Diffusion imaging of nigral alterations in early Parkinson's disease with dopaminergic deficits

ABSTRACT Background This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the Parkinson's Progression Markers Initiative. The main goals were to replicate previous findings of abnormal diffusi...

Full description

Saved in:
Bibliographic Details
Published inMovement disorders Vol. 30; no. 14; pp. 1885 - 1892
Main Authors Schuff, Norbert, Wu, I-Wei, Buckley, Shannon, Foster, Eric D., Coffey, Christopher S., Gitelman, Darren R., Mendick, Susan, Seibyl, John, Simuni, Tanya, Zhang, Yu, Jankovic, Joseph, Hunter, Christine, Tanner, Caroline M., Rees, Linda, Factor, Stewart, Berg, Daniela, Wurster, Isabel, Gauss, Katharina, Sprenger, Fabienne, Seppi, Klaus, Poewe, Werner, Mollenhauer, Brit, Knake, Susanne, Mari, Zoltan, McCoy, Arita, Ranola, Madelaine, Marek, Kenneth
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.12.2015
Wiley Subscription Services, Inc
Subjects
Online AccessGet full text
ISSN0885-3185
1531-8257
1531-8257
DOI10.1002/mds.26325

Cover

Abstract ABSTRACT Background This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the Parkinson's Progression Markers Initiative. The main goals were to replicate previous findings of abnormal diffusion imaging values from the substantia nigra. in a large multicenter cohort and determine whether nigral diffusion alterations are associated with dopamine deficits. Methods Two hundred twenty subjects (PD = 153; control = 67) from 10 imaging sites were included. All subjects had a full neurological exam, a (123I)ioflupane dopamine transporter (DAT) single‐photon emission computer tomography scan, and diffusion tensor imaging. Fractional anisotropy as well as radial and axial diffusivity was computed within multiple regions across the substantia nigra. Results A repeated‐measures analysis of variance found a marginally nonsignificant interaction between regional fractional anisotropy of the substantia nigra and disease status (P = 0.08), conflicting with an earlier study. However, a linear mixed model that included control regions in addition to the nigral regions revealed a significant interaction between regions and disease status (P = 0.002), implying a characteristic distribution of reduced fractional anisotropy across the substantia nigra in PD. Reduced fractional anisotropy in PD was also associated with diminished DAT binding ratios. Both axial and radial diffusivity were also abnormal in PD. Conclusions Although routine nigral measurements of fractional anisotropy are clinically not helpful, the findings in this study suggest that more‐sophisticated diffusion imaging protocols should be used when exploring the clinical utility of this imaging modality. © 2015 International Parkinson and Movement Disorder Society
AbstractList This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the Parkinson's Progression Markers Initiative. The main goals were to replicate previous findings of abnormal diffusion imaging values from the substantia nigra. in a large multicenter cohort and determine whether nigral diffusion alterations are associated with dopamine deficits.BACKGROUNDThis study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the Parkinson's Progression Markers Initiative. The main goals were to replicate previous findings of abnormal diffusion imaging values from the substantia nigra. in a large multicenter cohort and determine whether nigral diffusion alterations are associated with dopamine deficits.Two hundred twenty subjects (PD = 153; control = 67) from 10 imaging sites were included. All subjects had a full neurological exam, a ((123) I)ioflupane dopamine transporter (DAT) single-photon emission computer tomography scan, and diffusion tensor imaging. Fractional anisotropy as well as radial and axial diffusivity was computed within multiple regions across the substantia nigra.METHODSTwo hundred twenty subjects (PD = 153; control = 67) from 10 imaging sites were included. All subjects had a full neurological exam, a ((123) I)ioflupane dopamine transporter (DAT) single-photon emission computer tomography scan, and diffusion tensor imaging. Fractional anisotropy as well as radial and axial diffusivity was computed within multiple regions across the substantia nigra.A repeated-measures analysis of variance found a marginally nonsignificant interaction between regional fractional anisotropy of the substantia nigra and disease status (P = 0.08), conflicting with an earlier study. However, a linear mixed model that included control regions in addition to the nigral regions revealed a significant interaction between regions and disease status (P = 0.002), implying a characteristic distribution of reduced fractional anisotropy across the substantia nigra in PD. Reduced fractional anisotropy in PD was also associated with diminished DAT binding ratios. Both axial and radial diffusivity were also abnormal in PD.RESULTSA repeated-measures analysis of variance found a marginally nonsignificant interaction between regional fractional anisotropy of the substantia nigra and disease status (P = 0.08), conflicting with an earlier study. However, a linear mixed model that included control regions in addition to the nigral regions revealed a significant interaction between regions and disease status (P = 0.002), implying a characteristic distribution of reduced fractional anisotropy across the substantia nigra in PD. Reduced fractional anisotropy in PD was also associated with diminished DAT binding ratios. Both axial and radial diffusivity were also abnormal in PD.Although routine nigral measurements of fractional anisotropy are clinically not helpful, the findings in this study suggest that more-sophisticated diffusion imaging protocols should be used when exploring the clinical utility of this imaging modality.CONCLUSIONSAlthough routine nigral measurements of fractional anisotropy are clinically not helpful, the findings in this study suggest that more-sophisticated diffusion imaging protocols should be used when exploring the clinical utility of this imaging modality.
This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the Parkinson's Progression Markers Initiative. The main goals were to replicate previous findings of abnormal diffusion imaging values from the substantia nigra. in a large multicenter cohort and determine whether nigral diffusion alterations are associated with dopamine deficits. Two hundred twenty subjects (PD = 153; control = 67) from 10 imaging sites were included. All subjects had a full neurological exam, a ((123) I)ioflupane dopamine transporter (DAT) single-photon emission computer tomography scan, and diffusion tensor imaging. Fractional anisotropy as well as radial and axial diffusivity was computed within multiple regions across the substantia nigra. A repeated-measures analysis of variance found a marginally nonsignificant interaction between regional fractional anisotropy of the substantia nigra and disease status (P = 0.08), conflicting with an earlier study. However, a linear mixed model that included control regions in addition to the nigral regions revealed a significant interaction between regions and disease status (P = 0.002), implying a characteristic distribution of reduced fractional anisotropy across the substantia nigra in PD. Reduced fractional anisotropy in PD was also associated with diminished DAT binding ratios. Both axial and radial diffusivity were also abnormal in PD. Although routine nigral measurements of fractional anisotropy are clinically not helpful, the findings in this study suggest that more-sophisticated diffusion imaging protocols should be used when exploring the clinical utility of this imaging modality.
