins Legarda, Hospital Son Dureta, Palma, Spain Penelope Navas )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Arques, Hospital Son Dureta, Palma, Spain Mara Jos Torres Rodrguez, Hospital Son Dureta, Palma, Spain Barbara Vives, )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Hospital Son Dureta, Palma, Spain Itziar Gaston, Hospital Virgen del Camino, Medical Genetic, Pamplona, Spain Maria A. )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Ramos-Arroyo,Hospital Virgen del Camino, Medical Genetic, Pamplona, Spain Maria Dolores Martinez-Jaurrieta, Hospital )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(Virgen del Camino, Medical Genetic, Pamplona, Spain Sven E Plhagen, Karolinska University Hospital, Stockholm, Sweden )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Martin Paucar, Karolinska University Hospital, Stockholm, Sweden Per Svenningsson, Karolinska University Hospital, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Stockholm, Sweden Tina Walldn Reza-Soltani, Karolinska University Hospital, Stockholm, Sweden Arja Hglund, Karolinska )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(University Hospital, Stockholm, Sweden Britta Sandstr, Karolinska University Hospital, Stockholm, Sweden Joakim Tedroff, )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(NeuroHealth Consulting Sweden HB, Karolinska Institute, Stockholm-Ersta, Sweden Mona Esmaeilzadeh, NeuroHealth )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Consulting Sweden HB, Karolinska Institute, Stockholm-Ersta, Sweden Elisabeth Winnberg, NeuroHealth Consulting Sweden )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(HB, Karolinska Institute, Stockholm-Ersta, Sweden Anders Johansson, Uppsala University Hospital, Uppsal, Sweden Leif )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Wiklund, Uppsala University Hospital, Uppsal, Sweden Camilla Ekwall, Uppsala University Hospital, Uppsal, Sweden Marie-)] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Louise Gller, Uppsala University Hospital, Uppsal, Sweden Yvonne Bjrn, Uppsala University Hospital, Uppsal, Sweden Jean-)] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(Marc Burgunder, Neurologische Klinik des Inselspitals, Bern, Switzerland Yvonne Burgunder, Neurologische Klinik des )] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Inselspitals, Bern, Switzerland Yanik Stebler, Neurologische Klinik des Inselspitals, Bern, Switzerland Alain Kaelin, Zentrum fr )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Bewegungsstrungen, Neurologische Klinik und Poliklinik, Bern, Switzerland Irene Romero, Zentrum fr Bewegungsstrungen, )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(Neurologische Klinik und Poliklinik, Bern, Switzerland Michael Schpbach, Zentrum fr Bewegungsstrungen, Neurologische )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(Klinik und Poliklinik, Bern, Switzerland Sabine Weber Zaugg, Zentrum fr Bewegungsstrungen, Neurologische Klinik und )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Poliklinik, Bern, Switzerland Roisin Jack, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Kirsty Matheson, NHS )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(Grampian, Clinical Genetics Centre, Aberdeen, UK Zosia Miedzybrodzka, NHS Grampian, Clinical Genetics Centre, Aberdeen, )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(UK Daniela Rae, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Sheila Simpson, NHS Grampian, Clinical Genetics )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(Centre, Aberdeen, UK Fiona Summers, NHS Grampian, Clinical Genetics Centre, Aberdeen, UK Alexandra Ure, NHS )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Grampian, Clinical Genetics Centre, Aberdeen, UK Adrienne Curtis, The Barberry Centre, Dept of Psychiatry, Birmingham, UK )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Jenny de Souza \(Keylock\), The Barberry Centre, Dept of Psychiatry, Birmingham, UK Hugh Rickards, The Barberry Centre, )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Dept of Psychiatry, Birmingham, UK Jan Wright, The Barberry Centre, Dept of Psychiatry, Birmingham, UK Matthew Armstrong, )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Roger A. Barker, Cambridge Centre for Brain Repair, Forvie )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Site, Cambridge, UK Deidre OKeefe, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Anna Di Pietro, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Kate Fisher, Cambridge Centre for Brain Repair, Forvie Site, )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Cambridge, UK Anna Goodman, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Susan Hill, Cambridge Centre )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(for Brain Repair, Forvie Site, Cambridge, UK Ann Kershaw, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Sarah Mason, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Nicole Paterson, Cambridge Centre for Brain )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Repair, Forvie Site, Cambridge, UK Rachel Swain, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Lucy )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Raymon, Cambridge Centre for Brain Repair, Forvie Site, Cambridge, UK Monica Busse, The Institute of Medical Genetics, )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(University Hospital of Wales, Cardif, UK Stephen Dunnett, The Institute of Medical Genetics, University Hospital of Wales, )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Cardif, UK Catherine Clenaghan, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Ruth Fullham, The )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Sarah Hunt, The Institute of Medical Genetics, University )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(Hospital of Wales, Cardif, UK Lesley Jones, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Una )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Jones, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Hanan Khalil, The Institute of Medical )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Genetics, University Hospital of Wales, Cardif, UK Sara