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Research ArticleBrain

Structural Brain Abnormalities in Patients with Parkinson Disease: A Comparative Voxel-Based Analysis Using T1-Weighted MR Imaging and Magnetization Transfer Imaging

K. Morgen, G. Sammer, L. Weber, B. Aslan, C. Müller, G.F. Bachmann, D. Sandmann, M. Oechsner, D. Vaitl, M. Kaps and I. Reuter
American Journal of Neuroradiology December 2011, 32 (11) 2080-2086; DOI: https://doi.org/10.3174/ajnr.A2837
K. Morgen
aFrom the Central Institute of Mental Health (K.M.), Mannheim, Germany
bDepartment of Neurology (K.M., L.W., B.A., I.R., M.K.), University of Giessen, Giessen, Germany
cBender Institute of Neuroimaging (K.M., G.S., D.V.), Giessen, Germany
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G. Sammer
cBender Institute of Neuroimaging (K.M., G.S., D.V.), Giessen, Germany
dCognitive Neuroscience Lab at the Center for Psychiatry (G.S., B.A.), Giessen, Germany
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L. Weber
bDepartment of Neurology (K.M., L.W., B.A., I.R., M.K.), University of Giessen, Giessen, Germany
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B. Aslan
bDepartment of Neurology (K.M., L.W., B.A., I.R., M.K.), University of Giessen, Giessen, Germany
dCognitive Neuroscience Lab at the Center for Psychiatry (G.S., B.A.), Giessen, Germany
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C. Müller
eDepartment of Radiology (C.M., G.F.B.), Kerckhoff-Klinik, Bad Nauheim, Germany
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G.F. Bachmann
eDepartment of Radiology (C.M., G.F.B.), Kerckhoff-Klinik, Bad Nauheim, Germany
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D. Sandmann
fSoemmerring-Institut (D.S., I.R.), Bad Nauheim, Germany
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M. Oechsner
gParkinson-Klinik (M.O.), Bad Nauheim, Germany.
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D. Vaitl
cBender Institute of Neuroimaging (K.M., G.S., D.V.), Giessen, Germany
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M. Kaps
bDepartment of Neurology (K.M., L.W., B.A., I.R., M.K.), University of Giessen, Giessen, Germany
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I. Reuter
bDepartment of Neurology (K.M., L.W., B.A., I.R., M.K.), University of Giessen, Giessen, Germany
fSoemmerring-Institut (D.S., I.R.), Bad Nauheim, Germany
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    Fig 1.

    Results are presented at P < .001 whole-brain uncorrected for GM images and P < .01 for midbrain images; significant effects are marked with arrows and labeled. A, The comparison of control subjects and patients shows reduced tissue integrity only on MTR images in the left olfactory cortex bordering the amygdala (A3). B and C, MTR images also show effects in bilateral SNc (C3), whereas midbrain volume images indicate atrophy only in the left SNc (C1), and density images show no effect (C2). All GM images reveal an effect in the left parahippocampal gyrus (B1–3).

  • Fig 2.
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    Fig 2.

    Results are presented at P < .001 whole-brain uncorrected, for GM images, and P < .01, for midbrain images; significant effects are marked with arrows and labeled. A, The comparison of control subjects and patients in H&Y stage 2 indicates reduced tissue integrity only on MTR images in the left olfactory cortex bordering on the amygdala (A3). B, MTR images also show effects in the bilateral SNc (B3), whereas midbrain volume and density images indicate tissue damage only in the left SNc (B1–2). C−F, When control subjects are compared with patients in H&Y stages 3 and 4, only MTR images show effects in the left olfactory cortex (C3) and right STG (E3). All images reveal tissue damage in the left parahippocampal gyrus (D1–3) and left SNc (F1–3).

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    Fig 3.

    Results are presented at P < .001 whole-brain uncorrected; significant effects are marked with arrows and labeled. A, The comparison of patients in H&Y stages 1 and 2 shows a significant effect in the subcallosal area on MTR images (A3), but not on GM volume or density maps (A1, A2). B and C, When patients in H&Y 3 and 4 are compared with patients in H&Y stage 2, only MTR images (C3) indicate a reduction in tissue integrity in the right STG. Both MTR images (B3) and GM volume maps (B1) show a progression of pathology in the left olfactory cortex. There are no significant differences in GM density between patients in H&Y stages 3 and 4 and patients in H&Y stage 2 (B2 and C2).

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    Fig 4.

    Results are presented at P < .001 whole-brain uncorrected; significant effects are marked with arrows and labeled. A and B, Only MTR images show a correlation with the UPDRS in the right STG (A3) and adjacent left ILF (B3). Neither GM volume maps (A1 and B1) nor GM density maps (A2 and B2) based on T1-weighted MRI indicate correlations with UPDRS.

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American Journal of Neuroradiology: 32 (11)
American Journal of Neuroradiology
Vol. 32, Issue 11
1 Dec 2011
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K. Morgen, G. Sammer, L. Weber, B. Aslan, C. Müller, G.F. Bachmann, D. Sandmann, M. Oechsner, D. Vaitl, M. Kaps, I. Reuter
Structural Brain Abnormalities in Patients with Parkinson Disease: A Comparative Voxel-Based Analysis Using T1-Weighted MR Imaging and Magnetization Transfer Imaging
American Journal of Neuroradiology Dec 2011, 32 (11) 2080-2086; DOI: 10.3174/ajnr.A2837

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Structural Brain Abnormalities in Patients with Parkinson Disease: A Comparative Voxel-Based Analysis Using T1-Weighted MR Imaging and Magnetization Transfer Imaging
K. Morgen, G. Sammer, L. Weber, B. Aslan, C. Müller, G.F. Bachmann, D. Sandmann, M. Oechsner, D. Vaitl, M. Kaps, I. Reuter
American Journal of Neuroradiology Dec 2011, 32 (11) 2080-2086; DOI: 10.3174/ajnr.A2837
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