Evidence map›Paper›PMID 33945022›Full record

ArticleEuropean radiology2021

Radiomics on routine T1-weighted MRI can delineate Parkinson's disease from multiple system atrophy and progressive supranuclear palsy.

Priyanka Tupe-Waghmare, Archith Rajan, Shweta Prasad, Jitender Saini, Pramod Kumar Pal, Madhura Ingalhalikar

Abstract read
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In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 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.

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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Detection of parkinson's disease with neuroimaging modalities using machine learning and artificial intelligence: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  4. A Brainstem Radiomics Framework to Distinguish Progressive Supranuclear Palsy from Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2026
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  9. Catecholaminergic nucleus integrity and Alzheimer's pathology, symptoms, and progression.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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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

6 authors.

Priyanka Tupe-Waghmare *Symbiosis Center for Medical Image Analysis and Symbiosis Institute of Technology, Symbiosis International University, Lavale, Mulshi, Pune, Maharashtra, 412115, India.
Archith Rajan *Symbiosis Center for Medical Image Analysis and Symbiosis Institute of Technology, Symbiosis International University, Lavale, Mulshi, Pune, Maharashtra, 412115, India.
Shweta PrasadDepartment of Clinical Neurosciences and Neurology, National Institute of Mental Health & Neurosciences, Hosur Road, Bangalore, Karnataka, 560029, India.
Jitender SainiDepartment of Neuroimaging & Interventional Radiology, National Institute of Mental Health & Neurosciences, Hosur Road, Bangalore, Karnataka, 560029, India.
Pramod Kumar PalDepartment of Neurology, National Institute of Mental Health & Neurosciences, Hosur Road, Bangalore, Karnataka, 560029, India.
Madhura IngalhalikarSymbiosis Center for Medical Image Analysis and Symbiosis Institute of Technology, Symbiosis International University, Lavale, Mulshi, Pune, Maharashtra, 412115, India. mingalhalikar@gmail.com.

Funding

Department of Science and Technology - Science and Engineering Research Board ECR/2016/000808Department of Science and Technology - Science and Engineering Research Board EMR/2017/004523
6 · The paper itself

Abstract

objectivesThis study aimed to explore the feasibility of radiomics features extracted from T1-weighted MRI images to differentiate Parkinson's disease (PD) from atypical parkinsonian syndromes (APS).

methodsRadiomics features were computed from T1 images of 65 patients with PD, 61 patients with APS (31: progressive supranuclear palsy and 30: multiple system atrophy), and 75 healthy controls (HC). These features were extracted from 19 regions of interest primarily from subcortical structures, cerebellum, and brainstem. Separate random forest classifiers were applied to classify different groups based on a reduced set of most important radiomics features for each classification as determined by the random forest-based recursive feature elimination by cross-validation method.

resultsThe PD vs HC classifier illustrated an accuracy of 70%, while the PD vs APS classifier demonstrated a superior test accuracy of 92%. Moreover, a 3-way PD/MSA/PSP classifier performed with 96% accuracy. While first-order and texture-based differences like Gray Level Co-occurrence Matrix (GLCM) and Gray Level Difference Matrix for the substantia nigra pars compacta and thalamus were highly discriminative for PD vs HC, textural features mainly GLCM of the ventral diencephalon were highlighted for APS vs HC, and features extracted from the ventral diencephalon and nucleus accumbens were highlighted for the classification of PD and APS.

conclusionsThis study establishes the utility of radiomics to differentiate PD from APS using routine T1-weighted images. This may aid in the clinical diagnosis of PD and APS which may often be indistinguishable in early stages of disease. KEY POINTS: • Radiomics features were extracted from T1-weighted MRI images. • Parkinson's disease and atypical parkinsonian syndromes were classified at an accuracy of 92%. • This study establishes the utility of radiomics to differentiate Parkinson's disease and atypical parkinsonian syndromes using routine T1-weighted images.

Indexed as

Multiple System AtrophyParkinson DiseaseParkinsonian DisordersSupranuclear Palsy, ProgressiveHumansMagnetic Resonance ImagingMagnetic resonance imagingMultiple system atrophyParkinsonismParkinson’s diseaseProgressive supranuclear palsy

Identifiers

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Read underepoch 390

Registered trials

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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.