Background This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the Parkinson's Progression Markers Initiative. The main goals were to replicate previous findings of abnormal diffusion imaging values from the substantia nigra. in a large multicenter cohort and determine whether nigral diffusion alterations are associated with dopamine deficits. Methods Two hundred twenty subjects (PD=153; control=67) from 10 imaging sites were included. All subjects had a full neurological exam, a ( super(123)I)ioflupane dopamine transporter (DAT) single-photon emission computer tomography scan, and diffusion tensor imaging. Fractional anisotropy as well as radial and axial diffusivity was computed within multiple regions across the substantia nigra. Results A repeated-measures analysis of variance found a marginally nonsignificant interaction between regional fractional anisotropy of the substantia nigra and disease status (P=0.08), conflicting with an earlier study. However, a linear mixed model that included control regions in addition to the nigral regions revealed a significant interaction between regions and disease status (P=0.002), implying a characteristic distribution of reduced fractional anisotropy across the substantia nigra in PD. Reduced fractional anisotropy in PD was also associated with diminished DAT binding ratios. Both axial and radial diffusivity were also abnormal in PD. Conclusions Although routine nigral measurements of fractional anisotropy are clinically not helpful, the findings in this study suggest that more-sophisticated diffusion imaging protocols should be used when exploring the clinical utility of this imaging modality. copyright 2015 International Parkinson and Movement Disorder Society
Background This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the Parkinson's Progression Markers Initiative. The main goals were to replicate previous findings of abnormal diffusion imaging values from the substantia nigra. in a large multicenter cohort and determine whether nigral diffusion alterations are associated with dopamine deficits. Methods Two hundred twenty subjects (PD=153; control=67) from 10 imaging sites were included. All subjects had a full neurological exam, a (123I)ioflupane dopamine transporter (DAT) single-photon emission computer tomography scan, and diffusion tensor imaging. Fractional anisotropy as well as radial and axial diffusivity was computed within multiple regions across the substantia nigra. Results A repeated-measures analysis of variance found a marginally nonsignificant interaction between regional fractional anisotropy of the substantia nigra and disease status (P=0.08), conflicting with an earlier study. However, a linear mixed model that included control regions in addition to the nigral regions revealed a significant interaction between regions and disease status (P=0.002), implying a characteristic distribution of reduced fractional anisotropy across the substantia nigra in PD. Reduced fractional anisotropy in PD was also associated with diminished DAT binding ratios. Both axial and radial diffusivity were also abnormal in PD. Conclusions Although routine nigral measurements of fractional anisotropy are clinically not helpful, the findings in this study suggest that more-sophisticated diffusion imaging protocols should be used when exploring the clinical utility of this imaging modality. © 2015 International Parkinson and Movement Disorder Society
ABSTRACT Background This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the Parkinson's Progression Markers Initiative. The main goals were to replicate previous findings of abnormal diffusion imaging values from the substantia nigra. in a large multicenter cohort and determine whether nigral diffusion alterations are associated with dopamine deficits. Methods Two hundred twenty subjects (PD = 153; control = 67) from 10 imaging sites were included. All subjects had a full neurological exam, a (123I)ioflupane dopamine transporter (DAT) single‐photon emission computer tomography scan, and diffusion tensor imaging. Fractional anisotropy as well as radial and axial diffusivity was computed within multiple regions across the substantia nigra. Results A repeated‐measures analysis of variance found a marginally nonsignificant interaction between regional fractional anisotropy of the substantia nigra and disease status (P = 0.08), conflicting with an earlier study. However, a linear mixed model that included control regions in addition to the nigral regions revealed a significant interaction between regions and disease status (P = 0.002), implying a characteristic distribution of reduced fractional anisotropy across the substantia nigra in PD. Reduced fractional anisotropy in PD was also associated with diminished DAT binding ratios. Both axial and radial diffusivity were also abnormal in PD. Conclusions Although routine nigral measurements of fractional anisotropy are clinically not helpful, the findings in this study suggest that more‐sophisticated diffusion imaging protocols should be used when exploring the clinical utility of this imaging modality. © 2015 International Parkinson and Movement Disorder Society
Author Jankovic, Joseph
Schuff, Norbert
Zhang, Yu
Sprenger, Fabienne
Seibyl, John
Seppi, Klaus
Mari, Zoltan
Coffey, Christopher S.
Knake, Susanne
Tanner, Caroline M.
Simuni, Tanya
Factor, Stewart
Mollenhauer, Brit
Mendick, Susan
Marek, Kenneth
Ranola, Madelaine
Foster, Eric D.
Berg, Daniela
Gitelman, Darren R.
Gauss, Katharina
Buckley, Shannon
Hunter, Christine
Poewe, Werner
McCoy, Arita
Rees, Linda
Wu, I-Wei
Wurster, Isabel
Author_xml – sequence: 1
  givenname: Norbert
  surname: Schuff
  fullname: Schuff, Norbert
  email: norbert.schuff@ucsf.edu
  organization: Department of Veteran Affairs Medical Center, San Francisco, California, USA
– sequence: 2
  givenname: I-Wei
  surname: Wu
  fullname: Wu, I-Wei
  organization: Department of Veteran Affairs Medical Center, San Francisco, California, USA
– sequence: 3
  givenname: Shannon
  surname: Buckley
  fullname: Buckley, Shannon
  organization: Department of Veteran Affairs Medical Center, San Francisco, California, USA
– sequence: 4
  givenname: Eric D.
  surname: Foster
  fullname: Foster, Eric D.
  organization: Department of Biostatistics, College of Public Health, University of Iowa, Iowa, Iowa City, USA
– sequence: 5
  givenname: Christopher S.
  surname: Coffey
  fullname: Coffey, Christopher S.
  organization: Department of Biostatistics, College of Public Health, University of Iowa, Iowa, Iowa City, USA
– sequence: 6
  givenname: Darren R.
  surname: Gitelman
  fullname: Gitelman, Darren R.
  organization: Department of Neurology, Feinberg School of Medicine, Northwestern University, Illinois, Chicago, USA
– sequence: 7
  givenname: Susan
  surname: Mendick
  fullname: Mendick, Susan
  organization: Institute for Neurodegenerative Disorders (IND) and Molecular Neuroimaging, LLC (MNI), Connecticut, New Haven, USA
– sequence: 8
  givenname: John
  surname: Seibyl
  fullname: Seibyl, John
  organization: Institute for Neurodegenerative Disorders (IND) and Molecular Neuroimaging, LLC (MNI), Connecticut, New Haven, USA
– sequence: 9
  givenname: Tanya
  surname: Simuni
  fullname: Simuni, Tanya
  organization: Department of Neurology, Feinberg School of Medicine, Northwestern University, Illinois, Chicago, USA
– sequence: 10
  givenname: Yu
  surname: Zhang
  fullname: Zhang, Yu
  organization: Department of Veteran Affairs Medical Center, San Francisco, California, USA
– sequence: 11
  givenname: Joseph
  surname: Jankovic
  fullname: Jankovic, Joseph
  organization: Baylor College of Medicine, Texas, Houston, USA
– sequence: 12
  givenname: Christine
  surname: Hunter
  fullname: Hunter, Christine
  organization: Baylor College of Medicine, Texas, Houston, USA
– sequence: 13
  givenname: Caroline M.