Minster, The Institute of Medical Genetics, University Hospital of Wales, )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(Cardif, UK Michael Owen, The Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Kathleen Price, The )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Institute of Medical Genetics, University Hospital of Wales, Cardif, UK Jenny Townshill,The Institute of Medical Genetics, )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(University Hospital of Wales, Cardif, UK Anne Rosser, The Institute of Medical Genetics, University Hospital of Wales, Cardif, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(UK Maureen Edwards, Molecular Medicine Centre, Western General Hospital, Department of Clinical Genetics, Edinburg, UK )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Teresa Hughes \(Scottish Huntingtons Association\), Molecular Medicine Centre, Western General Hospital, Department of )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(Clinical Genetics, Edinburg, UK Marie McGill, Molecular Medicine Centre, Western General Hospital, Department of Clinical )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Genetics, Edinburg, UK Pauline Pearson, Molecular Medicine Centre, Western General Hospital, Department of Clinical )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Genetics, Edinburg, UK Mary Porteous, Molecular Medicine Centre, Western General Hospital, Department of Clinical Genetics, )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Edinburg, UK Paul Smith \(Scottish Huntingtons Association\), Molecular Medicine Centre, Western General Hospital, )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Department of Clinical Genetics, Edinburg, UK Adam Zeman, Molecular Medicine Centre, Western General Hospital, )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Department of Clinical Genetics, Edinburg, UK Peter Brockie, Scottish Huntingtons Association Whytemans Brae Hospital, )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Fife, UK Jillian Foster, Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Nicola Johns, Scottish )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(Huntingtons Association Whytemans Brae Hospital, Fife, UK Sue McKenzie, Scottish Huntingtons Association Whytemans )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Brae Hospital, Fife, UK Jean Rothery, Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Gareth Thomas, )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Scottish Huntingtons Association Whytemans Brae Hospital, Fife, UK Shona Yates, Scottish Huntingtons Association )] TJ ET BT 26.250 112.715 Td /F1 9.8 Tf [(Whytemans Brae Hospital, Fife, UK Joanne Miller, Abercromby Center, Glasgow, UK Stuart Ritchie, Abercromby Center, )] TJ ET BT 26.250 100.810 Td /F1 9.8 Tf [(Glasgow, UK Liz Burrows, Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Amy Fletcher, Department )] TJ ET BT 26.250 88.905 Td /F1 9.8 Tf [(of Neurology Gloucestershire Royal Hospital, Gloucester, UK Alison Harding, Department of Neurology Gloucestershire Royal )] TJ ET BT 26.250 77.001 Td /F1 9.8 Tf [(Hospital, Gloucester, UK Fiona Laver, Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Mark Silva, )] TJ ET BT 26.250 65.096 Td /F1 9.8 Tf [(Department of Neurology Gloucestershire Royal Hospital, Gloucester, UK Aileen Thomson, Department of Neurology )] TJ ET BT 26.250 53.191 Td /F1 9.8 Tf [(Gloucestershire Royal Hospital, Gloucester, UK Peter Burns, Castle Hill Hospital, Hull, UK Carol Chu, Castle Hill Hospital, Hull, )] TJ ET BT 26.250 41.286 Td /F1 9.8 Tf [(UK Carole Evans, Castle Hill Hospital, Hull, UK Stephanie Hamer, Castle Hill Hospital, Hull, UK Ivana Markova, Castle Hill )] TJ ET BT 26.250 29.382 Td /F1 9.8 Tf [(Hospital, Hull, UK Julie Miller, Castle Hill Hospital, Hull, UK Ashok Raman, Castle Hill Hospital, Hull, UK Kathy Barnes, Chapel )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(11)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 193 0 obj << /Type /Page /Parent 3 0 R /Contents 194 0 R >> endobj 194 0 obj << /Length 28421 >> stream 0.271 0.267 0.267 rg q 15.000 24.125 577.500 752.875 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Allerton Hospital, Department of Clinical Genetics, Leeds , UK Carol Chu, Chapel Allerton Hospital, Department of Clinical )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Genetics, Leeds , UK Emma Hobson, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Stuart Jamieson, )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Ivana Markova, Chapel Allerton Hospital, Department of )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Clinical Genetics, Leeds , UK Jenny Thomson, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Jean )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Toscano, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Sue Wild, Chapel Allerton Hospital, Department )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(of Clinical Genetics, Leeds , UK Pam Yardumian, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Colin )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Bourne, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Carole Clayton, Leicestershire Partnership Trust, Mill Lodge, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Leicester, UK Heather Dipple, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Jackie Clapton, Leicestershire )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Partnership Trust, Mill Lodge, Leicester, UK Janet Grant, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Diana )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Gross, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Caroline Hallam, Leicestershire Partnership Trust, Mill Lodge, )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Leicester, UK Julia Middleton, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Ann Murch,Leicestershire Partnership )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Trust, Mill Lodge, Leicester, UK Dawn Patino, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Thomasin Andrews, )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Guys Hospital, London, UK Andrew Dougherty, Guys