Movement Disorders (revue)

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Assessment of brain iron and neuronal integrity in patients with Parkinson's disease using novel MRI contrasts

Identifieur interne : 001787 ( PascalFrancis/Checkpoint ); précédent : 001786; suivant : 001788

Assessment of brain iron and neuronal integrity in patients with Parkinson's disease using novel MRI contrasts

Auteurs : Shalom Michaeli [États-Unis] ; Gulin Öz [États-Unis] ; Dennis J. Sorce [États-Unis] ; Michael Garwood [États-Unis] ; Kamil Ugurbil [États-Unis] ; Stacv Majestic [États-Unis] ; Paul Tuite [États-Unis]

Source :

RBID : Pascal:07-0181690

Descripteurs français

English descriptors

Abstract

Postmortem demonstration of increased iron in the substantia nigra (SN) is a well-appreciated finding in Parkinson's disease (PD). Iron facilitates generation of free radicals, which are thought to play a role in dopamine neuronal loss. To date, however, magnetic resonance imaging (MRI) has failed to show significant in vivo differences in SN iron levels in subjects with PD versus control subjects. This finding may be due to the limitations in tissue contrasts achievable with conventional T1- and T2-weighted MRI sequences that have been used. With the recent development of novel rotating frame transverse (T2p) and longitudinal (T1p) relaxation MRI methods that appear to be sensitive to iron and neuronal loss, respectively, we embarked on a study of 8 individuals with PD (Hoehn & Yahr, Stage II) and 8 age-matched control subjects. Using these techniques with a 4T MRI magnet, we assessed iron deposits and neuronal integrity in the SN. First, T2p MRI, which is reflective of iron-related dynamic dephasing mechanisms (e.g., chemical exchange and diffusion in the locally different magnetic susceptibilities), demonstrated a statistically significant difference between the PD and control group, while routine T2 MRI did not. Second, T1p measurements, which appear to reflect upon neuronal count, indicated neuronal loss in the SN in PD. We show here that sub-millimeter resolution T1p and T2p MRI relaxation methods can provide a noninvasive measure of iron content as well as evidence of neuronal loss in the midbrain of patients with PD.


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<div type="abstract" xml:lang="en">Postmortem demonstration of increased iron in the substantia nigra (SN) is a well-appreciated finding in Parkinson's disease (PD). Iron facilitates generation of free radicals, which are thought to play a role in dopamine neuronal loss. To date, however, magnetic resonance imaging (MRI) has failed to show significant in vivo differences in SN iron levels in subjects with PD versus control subjects. This finding may be due to the limitations in tissue contrasts achievable with conventional T
<sub>1</sub>
- and T
<sub>2</sub>
-weighted MRI sequences that have been used. With the recent development of novel rotating frame transverse (T
<sub>2p</sub>
) and longitudinal (T
<sub>1p</sub>
) relaxation MRI methods that appear to be sensitive to iron and neuronal loss, respectively, we embarked on a study of 8 individuals with PD (Hoehn & Yahr, Stage II) and 8 age-matched control subjects. Using these techniques with a 4T MRI magnet, we assessed iron deposits and neuronal integrity in the SN. First, T
<sub>2p</sub>
MRI, which is reflective of iron-related dynamic dephasing mechanisms (e.g., chemical exchange and diffusion in the locally different magnetic susceptibilities), demonstrated a statistically significant difference between the PD and control group, while routine T
<sub>2</sub>
MRI did not. Second, T
<sub>1p</sub>
measurements, which appear to reflect upon neuronal count, indicated neuronal loss in the SN in PD. We show here that sub-millimeter resolution T
<sub>1p</sub>
and T
<sub>2p</sub>
MRI relaxation methods can provide a noninvasive measure of iron content as well as evidence of neuronal loss in the midbrain of patients with PD.</div>
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<sub>1</sub>
- and T
<sub>2</sub>
-weighted MRI sequences that have been used. With the recent development of novel rotating frame transverse (T
<sub>2p</sub>
) and longitudinal (T
<sub>1p</sub>
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<sub>2p</sub>
MRI, which is reflective of iron-related dynamic dephasing mechanisms (e.g., chemical exchange and diffusion in the locally different magnetic susceptibilities), demonstrated a statistically significant difference between the PD and control group, while routine T
<sub>2</sub>
MRI did not. Second, T
<sub>1p</sub>
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<s5>40</s5>
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<fC07 i1="04" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Système nerveux central pathologie</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>41</s5>
</fC07>
<fN21>
<s1>122</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Minnesota</li>
</region>
</list>
<tree>
<country name="États-Unis">
<region name="Minnesota">
<name sortKey="Michaeli, Shalom" sort="Michaeli, Shalom" uniqKey="Michaeli S" first="Shalom" last="Michaeli">Shalom Michaeli</name>
</region>
<name sortKey="Garwood, Michael" sort="Garwood, Michael" uniqKey="Garwood M" first="Michael" last="Garwood">Michael Garwood</name>
<name sortKey="Majestic, Stacv" sort="Majestic, Stacv" uniqKey="Majestic S" first="Stacv" last="Majestic">Stacv Majestic</name>
<name sortKey="Oz, Gulin" sort="Oz, Gulin" uniqKey="Oz G" first="Gulin" last="Öz">Gulin Öz</name>
<name sortKey="Sorce, Dennis J" sort="Sorce, Dennis J" uniqKey="Sorce D" first="Dennis J." last="Sorce">Dennis J. Sorce</name>
<name sortKey="Tuite, Paul" sort="Tuite, Paul" uniqKey="Tuite P" first="Paul" last="Tuite">Paul Tuite</name>
<name sortKey="Ugurbil, Kamil" sort="Ugurbil, Kamil" uniqKey="Ugurbil K" first="Kamil" last="Ugurbil">Kamil Ugurbil</name>
</country>
</tree>
</affiliations>
</record>

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