  surname: Tanner
  fullname: Tanner, Caroline M.
  organization: Department of Veteran Affairs Medical Center, San Francisco, California, USA
– sequence: 14
  givenname: Linda
  surname: Rees
  fullname: Rees, Linda
  organization: Department of Neurology, University of California, CA, San Francisco, USA
– sequence: 15
  givenname: Stewart
  surname: Factor
  fullname: Factor, Stewart
  organization: Emory University, Georgia, Atlanta, USA
– sequence: 16
  givenname: Daniela
  surname: Berg
  fullname: Berg, Daniela
  organization: University of Tuebingen, Tuebingen, Germany
– sequence: 17
  givenname: Isabel
  surname: Wurster
  fullname: Wurster, Isabel
  organization: University of Tuebingen, Tuebingen, Germany
– sequence: 18
  givenname: Katharina
  surname: Gauss
  fullname: Gauss, Katharina
  organization: University of Tuebingen, Tuebingen, Germany
– sequence: 19
  givenname: Fabienne
  surname: Sprenger
  fullname: Sprenger, Fabienne
  organization: Innsbruck Medical University, Innsbruck, Austria
– sequence: 20
  givenname: Klaus
  surname: Seppi
  fullname: Seppi, Klaus
  organization: Innsbruck Medical University, Innsbruck, Austria
– sequence: 21
  givenname: Werner
  surname: Poewe
  fullname: Poewe, Werner
  organization: Innsbruck Medical University, Innsbruck, Austria
– sequence: 22
  givenname: Brit
  surname: Mollenhauer
  fullname: Mollenhauer, Brit
  organization: Paracelsus-Elena Klinik, Kassel, Germany
– sequence: 23
  givenname: Susanne
  surname: Knake
  fullname: Knake, Susanne
  organization: Paracelsus-Elena Klinik, Kassel, Germany
– sequence: 24
  givenname: Zoltan
  surname: Mari
  fullname: Mari, Zoltan
  organization: Johns Hopkins University, Maryland, Baltimore, USA
– sequence: 25
  givenname: Arita
  surname: McCoy
  fullname: McCoy, Arita
  organization: Johns Hopkins University, Maryland, Baltimore, USA
– sequence: 26
  givenname: Madelaine
  surname: Ranola
  fullname: Ranola, Madelaine
  organization: Macquarie University, Sydney, Australia
– sequence: 27
  givenname: Kenneth
  surname: Marek
  fullname: Marek, Kenneth
  organization: Institute for Neurodegenerative Disorders (IND) and Molecular Neuroimaging, LLC (MNI), Connecticut, New Haven, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/26260437$$D View this record in MEDLINE/PubMed
BookMark eNqNkc1u1DAYRS1URKeFBS-ALLEAFmn9E9vJsurQGaTyIwFC6sZynM-DS-IMdqIyb4-nM8OiAomVF985V_K9J-goDAEQek7JGSWEnfdtOmOSM_EIzajgtKiYUEdoRqpKFJxW4hidpHRLCKWCyifomEkmScnVDOm5d25KfgjY92blwwoPDge_iqbDphshmjEfE_YBg4ndBn8y8YcPaQivEm59ApMA3_nxO26Htel9gLjyFrfgvPVjeooeO9MleLZ_T9HXq7dfLpfF9cfFu8uL68KWdSmKkllHJQVuS2DMtYxY6iyxpQIioWbONA2vGyWEaKUjvCVUiFqBbYhjStT8FL3e5a7j8HOCNOreJwtdZwIMU9JUVURQJavyP1BJqloJtU19-QC9HaYY8kcyJbZIJVSmXuypqemh1euYq4wbfWg5A-c7wMYhpQhO52ruex2j8Z2mRG931HlHfb9jNt48MA6hf2P36Xe-g82_Qf1-_vlgFDvDpxF-_THysFoqroT-9mGhl8ub-eKGX-kl_w2BXLrH