Hospital, London, UK Fred Kavalier, Guys Hospital, London, UK )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Charlotte Golding, Guys Hospital, London, UK Alison Lashwood, Guys Hospital, London, UK Dene Robertson, Guys Hospital, )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(London, UK Deborah Ruddy,Guys Hospital, London, UK Anna Whait, Guys Hospital, London, UK Michael Patton, St. Georges-)] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Hospital, London, UK Maria Peterson, St. Georges-Hospital, London, UK Sarah Rose, St. Georges-Hospital, London, UK )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Thomasin Andrews, The National Hospital for Neurology and Neurosurgery, London, UK Stefania Bruno, The National Hospital )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(for Neurology and Neurosurgery, London, UK Charlotte Golding, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(London, UK Nayana Lahiri, The National Hospital for Neurology and Neurosurgery, London, UK Marianne Novak, The National )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Aakta Patel, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(London, UK Elisabeth Rosser, The National Hospital for Neurology and Neurosurgery, London, UK Sarah Tabrizi, The National )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Rachel Taylor, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(London, UK Thomas Warner, The National Hospital for Neurology and Neurosurgery, London, UK Edward Wild, The National )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Natalie Arran, Genetic Medicine, University of Manchester, Manchester )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Jenny )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Callaghan, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(University Hospitals NHS Foundation Trust, Manchester, UK David Craufurd, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Manchester, UK Ruth Fullam, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Liz Howard, Genetic Medicine, University of )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(Manchester, Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Trust, Manchester, UK Susan Huson, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Lucy Partington-Jones, Genetic )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester University )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Hospitals NHS Foundation Trust, Manchester, UK Julie Snowden, Genetic Medicine, University of Manchester, Manchester )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Andrea )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Sollom, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(University Hospitals NHS Foundation Trust, Manchester, UK Jennifer Thompson, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Manchester, UK Cheryl Stopford, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Nichola Verstraelen \(formerly Ritchie\), )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester University )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Hospitals NHS Foundation Trust, Manchester, UK Leann Westmoreland, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Manchester, UK Andrea H Nemeth, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK Gill Siuda, Oxford Radcliffe Hospitals )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(NHS Trust, Oxford, UK David Harrison, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Max Hughes, Heathleigh Unit, )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Mount Gould Hospital, Plymouth, UK Andrew Parkinson, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Beverley )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Soltysiak, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Oliver Bandmann, The Royal Hallamshire Hospital Sheffield )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Childrens Hospital, Sheffield, UK Alyson Bradbury, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Paul Gill, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Helen Fairtlough, The Royal Hallamshire )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Hospital Sheffield Childrens Hospital, Sheffield, UK Kay Fillingham, The Royal Hallamshire Hospital Sheffield Childrens )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Hospital, Sheffield, UK Isabella Foustanos, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Kirsty )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(ODonovan, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Nadia Peppa, The Royal Hallamshire )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Hospital Sheffield Childrens Hospital, Sheffield, UK Katherine Tidswell, The Royal Hallamshire Hospital Sheffield Childrens )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Hospital, Sheffield, UK Oliver Quarrell, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK)] TJ ET BT 26.250 95.517 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 75.563 Td /F1 9.8 Tf [(This research is supported by CHDI Foundation, Inc. We thank the REGISTRY sites and the study participants for their time )] TJ ET BT 562.178 75.563 Td /F1 9.8 Tf [(and )] TJ ET BT 26.250 63.658 Td /F1 9.8 Tf [(effort.)] TJ ET Q q 15.000 24.125 577.500 752.875 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Allerton Hospital, Department of Clinical Genetics, Leeds , UK Carol Chu, Chapel Allerton Hospital, Department of Clinical )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Genetics, Leeds , UK Emma Hobson, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Stuart Jamieson, )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Ivana Markova, Chapel Allerton Hospital, Department of )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Clinical Genetics, Leeds , UK Jenny Thomson, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Jean )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Toscano, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Sue Wild, Chapel Allerton Hospital, Department )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(of Clinical Genetics, Leeds , UK Pam Yardumian, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Colin )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Bourne, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Carole Clayton, Leicestershire Partnership Trust, Mill Lodge, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Leicester, UK Heather Dipple, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Jackie Clapton, Leicestershire )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Partnership Trust, Mill Lodge, Leicester, UK Janet Grant, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Diana )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Gross, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Caroline Hallam, Leicestershire Partnership Trust, Mill Lodge, )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Leicester, UK Julia Middleton, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Ann Murch,Leicestershire Partnership )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Trust, Mill Lodge, Leicester, UK Dawn Patino, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Thomasin Andrews, )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Guys Hospital, London, UK Andrew Dougherty, Guys Hospital, London, UK Fred Kavalier, Guys Hospital, London, UK )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Charlotte Golding, Guys Hospital, London, UK Alison Lashwood, Guys Hospital, London, UK Dene Robertson, Guys Hospital, )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(London, UK Deborah Ruddy,Guys Hospital, London, UK Anna Whait, Guys Hospital, London, UK Michael Patton, St. Georges-)] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Hospital, London, UK Maria Peterson, St. Georges-Hospital, London, UK Sarah Rose, St. Georges-Hospital, London, UK )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Thomasin Andrews, The National Hospital for Neurology and Neurosurgery, London, UK Stefania Bruno, The National Hospital )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(for Neurology and Neurosurgery, London, UK Charlotte Golding, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(London, UK Nayana Lahiri, The National Hospital for Neurology and Neurosurgery, London, UK Marianne Novak, The National )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Aakta Patel, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(London, UK Elisabeth Rosser, The National Hospital for Neurology and Neurosurgery, London, UK Sarah Tabrizi, The National )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Rachel Taylor, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(London, UK Thomas Warner, The National Hospital for Neurology and Neurosurgery, London, UK Edward Wild, The National )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Natalie Arran, Genetic Medicine, University of Manchester, Manchester )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Jenny )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Callaghan, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(University Hospitals NHS Foundation Trust, Manchester, UK David Craufurd, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Manchester, UK Ruth Fullam, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Liz Howard, Genetic Medicine, University of )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(Manchester, Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Trust, Manchester, UK Susan Huson, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Lucy Partington-Jones, Genetic )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester University )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Hospitals NHS Foundation Trust, Manchester, UK Julie Snowden, Genetic Medicine, University of Manchester, Manchester )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Andrea )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Sollom, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(University Hospitals NHS Foundation Trust, Manchester, UK Jennifer Thompson, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Manchester, UK Cheryl Stopford, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Nichola Verstraelen \(formerly Ritchie\), )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester University )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Hospitals NHS Foundation Trust, Manchester, UK Leann Westmoreland, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Manchester, UK Andrea H Nemeth, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK Gill Siuda, Oxford Radcliffe Hospitals )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(NHS Trust, Oxford, UK David Harrison, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Max Hughes, Heathleigh Unit, )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Mount Gould Hospital, Plymouth, UK Andrew Parkinson, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Beverley )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Soltysiak, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Oliver Bandmann, The Royal Hallamshire Hospital Sheffield )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Childrens Hospital, Sheffield, UK Alyson Bradbury, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Paul Gill, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Helen Fairtlough, The Royal Hallamshire )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Hospital Sheffield Childrens Hospital, Sheffield, UK Kay Fillingham, The Royal Hallamshire Hospital Sheffield Childrens )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Hospital, Sheffield, UK Isabella Foustanos, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Kirsty )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(ODonovan, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Nadia Peppa, The Royal Hallamshire )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Hospital Sheffield Childrens Hospital, Sheffield, UK Katherine Tidswell, The Royal Hallamshire Hospital Sheffield Childrens )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Hospital, Sheffield, UK Oliver Quarrell, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK)] TJ ET BT 26.250 95.517 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 75.563 Td /F1 9.8 Tf [(This research is supported