Background
Iron overload has been implicated in the pathology and pathogenesis of Parkinson’s disease (PD).
Aberrant iron concentrations have been observed in such as substantia nigra, red nuclei, globus pallidus
and cortex of PD patients. When neuromelanin-containing organelles accumulate high load of toxins and
iron during aging a neurodegenerative process can be triggered. Also, neuromelanin released by
degenerating neurons activates microglia and causes neurons death starting a self-propelling mechanism
of neuroinflammation and neurodegeneration.
Objectives
To evaluate the accumulation of iron in various deep nuclei of brain and to measure volume of iron
accumulated using QSM, and compare with control scale.
Methods
In this study, SWI images of the MRI scans of 45 Parkinson patients within the age group of 45-85
years, were analyzed and the volume of iron in the dentate nuclei, red nuclei, and SN and lentiform nuclei
was measured. SWI-MRI images of 54 Non Parkinson patients were also analyzed similarly and volume
of iron measured .An average scale of iron accumulation in 43 Non-Parkinson patients control group was
also formed.
Results
The volume of iron accumulation clearly proved to be higher in Parkinson patients when compared
to the control group. Also data collected from Non Parkinson patients indicated that iron deposition
increases with increasing age.
Conclusions
The knowledge of the differences in iron concentration among the deep nuclei in the brain in
Parkinson’s can help in its early diagnosis as iron promises to be a potential biomarker of PD.
Keywords : Iron Overload; Parkinson’s Disease; Susceptibility Weighted Imaging.