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Updated: Jun 10, 2026

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
A magnetization transfer study of mild and advanced Parkinson's disease
N Tambasco1, V Belcastro, P Sarchielli
1Clinica Neurologica, Azienda Ospedaliera - Università di Perugia, Italy. n.tambasco@libero.it
Background And Purpose:
Magnetization transfer ratio (MTR) technique has identified brain changes in grey and white matter in Parkinson's disease (PD), even in the early phase. However, how these tissue changes differ along the course of the illness is still unclear. This study was aimed at investigating how MTR values change from mild PD (PD1) to patients with advanced PD (PD2).
Methods:
We measured MTR values by region of interest, in 11 PD1, 11 PD2 and 10 healthy age-matched subjects.
Results:
Compared with controls, patients with PD1 exhibited a significant MTR reduction in substantia nigra pars compacta, substantia nigra pars reticulata, putamen, periventricular white matter and parietal white matter. In addition to the changes observed in PD1, the PD2 group exhibited a significant MTR reduction in caudate, pons, frontal white matter and lateral thalamus.
Conclusion:
These results suggest that MTR might reflect morphological changes induced by the disease in distinct brain areas at different stages.
Insights
Magnetization transfer ratio (MTR) reveals distinct brain tissue changes in early and advanced Parkinson's disease (PD). MTR reductions progress to new areas as PD advances, reflecting disease-related morphological alterations.
Area of Science:
- Neuroimaging
- Neurodegenerative Diseases
- Biomarkers
Background:
- Magnetization transfer ratio (MTR) detects brain alterations in Parkinson's disease (PD), including early stages.
- The progression of these tissue changes throughout PD is not well understood.
Purpose of the Study:
- To investigate how MTR values change from mild PD (PD1) to advanced PD (PD2).
- To differentiate MTR changes across different stages of Parkinson's disease progression.
Main Methods:
- MTR values were measured using region of interest analysis.
- Participants included 11 patients with mild PD (PD1), 11 with advanced PD (PD2), and 10 healthy controls.
Main Results:
- Mild PD (PD1) showed significant MTR reduction in substantia nigra, putamen, and specific white matter regions compared to controls.
- Advanced PD (PD2) exhibited additional MTR reductions in the caudate, pons, frontal white matter, and lateral thalamus.
Conclusions:
- MTR changes appear to reflect disease-specific morphological alterations in distinct brain areas.
- MTR may serve as a sensitive imaging biomarker for tracking Parkinson's disease progression.
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