by CHDI Foundation, Inc. We thank the REGISTRY sites and the study participants for their time )] TJ ET BT 562.178 75.563 Td /F1 9.8 Tf [(and )] TJ ET BT 26.250 63.658 Td /F1 9.8 Tf [(effort.)] TJ ET Q q 15.000 24.125 577.500 752.875 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Allerton Hospital, Department of Clinical Genetics, Leeds , UK Carol Chu, Chapel Allerton Hospital, Department of Clinical )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(Genetics, Leeds , UK Emma Hobson, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Stuart Jamieson, )] TJ ET BT 26.250 743.667 Td /F1 9.8 Tf [(Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Ivana Markova, Chapel Allerton Hospital, Department of )] TJ ET BT 26.250 731.762 Td /F1 9.8 Tf [(Clinical Genetics, Leeds , UK Jenny Thomson, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Jean )] TJ ET BT 26.250 719.857 Td /F1 9.8 Tf [(Toscano, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Sue Wild, Chapel Allerton Hospital, Department )] TJ ET BT 26.250 707.952 Td /F1 9.8 Tf [(of Clinical Genetics, Leeds , UK Pam Yardumian, Chapel Allerton Hospital, Department of Clinical Genetics, Leeds , UK Colin )] TJ ET BT 26.250 696.048 Td /F1 9.8 Tf [(Bourne, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Carole Clayton, Leicestershire Partnership Trust, Mill Lodge, )] TJ ET BT 26.250 684.143 Td /F1 9.8 Tf [(Leicester, UK Heather Dipple, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Jackie Clapton, Leicestershire )] TJ ET BT 26.250 672.238 Td /F1 9.8 Tf [(Partnership Trust, Mill Lodge, Leicester, UK Janet Grant, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Diana )] TJ ET BT 26.250 660.333 Td /F1 9.8 Tf [(Gross, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Caroline Hallam, Leicestershire Partnership Trust, Mill Lodge, )] TJ ET BT 26.250 648.429 Td /F1 9.8 Tf [(Leicester, UK Julia Middleton, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Ann Murch,Leicestershire Partnership )] TJ ET BT 26.250 636.524 Td /F1 9.8 Tf [(Trust, Mill Lodge, Leicester, UK Dawn Patino, Leicestershire Partnership Trust, Mill Lodge, Leicester, UK Thomasin Andrews, )] TJ ET BT 26.250 624.619 Td /F1 9.8 Tf [(Guys Hospital, London, UK Andrew Dougherty, Guys Hospital, London, UK Fred Kavalier, Guys Hospital, London, UK )] TJ ET BT 26.250 612.714 Td /F1 9.8 Tf [(Charlotte Golding, Guys Hospital, London, UK Alison Lashwood, Guys Hospital, London, UK Dene Robertson, Guys Hospital, )] TJ ET BT 26.250 600.810 Td /F1 9.8 Tf [(London, UK Deborah Ruddy,Guys Hospital, London, UK Anna Whait, Guys Hospital, London, UK Michael Patton, St. Georges-)] TJ ET BT 26.250 588.905 Td /F1 9.8 Tf [(Hospital, London, UK Maria Peterson, St. Georges-Hospital, London, UK Sarah Rose, St. Georges-Hospital, London, UK )] TJ ET BT 26.250 577.000 Td /F1 9.8 Tf [(Thomasin Andrews, The National Hospital for Neurology and Neurosurgery, London, UK Stefania Bruno, The National Hospital )] TJ ET BT 26.250 565.095 Td /F1 9.8 Tf [(for Neurology and Neurosurgery, London, UK Charlotte Golding, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 553.191 Td /F1 9.8 Tf [(London, UK Nayana Lahiri, The National Hospital for Neurology and Neurosurgery, London, UK Marianne Novak, The National )] TJ ET BT 26.250 541.286 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Aakta Patel, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 529.381 Td /F1 9.8 Tf [(London, UK Elisabeth Rosser, The National Hospital for Neurology and Neurosurgery, London, UK Sarah Tabrizi, The National )] TJ ET BT 26.250 517.476 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Rachel Taylor, The National Hospital for Neurology and Neurosurgery, )] TJ ET BT 26.250 505.572 Td /F1 9.8 Tf [(London, UK Thomas Warner, The National Hospital for Neurology and Neurosurgery, London, UK Edward Wild, The National )] TJ ET BT 26.250 493.667 Td /F1 9.8 Tf [(Hospital for Neurology and Neurosurgery, London, UK Natalie Arran, Genetic Medicine, University of Manchester, Manchester )] TJ ET BT 26.250 481.762 Td /F1 9.8 Tf [(Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Jenny )] TJ ET BT 26.250 469.857 Td /F1 9.8 Tf [(Callaghan, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester )] TJ ET BT 26.250 457.953 Td /F1 9.8 Tf [(University Hospitals NHS Foundation Trust, Manchester, UK David Craufurd, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 446.048 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 434.143 Td /F1 9.8 Tf [(Manchester, UK Ruth Fullam, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and )] TJ ET BT 26.250 422.238 Td /F1 9.8 Tf [(Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Liz Howard, Genetic Medicine, University of )] TJ ET BT 26.250 410.334 Td /F1 9.8 Tf [(Manchester, Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation )] TJ ET BT 26.250 398.429 Td /F1 9.8 Tf [(Trust, Manchester, UK Susan Huson, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences )] TJ ET BT 26.250 386.524 Td /F1 9.8 Tf [(Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Lucy Partington-Jones, Genetic )] TJ ET BT 26.250 374.619 Td /F1 9.8 Tf [(Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester University )] TJ ET BT 26.250 362.715 Td /F1 9.8 Tf [(Hospitals NHS Foundation Trust, Manchester, UK Julie Snowden, Genetic Medicine, University of Manchester, Manchester )] TJ ET BT 26.250 350.810 Td /F1 9.8 Tf [(Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Andrea )] TJ ET BT 26.250 338.905 Td /F1 9.8 Tf [(Sollom, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester )] TJ ET BT 26.250 327.000 Td /F1 9.8 Tf [(University Hospitals NHS Foundation Trust, Manchester, UK Jennifer Thompson, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 315.096 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 303.191 Td /F1 9.8 Tf [(Manchester, UK Cheryl Stopford, Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre )] TJ ET BT 26.250 291.286 Td /F1 9.8 Tf [(and Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Nichola Verstraelen \(formerly Ritchie\), )] TJ ET BT 26.250 279.381 Td /F1 9.8 Tf [(Genetic Medicine, University of Manchester, Manchester Academic Health Sciences Centre and Central Manchester