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Updated: Feb 28, 2026

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Brain Magnetic Resonance Imaging (MRI) as a Potential Biomarker for Parkinson's Disease (PD)
1Neurology Department, University of Minnesota, MMC 295, 420 Delaware St SE, Minneapolis, MN 55455, USA. tuite002@umn.edu.
Abstract:
Magnetic resonance imaging (MRI) has the potential to serve as a biomarker for Parkinson's disease (PD). However, the type or types of biomarker it could provide remain to be determined. At this time there is not sufficient sensitivity or specificity for MRI to serve as an early diagnostic biomarker, i.e., it is unproven in its ability to determine if a single individual is normal, has mild PD, or has some other forms of degenerative parkinsonism. However there is accumulating evidence that MRI may be useful in staging and monitoring disease progression (staging biomarker), and also possibly as a means to monitor pathophysiological aspects of disease and associated response to treatments, i.e., theranostic marker. As there are increasing numbers of manuscripts that are dedicated to diffusion- and neuromelanin-based imaging methods, this review will focus on these topics cursorily and will delve into pharmacodynamic imaging as a means to get at theranostic aspects of PD.
Insights
Magnetic resonance imaging (MRI) shows promise for Parkinson's disease (PD) research. While not yet suitable for early diagnosis, MRI may help track disease progression and treatment response.
Area of Science:
- Neuroimaging
- Biomarker Discovery
- Neurodegenerative Diseases
Background:
- Magnetic resonance imaging (MRI) is being investigated for its potential as a biomarker in Parkinson's disease (PD).
- Current MRI techniques lack the sensitivity and specificity for early PD diagnosis.
- Existing research suggests MRI's utility in monitoring disease progression and treatment effects.
Purpose of the Study:
- To review the potential of MRI as a biomarker for Parkinson's disease.
- To focus on diffusion- and neuromelanin-based imaging methods.
- To explore pharmacodynamic imaging for theranostic applications in PD.
Main Methods:
- Review of existing literature on MRI techniques for Parkinson's disease.
- Focus on diffusion-weighted imaging and neuromelanin-sensitive imaging.
- Exploration of pharmacodynamic imaging approaches.
Main Results:
- MRI is currently insufficient for diagnosing Parkinson's disease in individual patients.
- Evidence supports MRI's role in staging disease progression.
- MRI may serve as a theranostic marker for monitoring disease pathophysiology and treatment response.
Conclusions:
- MRI shows potential as a staging and theranostic biomarker for Parkinson's disease.
- Further research is needed to establish MRI's diagnostic capabilities.
- Pharmacodynamic imaging offers a promising avenue for theranostic applications in PD.
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