CODEN MOVDEA
CitedBy_id crossref_primary_10_1016_j_artmed_2022_102251
crossref_primary_10_1016_j_bbi_2016_11_027
crossref_primary_10_3389_fnsys_2021_777706
crossref_primary_10_1371_journal_pone_0163774
crossref_primary_10_1007_s00415_022_11259_9
crossref_primary_10_1038_srep35601
crossref_primary_10_1371_journal_pone_0217922
crossref_primary_10_1038_s42003_021_02705_x
crossref_primary_10_1186_s40478_017_0439_3
crossref_primary_10_1186_s43055_024_01340_w
crossref_primary_10_1016_j_nicl_2023_103315
crossref_primary_10_1016_j_parkreldis_2020_08_010
crossref_primary_10_1016_j_parkreldis_2019_01_007
crossref_primary_10_3233_JPD_161011
crossref_primary_10_7717_peerj_1381
crossref_primary_10_1148_radiol_2019181042
crossref_primary_10_1002_mds_27100
crossref_primary_10_1038_s41531_024_00854_4
crossref_primary_10_1097_WCO_0000000000000521
crossref_primary_10_1212_WNL_0000000000006646
crossref_primary_10_1371_journal_pone_0165540
crossref_primary_10_1016_j_trsl_2015_12_006
crossref_primary_10_1093_braincomms_fcab251
crossref_primary_10_3389_fnagi_2019_00134
crossref_primary_10_1002_hbm_24878
crossref_primary_10_1002_mds_27201
crossref_primary_10_1002_acn3_644
crossref_primary_10_2967_jnumed_120_248500
crossref_primary_10_1016_j_jns_2021_120032
crossref_primary_10_3389_fnana_2016_00017
crossref_primary_10_1007_s00702_017_1717_8
crossref_primary_10_1371_journal_pone_0175674
crossref_primary_10_3389_fnagi_2020_563595
crossref_primary_10_3389_fneur_2020_531993
crossref_primary_10_1093_brain_awv361
crossref_primary_10_1371_journal_pone_0282684
crossref_primary_10_3174_ajnr_A5545
crossref_primary_10_1007_s00330_016_4611_0
crossref_primary_10_1007_s00415_024_12773_8
crossref_primary_10_3389_fneur_2020_00314
crossref_primary_10_1002_hbm_26009
crossref_primary_10_1038_srep38070
crossref_primary_10_1007_s00701_024_06096_w
crossref_primary_10_1016_j_clineuro_2025_108817
Cites_doi 10.1016/j.parkreldis.2012.05.021
10.1136/jnnp.2007.121525
10.1016/j.pneurobio.2011.09.005
10.1016/j.ejrad.2009.07.032
10.1212/WNL.0b013e318284070c
10.1002/mds.22340
10.1016/j.nicl.2013.10.006
10.1002/mrm.20642
10.1109/TAC.1974.1100705
10.1212/01.wnl.0000340982.01727.6e
10.1002/nbm.782
10.1136/jnnp.2006.110122
10.1016/S0896-6273(03)00758-X
10.1212/WNL.17.5.427
10.1212/WNL.43.4.829
10.1016/j.neuroimage.2009.05.017
10.1148/radiol.14131448
10.1148/radiology.201.3.8939209
10.1002/hbm.22217
10.1016/j.nbd.2007.02.010
10.1097/00005072-199111000-00006
10.1002/mds.25182
10.1002/mds.25383
ContentType Journal Article
Copyright 2015 International Parkinson and Movement Disorder Society
2015 International Parkinson and Movement Disorder Society.
Copyright_xml – notice: 2015 International Parkinson and Movement Disorder Society
– notice: 2015 International Parkinson and Movement Disorder Society.
DBID BSCLL
AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7TK
8FD
FR3
K9.
NAPCQ
P64
RC3
7X8
DOI 10.1002/mds.26325
DatabaseName Istex
CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
Neurosciences Abstracts
Technology Research Database
Engineering Research Database
ProQuest Health & Medical Complete (Alumni)
Nursing & Allied Health Premium
Biotechnology and BioEngineering Abstracts
Genetics Abstracts
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
Nursing & Allied Health Premium
Genetics Abstracts
Technology Research Database
ProQuest Health & Medical Complete (Alumni)
Engineering Research Database
Neurosciences Abstracts
Biotechnology and BioEngineering Abstracts
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic
MEDLINE
Neurosciences Abstracts
Nursing & Allied Health Premium

Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1531-8257
EndPage 1892
ExternalDocumentID 3923659681
26260437
10_1002_mds_26325
MDS26325
ark_67375_WNG_HHZDGZ3F_H
Genre article
Journal Article
GroupedDBID ---
.3N
.GA
.GJ
.Y3
05W
0R~
10A
123
1CY
1L6
1OB
1OC
1ZS
31~
33P
3PY
3SF
3WU
4.4
4ZD
50Y
50Z
51W
51X
52M
52N
52O
52P
52R
52S
52T
52U
52V
52W
52X
53G
5VS
66C
6PF
702
7PT
8-0
8-1
8-3
8-4
8-5
8UM
930
A01
A03
AAESR
AAEVG
AAHQN
AAIPD
AAMMB
AAMNL
AANHP
AANLZ
AAONW
AASGY
AAWTL
AAXRX
AAYCA
AAZKR
ABCQN
ABCUV
ABEML
ABIJN
ABJNI
ABLJU
ABPVW
ABQWH
ABXGK
ACAHQ
ACBWZ
ACCZN
ACGFS
ACGOF
ACMXC
ACPOU
ACPRK
ACRPL
ACSCC
ACXBN
ACXQS
ACYXJ
ADBBV
ADBTR
ADEOM
ADIZJ
ADKYN
ADMGS
ADNMO
ADOZA
ADXAS
ADZMN
AEFGJ
AEIGN
AEIMD
AENEX
AEUYR
AEYWJ
AFBPY
AFFPM
AFGKR
AFWVQ
AFZJQ
AGHNM
AGQPQ
AGXDD
AGYGG
AHBTC
AHMBA
AIACR
AIDQK
AIDYY
AITYG
AIURR
ALAGY
ALMA_UNASSIGNED_HOLDINGS
ALUQN
ALVPJ
AMBMR
AMYDB
ASPBG
ATUGU
AVWKF
AZBYB
AZFZN
AZVAB
BAFTC
BDRZF
BFHJK
BHBCM
BMXJE
BROTX
BRXPI
BSCLL
BY8
C45
CS3
D-6
D-7
D-E
D-F
DCZOG
DPXWK
DR1
DR2
DRFUL
DRMAN
DRSTM
DU5
EBD
EBS
EJD
EMOBN
F00
F01
F04
F5P
FEDTE
FUBAC
FYBCS
G-S
G.N
GNP
GODZA
H.X
HBH
HF~
HGLYW
HHY
HHZ
HVGLF
HZ~
IX1
J0M
JPC
KBYEO
KQQ
LATKE
LAW
LC2
LC3
LEEKS
LH4
LITHE
LOXES
LP6
LP7
LUTES
LW6
LYRES
M6M
MEWTI
MK4
MRFUL
MRMAN
MRSTM
MSFUL
MSMAN
MSSTM
MXFUL
MXMAN
MXSTM
N04
N05
N9A
NF~
NNB
O66
O9-
OIG
OVD
P2P
P2W
P2X
P2Z
P4B
P4D
PALCI
PQQKQ
Q.N
Q11
QB0
QRW
R.K
RIWAO
RJQFR
ROL
RX1
RYL
SAMSI
SUPJJ
SV3
TEORI
TWZ
UB1
V2E
V9Y
W8V
W99
WBKPD
WHWMO
WIB
WIH
WIJ
WIK
WJL
WOHZO
WQJ
WVDHM
WXI
WXSBR
XG1
XV2
ZGI
ZZTAW
~IA
~WT
AAHHS
AAYXX
ACCFJ
AEEZP
AEQDE
AIWBW
AJBDE
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
YCJ
7TK
8FD
FR3
K9.
NAPCQ
P64
RC3
7X8
ID FETCH-LOGICAL-c4945-42cf161e3c4e22fd20c1fc0c47e06e92fabb39b7555d6f03d015597ecb0f27593
IEDL.DBID DR2
ISSN 0885-3185
1531-8257
IngestDate Thu Jul 10 19:56:24 EDT 2025
Fri Jul 11 05:12:09 EDT 2025
Fri Jul 25 09:56:33 EDT 2025
Thu Apr 03 07:07:02 EDT 2025
Tue Jul 01 01:44:19 EDT 2025
Thu Apr 24 22:54:48 EDT 2025
Wed Aug 20 07:24:40 EDT 2025
Tue Sep 09 05:29:46 EDT 2025
IsPeerReviewed true
IsScholarly true
Issue 14
Keywords fractional anisotropy
substantia nigra
dopamine
neuroimaging
Language English
License http://onlinelibrary.wiley.com/termsAndConditions#vor
2015 International Parkinson and Movement Disorder Society.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c4945-42cf161e3c4e22fd20c1fc0c47e06e92fabb39b7555d6f03d015597ecb0f27593
Notes istex:9A8502569709B75BB35DEA1E92D1E182CF17CDD3
ark:/67375/WNG-HHZDGZ3F-H
ArticleID:MDS26325
Relevant conflicts of interest/financial disclosures
Full financial disclosures and author roles may be found in the online version of this article.
