Abstract
Biopsies revealed an increased iron content in the dopaminergic neurons of nigrosomes in substantia nigra for Parkinson’s disease. In gradient echoes paramagnetic iron leads to a negative phase shift in the complex signal. The combination of magnitude and phase images allows to obtain susceptibility-weighted images (SWI) and quantitative susceptibility maps (QSM) which highlight the resulting susceptibility changes and allow selective imaging of the substantia nigra. The pigment neuromelanin in substantia nigra can be imaged separately by magnetization transfer. Both methods serve as biomarkers for Parkinson’s disease and confirm the disintegration of neuromelanin by iron compounds as the origin of the disease. Another application of MRI in Parkinson’s disease is the control of the localization of implanted electrodes for therapy using deep brain stimulation.
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Eichhoff, U. Advanced MRI-Methods for Evaluation of Parkinson’s Disease. Appl Magn Reson 52, 1707–1719 (2021). https://doi.org/10.1007/s00723-021-01365-8
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DOI: https://doi.org/10.1007/s00723-021-01365-8