Imaging Degeneration of the Substantia Nigra in Parkinson Disease with Inversion-Recovery MR Imaging
L. Minatia,b,
M. Grisolib,
F. Carellac,
T. De Simoneb,
M.G. Bruzzoneb and
M. Savoiardob
a Scientific Direction Unit, Istituto Nazionale Neurologico "Carlo Besta," Milan, Italy
b Neuroradiology Department, Istituto Nazionale Neurologico "Carlo Besta," Milan, Italy
c First Neurology Department, Istituto Nazionale Neurologico "Carlo Besta," Milan, Italy

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Fig 1. Positioning of the region of interest (ROI) for area measurement, drawn on the visible substantia nigra (A), and of the ROI for relative contrast measurement, drawn including the whole expected extension of the substantia nigra (B).
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Fig 2. Appearance of GMS (left column), WMS (middle column), and difference images (GMS-WMS, right column) from an MC (2 upper rows) and a PD (2 lower rows). Reduced hypointensity of the substantia nigra is evident on the difference images from the patient.
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Fig 3. Distribution of young controls, age-matched controls, and patients on a Cartesian quadrant, having as abscissa, the lateral/medial contrast ratio and as ordinate, the nigral/midbrain area ratio. Separation is not achieved; however, measurements from patients tend to cluster in the area corresponding to reduced nigral area and increased lateral-medial contrast. SN indicates substantia nigra.
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