Swallow Tail Sign: Revisited

Autor: Malte Brammerloh, Evgeniya Kirilina, Anneke Alkemade, Pierre-Louis Bazin, Caroline Jantzen, Carsten Jäger, Andreas Herrler, Kerrin J. Pine, Penny A. Gowland, Markus Morawski, Birte U. Forstmann, Nikolaus Weiskopf
Přispěvatelé: FMG, Brein en Cognitie (Psychologie, FMG), Brain and Cognition, Anatomie & Embryologie, RS: FHML non-thematic output
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Radiology, 305(3). Radiological Society of North America Inc.
Radiology
Radiology. Radiological Society of North America, Inc.
ISSN: 0033-8419
1527-1315
Popis: The loss of the radiologic swallow tail sign on MRI scans of the substantia nigra is a promising diagnostic marker of Parkinson disease (1), although its anatom-ic underpinning is unclear. An early influential study showed that the hyperintense inner part of the swallow tail sign on T2*-weighted images (STh) corresponds to iron-poor areas in substantia nigra and suggested it to equal nigrosome 1, the dopaminergic region affected earliest and strongest in Parkinson disease (2). This would render the STh a cellularly specific marker (2). However, recent postmortem tissue studies have chal-lenged this interpretation, reporting that nigrosome 1 is hypointense in T2*-weighted images (3,4). We com-bined three-dimensional histology with 7-T in vivo and postmortem MRI to demonstrate that nigrosome 1 and the radiologic STh are partially overlapping but distinct.
Databáze: OpenAIRE