University )] TJ ET BT 26.250 267.477 Td /F1 9.8 Tf [(Hospitals NHS Foundation Trust, Manchester, UK Leann Westmoreland, Genetic Medicine, University of Manchester, )] TJ ET BT 26.250 255.572 Td /F1 9.8 Tf [(Manchester Academic Health Sciences Centre and Central Manchester University Hospitals NHS Foundation Trust, )] TJ ET BT 26.250 243.667 Td /F1 9.8 Tf [(Manchester, UK Andrea H Nemeth, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK Gill Siuda, Oxford Radcliffe Hospitals )] TJ ET BT 26.250 231.762 Td /F1 9.8 Tf [(NHS Trust, Oxford, UK David Harrison, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Max Hughes, Heathleigh Unit, )] TJ ET BT 26.250 219.858 Td /F1 9.8 Tf [(Mount Gould Hospital, Plymouth, UK Andrew Parkinson, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Beverley )] TJ ET BT 26.250 207.953 Td /F1 9.8 Tf [(Soltysiak, Heathleigh Unit, Mount Gould Hospital, Plymouth, UK Oliver Bandmann, The Royal Hallamshire Hospital Sheffield )] TJ ET BT 26.250 196.048 Td /F1 9.8 Tf [(Childrens Hospital, Sheffield, UK Alyson Bradbury, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK )] TJ ET BT 26.250 184.143 Td /F1 9.8 Tf [(Paul Gill, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Helen Fairtlough, The Royal Hallamshire )] TJ ET BT 26.250 172.239 Td /F1 9.8 Tf [(Hospital Sheffield Childrens Hospital, Sheffield, UK Kay Fillingham, The Royal Hallamshire Hospital Sheffield Childrens )] TJ ET BT 26.250 160.334 Td /F1 9.8 Tf [(Hospital, Sheffield, UK Isabella Foustanos, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Kirsty )] TJ ET BT 26.250 148.429 Td /F1 9.8 Tf [(ODonovan, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK Nadia Peppa, The Royal Hallamshire )] TJ ET BT 26.250 136.524 Td /F1 9.8 Tf [(Hospital Sheffield Childrens Hospital, Sheffield, UK Katherine Tidswell, The Royal Hallamshire Hospital Sheffield Childrens )] TJ ET BT 26.250 124.620 Td /F1 9.8 Tf [(Hospital, Sheffield, UK Oliver Quarrell, The Royal Hallamshire Hospital Sheffield Childrens Hospital, Sheffield, UK)] TJ ET BT 26.250 95.517 Td /F4 12.0 Tf [(Acknowledgements)] TJ ET BT 26.250 75.563 Td /F1 9.8 Tf [(This research is supported by CHDI Foundation, Inc. We thank the REGISTRY sites and the study participants for their time )] TJ ET BT 562.178 75.563 Td /F1 9.8 Tf [(and )] TJ ET BT 26.250 63.658 Td /F1 9.8 Tf [(effort.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(12)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj 195 0 obj << /Type /Page /Parent 3 0 R /Contents 196 0 R >> endobj 196 0 obj << /Length 12107 >> stream 0.271 0.267 0.267 rg q 15.000 329.729 577.500 447.271 re W n 0.271 0.267 0.267 rg BT 26.250 750.278 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 722.824 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 722.824 Td /F1 9.8 Tf [(The Huntington's Disease Collaborative Research Group. A novel gene containing a trinucleotide repeat that is expanded )] TJ ET BT 26.250 710.919 Td /F1 9.8 Tf [(and unstable on Huntington's disease chromosomes. Cell 1993;72:971-83.)] TJ ET BT 26.250 691.515 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 691.515 Td /F1 9.8 Tf [(Langbehn DR, Brinkman RR, Falush D, Paulsen JS, Hayden MR. A new model for prediction of the age of onset and )] TJ ET BT 26.250 679.610 Td /F1 9.8 Tf [(penetrance for Huntington's disease based on CAG length. Clin Genet 2004;65:267-77.)] TJ ET BT 26.250 660.205 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 660.205 Td /F1 9.8 Tf [(Wexler NS, Lorimer J, Porter J, et al. Venezuelan kindreds reveal that genetic and environmental factors modulate )] TJ ET BT 26.250 648.300 Td /F1 9.8 Tf [(Huntington's disease age of onset. Proc Natl Acad Sci U S A 2004;101:3498-503.)] TJ ET BT 26.250 628.896 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 628.896 Td /F1 9.8 Tf [(Aylward EH, Codori AM, Barta PE, Pearlson GD, Harris GJ, Brandt J. Basal ganglia volume and proximity to onset in )] TJ ET BT 26.250 616.991 Td /F1 9.8 Tf [(presymptomatic Huntington disease. Arch Neurol 1996;53:1293-6.)] TJ ET BT 26.250 597.586 Td /F1 9.8 Tf [(5.)] TJ ET BT 38.132 597.586 Td /F1 9.8 Tf [(Ranen NG, Stine OC, Abbott MH, et al. Anticipation and instability of IT-15 \(CAG\)n repeats in parent-offspring pairs with )] TJ ET BT 26.250 585.681 Td /F1 9.8 Tf [(Huntington disease. Am J Hum Genet 1995;57:593-602.)] TJ ET BT 26.250 566.277 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 566.277 Td /F1 9.8 Tf [(Orth M. Observing Huntington's disease: the European Huntington's Disease Network's REGISTRY. J Neurol Neurosurg )] TJ ET BT 26.250 554.372 Td /F1 9.8 Tf [(Psychiatry 2010:19 [Epub ahead of print].)] TJ ET BT 26.250 534.967 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 534.967 Td /F1 9.8 Tf [(Paulsen JS, Hayden M, Stout JC, et al. Preparing for preventive clinical trials: the Predict-HD study. Arch Neurol 2006;63:883-)] TJ ET BT 26.250 523.062 Td /F1 9.8 Tf [(90.)] TJ ET BT 26.250 503.658 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 503.658 Td /F1 9.8 Tf [(Huntington Study Group. Unified Huntington's Disease Rating Scale: reliability and consistency. Mov Disord 1996;11:136-42.)] TJ ET BT 26.250 484.253 Td /F1 9.8 Tf [(9.)] TJ ET BT 38.132 484.253 Td /F1 9.8 Tf [(Penney JB, Jr., Vonsattel JP, MacDonald ME, Gusella JF, Myers RH. CAG repeat number governs the development rate of )] TJ ET BT 26.250 472.348 Td /F1 9.8 Tf [(pathology in Huntington's disease. Ann Neurol 1997;41:689-92.)] TJ ET BT 26.250 452.943 Td /F1 9.8 Tf [(10.)] TJ ET BT 43.553 452.943 Td /F1 9.8 Tf [(Tabrizi SJ, Langbehn DR, Leavitt BR, et al. Biological and clinical manifestations of Huntington's disease in the longitudinal )] TJ ET BT 26.250 441.039 Td /F1 9.8 Tf [(TRACK-HD study: cross-sectional analysis of baseline data. Lancet Neurol 2009;8:791-801.)] TJ ET BT 26.250 421.634 Td /F1 9.8 Tf [(11.)] TJ ET BT 43.553 421.634 Td /F1 9.8 Tf [(Paulsen JS, Langbehn DR, Stout JC, et al. Detection of Huntington's disease decades before diagnosis: the Predict-HD )] TJ ET BT 26.250 409.729 Td /F1 9.8 Tf [(study. J Neurol Neurosurg Psychiatry 2008;79:874-80.)] TJ ET BT 26.250 390.324 Td /F1 9.8 Tf [(12.)] TJ ET BT 43.553 390.324 Td /F1 9.8 Tf [(Marder K, Zhao H, Myers RH, et al. Rate of functional decline in Huntington's disease. Huntington Study Group. Neurology )] TJ ET BT 26.250 378.420 Td /F1 9.8 Tf [(2000;54:452-8.)] TJ ET BT 26.250 359.015 Td /F1 9.8 Tf [(13.)] TJ ET BT 43.553 359.015 Td /F1 9.8 Tf [(Paulsen JS, Wang C, Duff K, et al. Challenges assessing clinical endpoints in early Huntington disease. Mov Disord )] TJ ET BT 26.250 347.110 Td /F1 9.8 Tf [(2010;25:2595-603.)] TJ ET Q q 15.000 329.729 577.500 447.271 re W n 0.271 0.267 0.267 rg BT 26.250 750.278 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 722.824 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 722.824 Td /F1 9.8 Tf [(The Huntington's Disease Collaborative Research Group. A novel gene containing a trinucleotide repeat that is expanded )] TJ ET BT 26.250 710.919 Td /F1 9.8 Tf [(and unstable on Huntington's disease chromosomes. Cell 1993;72:971-83.)] TJ ET BT 26.250 691.515 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 691.515 Td /F1 9.8 Tf [(Langbehn DR, Brinkman RR, Falush D, Paulsen JS, Hayden MR. A new model for prediction of the age of onset and )] TJ ET BT 26.250 679.610 Td /F1 9.8 Tf [(penetrance for Huntington's disease based on CAG length. Clin Genet 2004;65:267-77.)] TJ ET BT 26.250 660.205 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 660.205 Td /F1 9.8 Tf [(Wexler NS, Lorimer J, Porter J, et al. Venezuelan kindreds reveal that genetic and environmental factors modulate )] TJ ET BT 26.250 648.300 Td /F1 9.8 Tf [(Huntington's disease age of onset. Proc Natl Acad Sci U S A 2004;101:3498-503.)] TJ ET BT 26.250 628.896 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 628.896 Td /F1 9.8 Tf [(Aylward EH, Codori AM, Barta PE, Pearlson GD, Harris GJ, Brandt J. Basal ganglia volume and proximity to onset in )] TJ ET BT 26.250 616.991 Td /F1 9.8 Tf [(presymptomatic Huntington disease. Arch Neurol 1996;53:1293-6.)] TJ ET BT 26.250 597.586 Td /F1 9.8 Tf [(5.)] TJ ET BT 38.132 597.586 Td /F1 9.8 Tf [(Ranen NG, Stine OC, Abbott MH, et al. Anticipation and instability of IT-15 \(CAG\)n repeats in parent-offspring pairs with )] TJ ET BT 26.250 585.681 Td /F1 9.8 Tf [(Huntington disease. Am J Hum Genet 1995;57:593-602.)] TJ ET BT 26.250 566.277 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 566.277 Td /F1 9.8 Tf [(Orth M. Observing Huntington's disease: the European Huntington's Disease Network's REGISTRY. J Neurol Neurosurg )] TJ ET BT 26.250 554.372 Td /F1 9.8 Tf [(Psychiatry 2010:19 [Epub ahead of print].)] TJ ET BT 26.250 534.967 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 534.967 Td /F1 9.8 Tf [(Paulsen JS, Hayden M, Stout JC, et al. Preparing for preventive clinical trials: the Predict-HD study. Arch Neurol 2006;63:883-)] TJ ET BT 26.250 523.062 Td /F1 9.8 Tf [(90.)] TJ ET BT 26.250 503.658 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 503.658 Td /F1 9.8 Tf [(Huntington Study Group. Unified Huntington's Disease Rating Scale: reliability and consistency. Mov Disord 1996;11:136-42.)] TJ ET BT 26.250 484.253 Td /F1 9.8 Tf [(9.)] TJ ET BT 38.132 484.253 Td /F1 9.8 Tf [(Penney JB, Jr., Vonsattel JP, MacDonald ME, Gusella JF, Myers RH. CAG repeat number governs the development rate of )] TJ ET BT 26.250 472.348 Td /F1 9.8 Tf [(pathology in Huntington's disease. Ann Neurol 1997;41:689-92.)] TJ ET BT 26.250 452.943 Td /F1 9.8 Tf [(10.)] TJ ET BT 43.553 452.943 Td /F1 9.8 Tf [(Tabrizi SJ, Langbehn DR, Leavitt BR, et al. Biological and clinical manifestations of Huntington's disease in the longitudinal )] TJ ET BT 26.250 441.039 Td /F1 9.8 Tf [(TRACK-HD study: cross-sectional analysis of baseline data. Lancet Neurol 2009;8:791-801.)] TJ ET BT 26.250 421.634 Td /F1 9.8 Tf [(11.)] TJ ET BT 43.553 421.634 Td /F1 9.8 Tf [(Paulsen JS, Langbehn DR, Stout JC, et al. Detection of Huntington's disease decades before diagnosis: the Predict-HD )] TJ ET BT 26.250 409.729 Td /F1 9.8 Tf [(study. J Neurol Neurosurg Psychiatry 2008;79:874-80.)] TJ ET BT 26.250 390.324 Td /F1 9.8 Tf [(12.)] TJ ET BT 43.553 390.324 Td /F1 9.8 Tf [(Marder K, Zhao H, Myers RH, et al. Rate of functional decline in Huntington's disease. Huntington Study Group. Neurology )] TJ ET BT 26.250 378.420 Td /F1 9.8 Tf [(2000;54:452-8.)] TJ ET BT 26.250 359.015 Td /F1 9.8 Tf [(13.)] TJ ET BT 43.553 359.015 Td /F1 9.8 Tf [(Paulsen JS, Wang C, Duff K, et al. Challenges assessing clinical endpoints in early Huntington disease. Mov Disord )] TJ ET BT 26.250 347.110 Td /F1 9.8 Tf [(2010;25:2595-603.)] TJ ET Q q 15.000 329.729 577.500 447.271 re W n 0.271 0.267 0.267 rg BT 26.250 750.278 Td /F4 12.0 Tf [(References)] TJ ET BT 26.250 722.824 Td /F1 9.8 Tf [(1.)] TJ ET BT 38.132 722.824 Td /F1 9.8 Tf [(The Huntington's Disease Collaborative Research Group. A novel gene containing a trinucleotide repeat that is expanded )] TJ ET BT 26.250 710.919 Td /F1 9.8 Tf [(and unstable on Huntington's disease chromosomes. Cell 1993;72:971-83.)] TJ ET BT 26.250 691.515 Td /F1 9.8 Tf [(2.)] TJ ET BT 38.132 691.515 Td /F1 9.8 Tf [(Langbehn DR, Brinkman RR, Falush D, Paulsen JS, Hayden MR. A new model for prediction of the age of onset and )] TJ ET BT 26.250 679.610 Td /F1 9.8 Tf [(penetrance for Huntington's disease based on CAG length. Clin Genet 2004;65:267-77.)] TJ ET BT 26.250 660.205 Td /F1 9.8 Tf [(3.)] TJ ET BT 38.132 660.205 Td /F1 9.8 Tf [(Wexler NS, Lorimer J, Porter J, et al. Venezuelan kindreds reveal that genetic and environmental factors modulate )] TJ ET BT 26.250 648.300 Td /F1 9.8 Tf [(Huntington's disease age of onset. Proc Natl Acad Sci U S A 2004;101:3498-503.)] TJ ET BT 26.250 628.896 Td /F1 9.8 Tf [(4.)] TJ ET BT 38.132 628.896 Td /F1 9.8 Tf [(Aylward EH, Codori AM, Barta PE, Pearlson GD, Harris GJ, Brandt J. Basal ganglia volume and proximity to onset in )] TJ ET BT 26.250 616.991 Td /F1 9.8 Tf [(presymptomatic Huntington disease. Arch Neurol 1996;53:1293-6.)] TJ ET BT 26.250 597.586 Td /F1 9.8 Tf [(5.)] TJ ET BT 38.132 597.586 Td /F1 9.8 Tf [(Ranen NG, Stine OC, Abbott MH, et al. Anticipation and instability of IT-15 \(CAG\)n repeats in parent-offspring pairs with )] TJ ET BT 26.250 585.681 Td /F1 9.8 Tf [(Huntington disease. Am J Hum Genet 1995;57:593-602.)] TJ ET