Nothing to report.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
PMID 26260437
PQID 1757579857
PQPubID 1016421
PageCount 8
ParticipantIDs proquest_miscellaneous_1780517684
proquest_miscellaneous_1760897579
proquest_journals_1757579857
pubmed_primary_26260437
crossref_citationtrail_10_1002_mds_26325
crossref_primary_10_1002_mds_26325
wiley_primary_10_1002_mds_26325_MDS26325
istex_primary_ark_67375_WNG_HHZDGZ3F_H
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate December 2015
PublicationDateYYYYMMDD 2015-12-01
PublicationDate_xml – month: 12
  year: 2015
  text: December 2015
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: Hoboken
PublicationTitle Movement disorders
PublicationTitleAlternate Mov Disord
PublicationYear 2015
Publisher Blackwell Publishing Ltd
Wiley Subscription Services, Inc
Publisher_xml – name: Blackwell Publishing Ltd
– name: Wiley Subscription Services, Inc
References Menke RA, Scholz J, Miller KL, et al. MRI characteristics of the substantia nigra in Parkinson's disease: a combined quantitative T1 and DTI study. Neuroimage 2009;47:435-441.
Tuch DS, Reese TG, Wiegell MR, Wedeen VJ. Diffusion MRI of complex neural architecture. Neuron 2003;40:885-895.
Schwarz ST, Abaei M, Gontu V, Morgan PS, Bajaj N, Auer DP. Diffusion tensor imaging of nigral degeneration in Parkinson's disease: a region-of-interest and voxel-based study at 3 T and systematic review with meta-analysis. Neuroimage Clin 2013;3:481-488.
Akaike H. A new look at the statistical model identification. IEEE Trans Automat Contr 1974;19:716-723.
Wedeen VJ, Hagmann P, Tseng WY, Reese TG, Weisskoff RM. Mapping complex tissue architecture with diffusion spectrum magnetic resonance imaging. Magn Reson Med 2005;54:1377-1386.
Stebbins GT, Goetz CG, Burn DJ, Jankovic J, Khoo TK, Tilley BC. How to identify tremor dominant and postural instability/gait difficulty groups with the Movement Disorder Society Unified Parkinson's Disease Rating Scale: comparison with the Unified Parkinson's Disease Rating Scale. Mov Disord 2013;28:668-670.
Vaillancourt DE, Spraker MB, Prodoehl J, et al. High-resolution diffusion tensor imaging in the substantia nigra of de novo Parkinson disease. Neurology 2009;72:1378-1384.
Cosottini M, Frosini D, Pesaresi I, et al. MR imaging of the substantia nigra at 7 T enables diagnosis of Parkinson disease. Radiology 2014;271:831-838.
Zhang K, Yu C, Zhang Y, et al. Voxel-based analysis of diffusion tensor indices in the brain in patients with Parkinson's disease. Eur J Radiol 2011;77:269-273.
Goetz CG, Tilley BC, Shaftman SR, et al. Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord 2008;23:2129-2170.
Naylor MG, Cardenas VA, Tosun D, Schuff N, Weiner M, Schwartzman A. Voxelwise multivariate analysis of multimodality magnetic resonance imaging. Hum Brain Mapp 2014;35:831-846.
Boska MD, Hasan KM, Kibuule D, et al. Quantitative diffusion tensor imaging detects dopaminergic neuronal degeneration in a murine model of Parkinson's disease. Neurobiol Dis 2007;26:590-596.
Marek K. The Parkinson Progression Marker Initiative (PPMI). Prog Neurobiol 2011;95:629-635.
Chan LL, Rumpel H, Yap K, et al. Case control study of diffusion tensor imaging in Parkinson's disease. J Neurol Neurosurg Psychiatry 2007;78:1383-1386.
Paulus W, Jellinger K. The neuropathologic basis of different clinical subgroups of Parkinson's disease. J Neuropathol Exp Neurol 1991;50:743-755.
Beaulieu C. The basis of anisotropic water diffusion in the nervous system-a technical review. NMR Biomed 2002;15:435-455.
Walker Z, Jaros E, Walker RW, et al. Dementia with Lewy bodies: a comparison of clinical diagnosis, FP-CIT single photon emission computed tomography imaging and autopsy. J Neurol Neurosurg Psychiatry 2007;78:1176-1181.
Simuni T, Caspell-Garcia C, Coffey C, et al. Can we reliably establish Parkinson disease subtypes in de novo patients: follow-up results from the PPMI study [abstract]. 18th International Congress of Parkinson's Disease and Movement Disorders; 2014;29(Suppl 1):1064.
Pierpaoli C, Jezzard P, Basser PJ, Barnett A, Di Chiro G. Diffusion tensor MR imaging of the human brain. Radiology 1996;201:637-648.
Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology 1967;17:427-442.
Rajput AH, Pahwa R, Pahwa P, Rajput A. Prognostic significance of the onset mode in parkinsonism. Neurology 1993;43:829-830.
Cochrane CJ, Ebmeier KP. Diffusion tensor imaging in parkinsonian syndromes: a systematic review and meta-analysis. Neurology 2013;80:857-864.
Prakash BD, Sitoh YY, Tan LC, Au WL. Asymmetrical diffusion tensor imaging indices of the rostral substantia nigra in Parkinson's disease. Parkinsonism Relat Disord 2012;18:1029-1033.
Du G, Lewis MM, Sen S, et al. Imaging nigral pathology and clinical progression in Parkinson's disease. Mov Disord 2012;27:1636-1643.
