European Radiology

, Volume 26, Issue 8, pp 2567–2577 | Cite as

Neurite orientation dispersion and density imaging in the substantia nigra in idiopathic Parkinson disease

  • Koji KamagataEmail author
  • Taku Hatano
  • Ayami Okuzumi
  • Yumiko Motoi
  • Osamu Abe
  • Keigo Shimoji
  • Kouhei Kamiya
  • Michimasa Suzuki
  • Masaaki Hori
  • Kanako K. Kumamaru
  • Nobutaka Hattori
  • Shigeki Aoki



We used neurite orientation dispersion and density imaging (NODDI) to quantify changes in the substantia nigra pars compacta (SNpc) and striatum in Parkinson disease (PD).


Diffusion-weighted magnetic resonance images were acquired from 58 PD patients and 36 age- and sex-matched controls. The intracellular volume fraction (Vic), orientation dispersion index (OD), and isotropic volume fraction (Viso) of the basal ganglia were compared between groups. Multivariate logistic regression analysis determined which diffusion parameters were independent predictors of PD. Receiver operating characteristic (ROC) analysis compared the diagnostic accuracies of the evaluated indices. Pearson coefficient analysis correlated each diffusional parameter with disease severity.


Vic in the contralateral SNpc and putamen were significantly lower in PD patients than in healthy controls (P < 0.00058). Vic and OD in the SNpc and putamen showed significant negative correlations (P < 0.05) with disease severity. Multivariate logistic analysis revealed that Vic (P = 0.0000046) and mean diffusivity (P = 0.019) in the contralateral SNpc were the independent predictors of PD. In the ROC analysis, Vic in the contralateral SNpc showed the best diagnostic performance (mean cutoff, 0.62; sensitivity, 0.88; specificity, 0.83).


NODDI is likely to be useful for diagnosing PD and assessing its progression.

Key Points

Neurite orientation dispersion and density imaging (NODDI) is a new diffusion MRI technique

NODDI estimates neurite microstructure more specifically than diffusion tensor imaging

By using NODDI, nigrostriatal alterations in PD can be evaluated in vivo

NOODI is useful for diagnosing PD and assessing its disease progression


Basal ganglia Diffusion MRI Neurodegenerative disorders Parkinson disease Substantia nigra pars compacta 



Diffusion tensor imaging


Diffusion-weighted imaging


Echo-planar imaging


Fractional anisotropy


Mean diffusivity


Neurite orientation dispersion and density imaging


Orientation dispersion index


Parkinson disease


Rreduced field-of-view


Receiver operating characteristic


Regions of interest


Substantia nigra pars compacta


Intracellular volume fraction


Isotropic volume fraction



The scientific guarantor of this publication is Shigeki Aoki. The authors of this manuscript declare no relationships with any companies of which the products or services may be related to the subject matter of the article. This study has received funding by a Grant-in-Aid for Scientific Research on Innovative Areas (Comprehensive Brain Science Network) from the Ministry of Education, Culture, Sports, Science, and Technology (MEXT) of Japan and by MEXT/JSPS KAKENHI Grant Number 24591787. One of the authors has significant statistical expertise. Institutional Review Board approval was obtained. Written informed consent was obtained from all subjects (patients) in this study. No study subjects or cohorts have been previously reported. Methodology: prospective, case-control study, performed at one institution.

Supplementary material

330_2015_4066_MOESM1_ESM.docx (16 kb)
Table S1 (DOCX 15 kb)
330_2015_4066_Fig5_ESM.gif (23 kb)

Relationship between intracellular volume fraction (Vic) in the contralateral putamen and disease duration. (GIF 23 kb)

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High Resolution Image (TIFF 252 kb)
330_2015_4066_Fig6_ESM.gif (23 kb)

Relationship between intracellular volume fraction (Vic) in the bilateral putamen and disease duration. (GIF 22 kb)

330_2015_4066_MOESM3_ESM.tif (214 kb)
High Resolution Image (TIFF 213 kb)
330_2015_4066_Fig7_ESM.gif (25 kb)

Relationship between orientation dispersion index (OD) in the bilateral putamen and disease duration (GIF 25 kb)

330_2015_4066_MOESM4_ESM.tif (262 kb)
High Resolution Image (TIFF 261 kb)
330_2015_4066_Fig8_ESM.gif (22 kb)

Relationship between intracellular volume fraction (Vic) in the contralateral putamen and UPDRS III–motor subscale score (GIF 22 kb)

330_2015_4066_MOESM5_ESM.tif (237 kb)
High Resolution Image (TIFF 237 kb)
330_2015_4066_Fig9_ESM.gif (23 kb)

Relationship between orientation dispersion index (OD) in the bilateral putamen and UPDRS III–motor subscale score (GIF 23 kb)

330_2015_4066_MOESM6_ESM.tif (242 kb)
High Resolution Image (TIFF 242 kb)


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Copyright information

© European Society of Radiology 2015

Authors and Affiliations

  • Koji Kamagata
    • 1
    Email author
  • Taku Hatano
    • 2
  • Ayami Okuzumi
    • 2
  • Yumiko Motoi
    • 2
  • Osamu Abe
    • 3
  • Keigo Shimoji
    • 4
  • Kouhei Kamiya
    • 5
  • Michimasa Suzuki
    • 1
  • Masaaki Hori
    • 1
  • Kanako K. Kumamaru
    • 1
  • Nobutaka Hattori
    • 2
  • Shigeki Aoki
    • 1
  1. 1.Department of RadiologyJuntendo University Graduate School of MedicineTokyoJapan
  2. 2.Department of NeurologyJuntendo University Graduate School of MedicineTokyoJapan
  3. 3.Department of RadiologyNihon University School of MedicineTokyoJapan
  4. 4.Department of Diagnostic RadiologyTokyo Metropolitan Geriatric HospitalTokyoJapan
  5. 5.Department of Radiology, Graduate School of MedicineThe University of TokyoTokyoJapan

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