BT 26.250 566.277 Td /F1 9.8 Tf [(6.)] TJ ET BT 38.132 566.277 Td /F1 9.8 Tf [(Orth M. Observing Huntington's disease: the European Huntington's Disease Network's REGISTRY. J Neurol Neurosurg )] TJ ET BT 26.250 554.372 Td /F1 9.8 Tf [(Psychiatry 2010:19 [Epub ahead of print].)] TJ ET BT 26.250 534.967 Td /F1 9.8 Tf [(7.)] TJ ET BT 38.132 534.967 Td /F1 9.8 Tf [(Paulsen JS, Hayden M, Stout JC, et al. Preparing for preventive clinical trials: the Predict-HD study. Arch Neurol 2006;63:883-)] TJ ET BT 26.250 523.062 Td /F1 9.8 Tf [(90.)] TJ ET BT 26.250 503.658 Td /F1 9.8 Tf [(8.)] TJ ET BT 38.132 503.658 Td /F1 9.8 Tf [(Huntington Study Group. Unified Huntington's Disease Rating Scale: reliability and consistency. Mov Disord 1996;11:136-42.)] TJ ET BT 26.250 484.253 Td /F1 9.8 Tf [(9.)] TJ ET BT 38.132 484.253 Td /F1 9.8 Tf [(Penney JB, Jr., Vonsattel JP, MacDonald ME, Gusella JF, Myers RH. CAG repeat number governs the development rate of )] TJ ET BT 26.250 472.348 Td /F1 9.8 Tf [(pathology in Huntington's disease. Ann Neurol 1997;41:689-92.)] TJ ET BT 26.250 452.943 Td /F1 9.8 Tf [(10.)] TJ ET BT 43.553 452.943 Td /F1 9.8 Tf [(Tabrizi SJ, Langbehn DR, Leavitt BR, et al. Biological and clinical manifestations of Huntington's disease in the longitudinal )] TJ ET BT 26.250 441.039 Td /F1 9.8 Tf [(TRACK-HD study: cross-sectional analysis of baseline data. Lancet Neurol 2009;8:791-801.)] TJ ET BT 26.250 421.634 Td /F1 9.8 Tf [(11.)] TJ ET BT 43.553 421.634 Td /F1 9.8 Tf [(Paulsen JS, Langbehn DR, Stout JC, et al. Detection of Huntington's disease decades before diagnosis: the Predict-HD )] TJ ET BT 26.250 409.729 Td /F1 9.8 Tf [(study. J Neurol Neurosurg Psychiatry 2008;79:874-80.)] TJ ET BT 26.250 390.324 Td /F1 9.8 Tf [(12.)] TJ ET BT 43.553 390.324 Td /F1 9.8 Tf [(Marder K, Zhao H, Myers RH, et al. Rate of functional decline in Huntington's disease. Huntington Study Group. Neurology )] TJ ET BT 26.250 378.420 Td /F1 9.8 Tf [(2000;54:452-8.)] TJ ET BT 26.250 359.015 Td /F1 9.8 Tf [(13.)] TJ ET BT 43.553 359.015 Td /F1 9.8 Tf [(Paulsen JS, Wang C, Duff K, et al. Challenges assessing clinical endpoints in early Huntington disease. Mov Disord )] TJ ET BT 26.250 347.110 Td /F1 9.8 Tf [(2010;25:2595-603.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(13)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Huntington Disease)] TJ ET Q endstream endobj xref 0 197 0000000000 65535 f 0000000008 00000 n 0000000073 00000 n 0000000119 00000 n 0000000474 00000 n 0000000511 00000 n 0000000704 00000 n 0000001052 00000 n 0000024003 00000 n 0000024110 00000 n 0000024218 00000 n 0000024329 00000 n 0000024442 00000 n 0000024558 00000 n 0000024946 00000 n 0000029427 00000 n 0000029554 00000 n 0000029677 00000 n 0000029804 00000 n 0000029914 00000 n 0000030040 00000 n 0000030139 00000 n 0000030266 00000 n 0000030369 00000 n 0000030497 00000 n 0000030533 00000 n 0000030661 00000 n 0000030697 00000 n 0000030825 00000 n 0000030861 00000 n 0000030989 00000 n 0000031025 00000 n 0000031153 00000 n 0000031189 00000 n 0000031317 00000 n 0000031353 00000 n 0000031481 00000 n 0000031517 00000 n 0000031645 00000 n 0000031681 00000 n 0000031809 00000 n 0000031845 00000 n 0000031972 00000 n 0000032095 00000 n 0000032222 00000 n 0000032332 00000 n 0000032458 00000 n 0000032557 00000 n 0000032684 00000 n 0000032787 00000 n 0000032915 00000 n 0000032951 00000 n 0000033079 00000 n 0000033115 00000 n 0000033243 00000 n 0000033279 00000 n 0000033407 00000 n 0000033443 00000 n 0000033571 00000 n 0000033607 00000 n 0000033735 00000 n 0000033771 00000 n 0000033899 00000 n 0000033935 00000 n 0000034063 00000 n 0000034099 00000 n 0000034227 00000 n 0000034263 00000 n 0000034390 00000 n 0000034513 00000 n 0000034640 00000 n 0000034750 00000 n 0000034876 00000 n 0000034975 00000 n 0000035102 00000 n 0000035205 00000 n 0000035333 00000 n 0000035369 00000 n 0000035497 00000 n 0000035533 00000 n 0000035661 00000 n 0000035697 00000 n 0000035825 00000 n 0000035861 00000 n 0000035989 00000 n 0000036025 00000 n 0000036153 00000 n 0000036189 00000 n 0000036317 00000 n 0000036353 00000 n 0000036481 00000 n 0000036517 00000 n 0000036645 00000 n 0000036681 00000 n 0000036923 00000 n 0000057935 00000 n 0000058062 00000 n 0000058098 00000 n 0000058226 00000 n 0000058262 00000 n 0000058391 00000 n 0000058428 00000 n 0000058558 00000 n 0000058652 00000 n 0000058782 00000 n 0000058819 00000 n 0000058949 00000 n 0000058986 00000 n 0000059115 00000 n 0000059222 00000 n 0000069020 00000 n 0000069149 00000 n 0000069186 00000 n 0000069316 00000 n 0000069353 00000 n 0000069483 00000 n 0000069520 00000 n 0000069650 00000 n 0000069744 00000 n 0000069874 00000 n 0000069911 00000 n 0000070041 00000 n 0000070078 00000 n 0000070207 00000 n 0000070314 00000 n 0000070443 00000 n 0000070480 00000 n 0000070610 00000 n 0000070647 00000 n 0000070777 00000 n 0000070814 00000 n 0000070944 00000 n 0000071038 00000 n 0000071168 00000 n 0000071205 00000 n 0000071335 00000 n 0000071372 00000 n 0000071501 00000 n 0000071608 00000 n 0000071711 00000 n 0000124818 00000 n 0000124947 00000 n 0000125054 00000 n 0000140832 00000 n 0000140961 00000 n 0000141068 00000 n 0000141197 00000 n 0000141304 00000 n 0000141371 00000 n 0000259856 00000 n 0000260007 00000 n 0000315305 00000 n 0000315435 00000 n 0000315472 00000 n 0000315602 00000 n 0000315639 00000 n 0000315769 00000 n 0000315806 00000 n 0000315936 00000 n 0000315973 00000 n 0000316103 00000 n 0000316140 00000 n 0000316270 00000 n 0000316307 00000 n 0000316437 00000 n 0000316474 00000 n 0000316604 00000 n 0000316641 00000 n 0000316771 00000 n 0000316808 00000 n 0000316935 00000 n 0000344435 00000 n 0000344565 00000 n 0000344602 00000 n 0000344732 00000 n 0000344769 00000 n 0000344899 00000 n 0000344936 00000 n 0000345066 00000 n 0000345103 00000 n 0000345233 00000 n 0000345270 00000 n 0000345400 00000 n 0000345437 00000 n 0000345504 00000 n 0000377207 00000 n 0000377274 00000 n 0000403667 00000 n 0000403734 00000 n 0000427505 00000 n 0000427572 00000 n 0000459123 00000 n 0000459190 00000 n 0000490555 00000 n 0000490622 00000 n 0000519098 00000 n 0000519165 00000 n trailer << /Size 197 /Root 1 0 R /Info 5 0 R >> startxref 531327 %%EOF