2009; 47
2002; 15
2013; 3
2013; 28
2009; 72
1993; 43
2011; 95
1991; 50
2013; 80
1967; 17
2008; 23
2011; 77
2014; 35
2005; 54
2012; 18
2014; 271
2012; 27
2014; 29
1996; 201
2003; 40
2007; 78
1974; 19
2007; 26
e_1_2_8_17_1
e_1_2_8_18_1
e_1_2_8_19_1
e_1_2_8_13_1
e_1_2_8_24_1
e_1_2_8_14_1
e_1_2_8_25_1
e_1_2_8_15_1
e_1_2_8_16_1
Simuni T (e_1_2_8_23_1) 2014; 29
e_1_2_8_3_1
e_1_2_8_2_1
e_1_2_8_5_1
e_1_2_8_4_1
e_1_2_8_7_1
e_1_2_8_6_1
e_1_2_8_9_1
e_1_2_8_8_1
e_1_2_8_20_1
e_1_2_8_10_1
e_1_2_8_21_1
e_1_2_8_11_1
e_1_2_8_22_1
e_1_2_8_12_1
References_xml – reference: Akaike H. A new look at the statistical model identification. IEEE Trans Automat Contr 1974;19:716-723.
– reference: Du G, Lewis MM, Sen S, et al. Imaging nigral pathology and clinical progression in Parkinson's disease. Mov Disord 2012;27:1636-1643.
– reference: Cochrane CJ, Ebmeier KP. Diffusion tensor imaging in parkinsonian syndromes: a systematic review and meta-analysis. Neurology 2013;80:857-864.
– reference: Menke RA, Scholz J, Miller KL, et al. MRI characteristics of the substantia nigra in Parkinson's disease: a combined quantitative T1 and DTI study. Neuroimage 2009;47:435-441.
– reference: Stebbins GT, Goetz CG, Burn DJ, Jankovic J, Khoo TK, Tilley BC. How to identify tremor dominant and postural instability/gait difficulty groups with the Movement Disorder Society Unified Parkinson's Disease Rating Scale: comparison with the Unified Parkinson's Disease Rating Scale. Mov Disord 2013;28:668-670.
– reference: Prakash BD, Sitoh YY, Tan LC, Au WL. Asymmetrical diffusion tensor imaging indices of the rostral substantia nigra in Parkinson's disease. Parkinsonism Relat Disord 2012;18:1029-1033.
– reference: Simuni T, Caspell-Garcia C, Coffey C, et al. Can we reliably establish Parkinson disease subtypes in de novo patients: follow-up results from the PPMI study [abstract]. 18th International Congress of Parkinson's Disease and Movement Disorders; 2014;29(Suppl 1):1064.
– reference: Marek K. The Parkinson Progression Marker Initiative (PPMI). Prog Neurobiol 2011;95:629-635.
– reference: Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology 1967;17:427-442.
– reference: Cosottini M, Frosini D, Pesaresi I, et al. MR imaging of the substantia nigra at 7 T enables diagnosis of Parkinson disease. Radiology 2014;271:831-838.
– reference: Pierpaoli C, Jezzard P, Basser PJ, Barnett A, Di Chiro G. Diffusion tensor MR imaging of the human brain. Radiology 1996;201:637-648.
– reference: Naylor MG, Cardenas VA, Tosun D, Schuff N, Weiner M, Schwartzman A. Voxelwise multivariate analysis of multimodality magnetic resonance imaging. Hum Brain Mapp 2014;35:831-846.
– reference: Vaillancourt DE, Spraker MB, Prodoehl J, et al. High-resolution diffusion tensor imaging in the substantia nigra of de novo Parkinson disease. Neurology 2009;72:1378-1384.
– reference: Goetz CG, Tilley BC, Shaftman SR, et al. Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord 2008;23:2129-2170.
– reference: Rajput AH, Pahwa R, Pahwa P, Rajput A. Prognostic significance of the onset mode in parkinsonism. Neurology 1993;43:829-830.
– reference: Tuch DS, Reese TG, Wiegell MR, Wedeen VJ. Diffusion MRI of complex neural architecture. Neuron 2003;40:885-895.
– reference: Schwarz ST, Abaei M, Gontu V, Morgan PS, Bajaj N, Auer DP. Diffusion tensor imaging of nigral degeneration in Parkinson's disease: a region-of-interest and voxel-based study at 3 T and systematic review with meta-analysis. Neuroimage Clin 2013;3:481-488.
– reference: Walker Z, Jaros E, Walker RW, et al. Dementia with Lewy bodies: a comparison of clinical diagnosis, FP-CIT single photon emission computed tomography imaging and autopsy. J Neurol Neurosurg Psychiatry 2007;78:1176-1181.
– reference: Boska MD, Hasan KM, Kibuule D, et al. Quantitative diffusion tensor imaging detects dopaminergic neuronal degeneration in a murine model of Parkinson's disease. Neurobiol Dis 2007;26:590-596.
– reference: Zhang K, Yu C, Zhang Y, et al. Voxel-based analysis of diffusion tensor indices in the brain in patients with Parkinson's disease. Eur J Radiol 2011;77:269-273.
– reference: Wedeen VJ, Hagmann P, Tseng WY, Reese TG, Weisskoff RM. Mapping complex tissue architecture with diffusion spectrum magnetic resonance imaging. Magn Reson Med 2005;54:1377-1386.
– reference: Chan LL, Rumpel H, Yap K, et al. Case control study of diffusion tensor imaging in Parkinson's disease. J Neurol Neurosurg Psychiatry 2007;78:1383-1386.
– reference: Paulus W, Jellinger K. The neuropathologic basis of different clinical subgroups of Parkinson's disease. J Neuropathol Exp Neurol 1991;50:743-755.
– reference: Beaulieu C. The basis of anisotropic water diffusion in the nervous system-a technical review. NMR Biomed 2002;15:435-455.
