YNIMG Journal 2026 Journal Article
Deep-learning saturation transfer magnetic resonance fingerprinting (ST-MRF) in patients with Parkinson’s disease
- Jannik Prasuhn
- Munendra Singh
- Sultan Z Mahmud
- Nirbhay N Yadav
- Ted M. Dawson
- Kelly A. Mills
- Peter van Zijl
- Hye-Young Heo
Parkinson’s disease (PD) is marked by progressive neurodegeneration in the substantia nigra (SN). This study evaluated deep-learning saturation-transfer magnetic resonance fingerprinting (ST-MRF) to quantify molecular and microstructural changes in PD. We examined 23 patients with PD (PwPD) and 22 matched healthy controls (HCs) using multimodal imaging, including ST-MRF. ST-MRF detected significant molecular and microstructural alterations in the SN of PwPD compared to HCs, including increases in magnetization transfer ratio at 3. 5 ppm (MTR(3. 5ppm, 1. 5 µT); 0. 612 ± 0. 022 vs. 0. 597 ± 0. 021, p = 0. 014), MTR(-3. 5ppm, 1. 5 µT); 0. 614 ± 0. 021 vs. 0. 586 ± 0. 019, p = 0. 008)), and decreases in T2 w (51. 9 ± 3. 4 vs. 54. 5 ± 1. 3 ms, p = 0. 005), suggesting disrupted protein homeostasis and iron accumulation. ST-MRF provides multiparametric insights into PD-related pathology and may serve as a candidate tool for future biomarker studies. Validation in larger, longitudinal cohorts will be essential to establish its clinical utility.