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Updated: May 2, 2026

Standardized Data Acquisition for Neuromelanin-Sensitive Magnetic Resonance Imaging of the Substantia Nigra
Published on: September 8, 2021
Subthalamic nuclear tissue contrast in inversion recovery MRI decreases with age in medically refractory Parkinson's
Subhendra N Sarkar1, Pooja R Sarkar2, Efstathios Papavassiliou3
1Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215.
Background And Purpose:
MRI appearance of subthalamic nucleus (STN) boundaries in Parkinson's patients is often unreliable and not well understood. An objective comparison between FSE T2 and inversion recovery (FSTIR) sequences for stereotactic placement of deep brain stimulators is presented to advance current understanding of STN tissue contrast for refractory Parkinson's disease (PD).
Methods:
We imaged 12 PD (age 53-82) and 12 control patients (age 48-77) using T2 and FSTIR sequences at 1.5 T. To avoid MR contrast variation from hardware and patient dependent sources we used an internal thalamic tissue standard to normalize STN signal intensity and correlated it with patient age for these two groups.
Results:
Normalized FSTIR-weighted STN contrast decreased with increasing age for PD patients (Spearman Rank correlation = -.5) while remained virtually unchanged for controls with age (Spearman Rank coefficient ≈ 0). T2-weighted STN contrast did not show appreciable changes with age for both the groups (Spearman correlation ≈ -.1).
Conclusions:
STN, a common stimulation target, shows an age dependent trend for normalized FSTIR MRI contrast. Although larger patient pools are needed, our work points to tissue relaxation-based changes in STN that may provide insight in early stages of brain pathology involving DBS targets in medically refractory Parkinson's disease.
Insights
Subthalamic nucleus (STN) MRI contrast using FSTIR sequences decreases with age in Parkinson's disease patients, unlike controls. This finding may offer insights into early brain pathology for deep brain stimulation targets.
Area of Science:
- Neuroimaging
- Neurology
- Medical Physics
Background:
- Subthalamic nucleus (STN) MRI visualization is crucial for deep brain stimulation (DBS) in Parkinson's disease (PD).
- Current STN MRI boundary depiction is often unreliable, hindering precise stereotactic targeting.
Purpose of the Study:
- To objectively compare Fast Spin Echo T2 (FSE T2) and Fast Spin Echo Inversion Recovery (FSTIR) MRI sequences.
- To evaluate STN tissue contrast and its reliability for DBS in refractory PD patients.
Main Methods:
- 1.5 T MRI scans were acquired from 12 PD and 12 control patients using both FSE T2 and FSTIR sequences.
- STN signal intensity was normalized using an internal thalamic tissue standard to account for MR contrast variations.
- Normalized STN contrast was correlated with patient age in both groups.
Main Results:
- Normalized FSTIR-weighted STN contrast significantly decreased with age in PD patients (Spearman correlation = -0.5).
- STN contrast remained stable with age in control subjects (Spearman correlation ≈ 0).
- FSE T2-weighted STN contrast showed minimal age-related changes in both PD and control groups (Spearman correlation ≈ -0.1).
Conclusions:
- FSTIR MRI sequences reveal an age-dependent trend in normalized STN contrast in Parkinson's disease patients.
- These findings suggest tissue relaxation-based changes in the STN that may be relevant for understanding early brain pathology in PD.
- Further studies with larger cohorts are needed to validate these insights for DBS targeting in medically refractory PD.
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