– volume: 77
  start-page: 269
  year: 2011
  end-page: 273
  article-title: Voxel‐based analysis of diffusion tensor indices in the brain in patients with Parkinson's disease
  publication-title: Eur J Radiol
– volume: 78
  start-page: 1176
  year: 2007
  end-page: 1181
  article-title: Dementia with Lewy bodies: a comparison of clinical diagnosis, FP‐CIT single photon emission computed tomography imaging and autopsy
  publication-title: J Neurol Neurosurg Psychiatry
– volume: 15
  start-page: 435
  year: 2002
  end-page: 455
  article-title: The basis of anisotropic water diffusion in the nervous system—a technical review
  publication-title: NMR Biomed
– volume: 28
  start-page: 668
  year: 2013
  end-page: 670
  article-title: How to identify tremor dominant and postural instability/gait difficulty groups with the Movement Disorder Society Unified Parkinson's Disease Rating Scale: comparison with the Unified Parkinson's Disease Rating Scale
  publication-title: Mov Disord
– volume: 201
  start-page: 637
  year: 1996
  end-page: 648
  article-title: Diffusion tensor MR imaging of the human brain
  publication-title: Radiology
– volume: 19
  start-page: 716
  year: 1974
  end-page: 723
  article-title: A new look at the statistical model identification
  publication-title: IEEE Trans Automat Contr
– volume: 29
  start-page: 1064
  issue: Suppl 1
  year: 2014
  article-title: Can we reliably establish Parkinson disease subtypes in de novo patients: follow‐up results from the PPMI study [abstract]
  publication-title: 18th International Congress of Parkinson's Disease and Movement Disorders
– volume: 72
  start-page: 1378
  year: 2009
  end-page: 1384
  article-title: High‐resolution diffusion tensor imaging in the substantia nigra of de novo Parkinson disease
  publication-title: Neurology
– volume: 78
  start-page: 1383
  year: 2007
  end-page: 1386
  article-title: Case control study of diffusion tensor imaging in Parkinson's disease
  publication-title: J Neurol Neurosurg Psychiatry
– volume: 43
  start-page: 829
  year: 1993
  end-page: 830
  article-title: Prognostic significance of the onset mode in parkinsonism
  publication-title: Neurology
– volume: 50
  start-page: 743
  year: 1991
  end-page: 755
  article-title: The neuropathologic basis of different clinical subgroups of Parkinson's disease
  publication-title: J Neuropathol Exp Neurol
– volume: 80
  start-page: 857
  year: 2013
  end-page: 864
  article-title: Diffusion tensor imaging in parkinsonian syndromes: a systematic review and meta‐analysis
  publication-title: Neurology
– volume: 40
  start-page: 885
  year: 2003
  end-page: 895
  article-title: Diffusion MRI of complex neural architecture
  publication-title: Neuron
– volume: 35
  start-page: 831
  year: 2014
  end-page: 846
  article-title: Voxelwise multivariate analysis of multimodality magnetic resonance imaging
  publication-title: Hum Brain Mapp
– volume: 271
  start-page: 831
  year: 2014
  end-page: 838
  article-title: MR imaging of the substantia nigra at 7 T enables diagnosis of Parkinson disease
  publication-title: Radiology
– volume: 95
  start-page: 629
  year: 2011
  end-page: 635
  article-title: The Parkinson Progression Marker Initiative (PPMI)
  publication-title: Prog Neurobiol
– volume: 17
  start-page: 427
  year: 1967
  end-page: 442
  article-title: Parkinsonism: onset, progression and mortality
  publication-title: Neurology
– volume: 47
  start-page: 435
  year: 2009
  end-page: 441
  article-title: MRI characteristics of the substantia nigra in Parkinson's disease: a combined quantitative T1 and DTI study
  publication-title: Neuroimage
– volume: 3
  start-page: 481
  year: 2013
  end-page: 488
  article-title: Diffusion tensor imaging of nigral degeneration in Parkinson's disease: a region‐of‐interest and voxel‐based study at 3 T and systematic review with meta‐analysis
  publication-title: Neuroimage Clin
– volume: 18
  start-page: 1029
  year: 2012
  end-page: 1033
  article-title: Asymmetrical diffusion tensor imaging indices of the rostral substantia nigra in Parkinson's disease
  publication-title: Parkinsonism Relat Disord
– volume: 27
  start-page: 1636
  year: 2012
  end-page: 1643
  article-title: Imaging nigral pathology and clinical progression in Parkinson's disease
  publication-title: Mov Disord
– volume: 26
  start-page: 590
  year: 2007
  end-page: 596
  article-title: Quantitative diffusion tensor imaging detects dopaminergic neuronal degeneration in a murine model of Parkinson's disease
  publication-title: Neurobiol Dis
– volume: 54
  start-page: 1377
  year: 2005
  end-page: 1386
  article-title: Mapping complex tissue architecture with diffusion spectrum magnetic resonance imaging
  publication-title: Magn Reson Med
– volume: 23
  start-page: 2129
  year: 2008
  end-page: 2170
  article-title: Movement Disorder Society‐sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS‐UPDRS): scale presentation and clinimetric testing results
  publication-title: Mov Disord
– ident: e_1_2_8_15_1
  doi: 10.1016/j.parkreldis.2012.05.021
– ident: e_1_2_8_19_1
  doi: 10.1136/jnnp.2007.121525
– volume: 29
  start-page: 1064
  issue: 1
  year: 2014
  ident: e_1_2_8_23_1
  article-title: Can we reliably establish Parkinson disease subtypes in de novo patients: follow‐up results from the PPMI study [abstract]
  publication-title: 18th International Congress of Parkinson's Disease and Movement Disorders
– ident: e_1_2_8_2_1
  doi: 10.1016/j.pneurobio.2011.09.005
– ident: e_1_2_8_20_1
  doi: 10.1016/j.ejrad.2009.07.032
– ident: e_1_2_8_5_1
  doi: 10.1212/WNL.0b013e318284070c
– ident: e_1_2_8_13_1
  doi: 10.1002/mds.22340
– ident: e_1_2_8_7_1
  doi: 10.1016/j.nicl.2013.10.006
– ident: e_1_2_8_24_1
  doi: 10.1002/mrm.20642
– ident: e_1_2_8_12_1
  doi: 10.1109/TAC.1974.1100705
– ident: e_1_2_8_4_1
  doi: 10.1212/01.wnl.0000340982.01727.6e
– ident: e_1_2_8_14_1
  doi: 10.1002/nbm.782
– ident: e_1_2_8_8_1
  doi: 10.1136/jnnp.2006.110122
– ident: e_1_2_8_25_1
  doi: 10.1016/S0896-6273(03)00758-X
– ident: e_1_2_8_9_1
  doi: 10.1212/WNL.17.5.427
– ident: e_1_2_8_21_1
  doi: 10.1212/WNL.43.4.829
– ident: e_1_2_8_6_1
  doi: 10.1016/j.neuroimage.2009.05.017
– ident: e_1_2_8_17_1
  doi: 10.1148/radiol.14131448
– ident: e_1_2_8_3_1
  doi: 10.1148/radiology.201.3.8939209
– ident: e_1_2_8_11_1
  doi: 10.1002/hbm.22217
– ident: e_1_2_8_18_1
  doi: 10.1016/j.nbd.2007.02.010
– ident: e_1_2_8_22_1
  doi: 10.1097/00005072-199111000-00006
– ident: e_1_2_8_16_1
  doi: 10.1002/mds.25182
– ident: e_1_2_8_10_1
  doi: 10.1002/mds.25383
SSID ssj0011516
Score 2.3871596
Snippet ABSTRACT Background This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control...
This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects from the...
Background This study reports the baseline characteristics of diffusion tensor imaging data in Parkinson's disease (PD) patients and healthy control subjects...
