Evidence map›Paper›PMID 33553492›Full record

ArticleMovement disorders clinical practice2021

Utility of Imaging of Nigrosome-1 on 3T MRI and Its Comparison with 18F-DOPA PET in the Diagnosis of Idiopathic Parkinson Disease and Atypical Parkinsonism.

Heena Kathuria, Sahil Mehta, Chirag K Ahuja, Kamalesh Chakravarty, Sucharita Ray, Bhagwant Rai Mittal, Paramjeet Singh, Vivek Lal

Open access · bronzeAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Progressive Supranuclear Palsy in India: Past, Present, and Future.Annals of Indian Academy of Neurology · 2025
    Article
  9. Asymmetry in Atypical Parkinsonian Syndromes-A Review.Journal of clinical medicine · 2024
    Review
  10. Relevance ofEJNMMI research · 2023
    Article
  11. Review
  12. Article
  13. Review
  14. Comparison of 6-[EJNMMI research · 2021
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Heena KathuriaDepartment of Neurology Post Graduate Institute of Medical Education and Research Chandigarh India.
Sahil MehtaDepartment of Neurology Post Graduate Institute of Medical Education and Research Chandigarh India.ORCID https://orcid.org/0000-0002-5915-8334
Chirag K AhujaDepartment of Radiodiagnosis Post Graduate Institute of Medical Education and Research Chandigarh India.
Kamalesh ChakravartyDepartment of Neurology Post Graduate Institute of Medical Education and Research Chandigarh India.
Sucharita RayDepartment of Neurology Post Graduate Institute of Medical Education and Research Chandigarh India.
Bhagwant Rai MittalDepartment of Nuclear Medicine Post Graduate Institute of Medical Education and Research Chandigarh India.
Paramjeet SinghDepartment of Radiodiagnosis Post Graduate Institute of Medical Education and Research Chandigarh India.
Vivek LalDepartment of Neurology Post Graduate Institute of Medical Education and Research Chandigarh India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLoss of nigrosome-1 on 3T and 7T magnetic resonance imaging (MRI) is a recently explored imaging biomarker in the diagnosis of neurodegenerative parkinsonism.

objectivesThis study was undertaken to evaluate the utility of imaging of nigrosome in the diagnosis of neurodegenerative parkinsonism on 3T MRI.

methodsAn institution-based prospective case-control study was conducted at a tertiary care center in North India. 3T venous blood oxygen level-dependent (VenoBOLD) and high-resolution susceptibility-weighted imaging (SWI) imaging sequences in MRI were performed in 100 patients with parkinsonism (56 with idiopathic Parkinson's disease [IPD], 30 with young onset Parkinson's disease [YOPD], 12 with progressive supranuclear palsy, and 2 patients with multiple system atrophy) and 15 controls. Grading of nigrosome was done in both the sequences. Each patient underwent 18F-DOPA positron emission tomography (PET), detailed neurological examination including Hoen and Yahr (H&Y) staging and Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) scoring.

resultsThe diagnostic sensitivity and specificity of the detection of loss of nigrosome-1 on VenoBOLD and SWI sequence at 3T MR imaging were 90% and 66.7% and 94% and 80%, respectively. A weak negative correlation was found between the grading of the nigrosome and clinical parameters (H&Y and UPDRS III). There was no correlation between the side of nigrosome loss and clinical asymmetry. However, nigrosome imaging was not able to differentiate between Parkinson's disease and atypical parkinsonism.

conclusionsThe loss of nigrosome-1 on 3T MRI on SWI and VenoBOLD sequences may serve as a potential imaging marker in the diagnosis of degenerative parkinsonian syndromes. However, it cannot differentiate between idiopathic Parkinson's disease and atypical parkinsonian syndromes.

Indexed as

18F‐DOPA PET3T MRIatypical parkinsonismnigrosomeParkinson's disease

Identifiers

PMID33553492
PMCPMC7853191
OpenAlexW3087380421

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.