Evidence map›Paper›PMID 23843466›Full record

ArticleNeurology2013

Visualization of nigrosome 1 and its loss in PD: pathoanatomical correlation and in vivo 7 T MRI.

Anna I Blazejewska, Stefan T Schwarz, Alain Pitiot, Mary C Stephenson, James Lowe, Nin Bajaj, Richard W Bowtell, Dorothee P Auer, Penny A Gowland

Registry-linked trialAbstract read
In one paragraph

Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03022357 (Nigrosomal Iron Imaging in Parkinson's Disease), which is not on this map. Cited by 143 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03022357 unknown statusnot on this mapstarted 2016, after this paper: background citation

Nigrosomal Iron Imaging in Parkinson's Disease

TypeobservationalSponsorUniversity of NottinghamRan2016 to 2019Enrolled145ConditionsParkinson DiseaseArmsPatient assessment, DATScan, Orbital X-Ray, Magnetic Resonance Imaging (MRI)
3 · Its place in the literature

Who cites it

143 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  4. MatchingFrontiers in neuroanatomy · 2019
    Pooled it
  5. Present and Future of Ultra-High Field MRI in Neurodegenerative Disorders.Current neurology and neuroscience reports · 2018
    Pooled it
  6. Pooled it
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  10. Calbindin stratifies midbrain dopaminergic neurons governing distinct aspects of locomotion.Proceedings of the National Academy of Sciences of the United States of America · 2026
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83 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Anna I BlazejewskaSir Peter Mansfield Magnetic Resonance Centre, University of Nottingham, Nottingham, UK.
Stefan T Schwarz
Alain Pitiot
Mary C Stephenson
James Lowe
Nin Bajaj
Richard W Bowtell
Dorothee P Auer
Penny A Gowland

Funding

Medical Research Council G0901321Medical Research Council MC_PC_12019Medical Research Council RA27EY
6 · The paper itself

Abstract

objectiveThis study assessed whether high-resolution 7 T MRI allowed direct in vivo visualization of nigrosomes, substructures of the substantia nigra pars compacta (SNpc) undergoing the greatest and earliest dopaminergic cell loss in Parkinson disease (PD), and whether any disease-specific changes could be detected in patients with PD.

methodsPostmortem (PM) midbrains, 2 from healthy controls (HCs) and 1 from a patient with PD, were scanned with high-resolution T2*-weighted MRI scans, sectioned, and stained for iron and neuromelanin (Perl), TH, and calbindin. To confirm the identification of nigrosomes in vivo on 7 T T2*-weighted scans, we assessed colocalization with neuromelanin-sensitive T1-weighted scans. We then assessed the ability to depict PD pathology on in vivo T2*-weighted scans by comparing data from 10 patients with PD and 8 age- and sex-matched HCs.

resultsA hyperintense, ovoid area within the dorsolateral border of the otherwise hypointense SNpc was identified in the HC brains on in vivo and PM T2*-weighted MRI. Location, size, shape, and staining characteristics conform to nigrosome 1. Blinded assessment by 2 neuroradiologists showed consistent bilateral absence of this nigrosome feature in all 10 patients with PD, and bilateral presence in 7/8 HC.

conclusionsIn vivo and PM MRI with histologic correlation demonstrates that high-resolution 7 T MRI can directly visualize nigrosome 1. The absence of nigrosome 1 in the SNpc on MRI scans might prove useful in developing a neuroimaging diagnostic test for PD.

Indexed as

AdultAgedCalbindinsDopamineHumansIronMagnetic Resonance ImagingMelaninsMiddle AgedParkinson DiseaseS100 Calcium Binding Protein GSubstantia NigraCalbindinsDopamineIronMelaninsneuromelaninS100 Calcium Binding Protein G

Identifiers

PMID23843466
PMCPMC3775686

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.