SourceID proquest
pubmed
crossref
wiley
istex
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 1885
SubjectTerms Aged
Diffusion Tensor Imaging
Disease Progression
dopamine
Dopamine - metabolism
Female
fractional anisotropy
Humans
Image Processing, Computer-Assisted
Male
Middle Aged
Movement disorders
neuroimaging
Neurologic Examination
Parkinson Disease - metabolism
Parkinson Disease - physiopathology
substantia nigra
Substantia Nigra - metabolism
Substantia Nigra - physiopathology
Title Diffusion imaging of nigral alterations in early Parkinson's disease with dopaminergic deficits
URI https://api.istex.fr/ark:/67375/WNG-HHZDGZ3F-H/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fmds.26325
https://www.ncbi.nlm.nih.gov/pubmed/26260437
https://www.proquest.com/docview/1757579857
https://www.proquest.com/docview/1760897579
https://www.proquest.com/docview/1780517684
Volume 30
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3da9RAEF9KBfFF62fTVllFtC-5pvuRZPFJPK9BuD6oxVKEJbvZlaCXK80dSP_6zmw-pFJFJC-BzCb7NZnf7uz8hpCXqvKq5KmJwRZVsEAp07ishIkV2OIMPXFlhtHI8-O0OBEfTuXpBnkzxMJ0_BDjhhtqRvhfo4KXpj34RRq6qNoJko1jgPkhT5E3f_pxpI4CoBPSnoISyRAhPLAKJexgLHnNFt3Cbv15E9C8jluD4ZndI1-HKnfnTb5P1iszsZe_sTn-Z5u2yN0ekNK33Qy6TzZc84Dcnvcu94dET2vv17inRutFSGlEl5429bcLKBV87d2eH60b6pAtmWIgdYgpe93S3v9DcbuXVrBAX4Rgw9rSyiF3xap9RE5m7z-_K-I-K0NshRIyFsx6gImOW-EY8xVL7KG3iRWZS1KnmC-N4cpkUsoq9QmvEJWpzFmTeJZJxR-TzWbZuG1CWaZggZk7I4QXxgJUFbLkljt4oTKqjMj-MD7a9pTlmDnjh-7IlpmGDtOhwyLyYhQ973g6bhJ6FQZ5lID-wINtmdRfjo90UZxNj874TBcR2Rtmge51utUAtOBSucwi8nx8DNqILpayccs1yqRJrlDsbzI5EqOluYjIk26GjRViuL4UHL6wH-bJn9ui59NP4Wbn30V3yR3Ae7I7jbNHNlcXa_cUMNXKPAvKcwX8Uhv6
linkProvider Wiley-Blackwell
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwEB6VVgIuvB-BAgYh6CXbkNhJLHFBLNsA3T1Aq1aVkBU7Nopgs6i7KyF-PTPOAxUVhFAukTJO_Jr4mxnPZ4CnsnKyTFId4lpUoYFSpmFZcR1KXIszisSVGWUjT2dpccjfHYvjDXjZ58K0_BCDw400w_-vScHJIb37izV0Xi1HxDYuLsAWR6BBptf4w0AehVDHH3yKaiR8jnDPKxTFu0PRM6vRFnXs9_Og5lnk6peeyVX41Fe63XHyZbRe6ZH58Ruf4_-26hpc6TApe9VOouuwYZsbcHHaRd1vghrXzq3JrcbquT_ViC0ca-rPp1jKh9tbtx-rG2aJMJlRLrVPK3u-ZF0IiJHHl1Voo899vmFtWGWJvmK1vAWHkzcHr4uwO5ghNFxyEfLYOESKNjHcxrGr4si8cCYyPLNRamXsSq0TqTMhRJW6KKkImMnMGh25OBMyuQ2bzaKxd4HFmUQbM7eac8e1QbTKRZmYxOILpZZlADv9ACnTsZbT4RlfVcu3HCvsMOU7LIAng-i3lqrjPKFnfpQHCewP2tuWCXU021NFcTLeO0kmqghgu58GqlPrpUKshZfMRRbA4-ExKiRFWcrGLtYkk0a5JLG_yeTEjZbmPIA77RQbKhSTickT_MKOnyh_bouajj_6m3v_LvoILhUH0321_3b2_j5cRvgn2s0527C5Ol3bBwixVvqh16SfswggGQ
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3di9QwEB_OOzh88fujemoU0XvpXk2TdoNP4rpXP3YR9bjjEEKTJlJ0u8ftLoh_vTNpt3JyikhfCp20yWSm-SWT-QXgsaq8KtPMxDgWVThBKbO4rISJFY7FOUXiypyykSfTrDgQb47k0QY8X-fCtPwQ_YIbeUb4X5ODn1R-7xdp6KxaDIhsXF6ALZEhkiBE9KHnjkKkE849RS-SIUV4TSuU8L2-6JnBaIv0-v08pHkWuIaRZ3wZPq_r3G44-TpYLc3A_viNzvE_G3UFLnWIlL1oTegqbLjmGmxPupj7ddCj2vsVLaqxehbONGJzz5r6yymWCsH2dtGP1Q1zRJfMKJM6JJU9XbAuAMRovZdVOEOfhWzD2rLKEXnFcnEDDsavPr0s4u5YhtgKJWQsuPWIE11qhePcVzyxz7xNrMhdkjnFfWlMqkwupawyn6QVwTKVO2sSz3Op0puw2cwbdxsYzxXOMIfOCOGFsYhVhSxTmzp8oTKqjGB33T_adpzldHTGN92yLXONCtNBYRE86kVPWqKO84SehE7uJVAftLMtl_pwuq-L4ni0f5yOdRHBztoKdOfUC41ICy81lHkED_vH6I4UYykbN1-RDJqiIrG_yQyJGS0bighutRbWV4jTBFOk-IXdYCd_bouejD6Gmzv_LvoAtt-Pxvrd6-nbu3ARsZ9sd-bswObydOXuIb5amvvBj34CPBQeyA
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Diffusion+imaging+of+nigral+alterations+in+early+Parkinson%27s+disease+with+dopaminergic+deficits&rft.jtitle=Movement+disorders&rft.au=Schuff%2C+Norbert&rft.au=Wu%2C+I-Wei&rft.au=Buckley%2C+Shannon&rft.au=Foster%2C+Eric+D&rft.date=2015-12-01&rft.eissn=1531-8257&rft.volume=30&rft.issue=14&rft.spage=1885&rft_id=info:doi/10.1002%2Fmds.26325&rft_id=info%3Apmid%2F26260437&rft.externalDocID=26260437
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0885-3185&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0885-3185&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0885-3185&client=summon