Neuromelanin-Sensitive MRI As a Noninvasive Proxy Measure of Dopamine Function in the Human Brain
Neuromelanin-sensitive MRI as a noninvasive proxy measure of dopamine function in the human brain Clifford M. Cassidya,b,1, Fabio A. Zuccac, Ragy R. Girgisa, Seth C. Bakera, Jodi J. Weinsteina,d, Madeleine E. Sharpe,f, Chiara Belleic, Alice Valmadrec, Nora Vanegase, Lawrence S. Kegelesa, Gary Brucatoa, Un Jung Kange, David Sulzera,e, Luigi Zeccaa,c, Anissa Abi-Darghama,d, and Guillermo Horgaa,1 aDepartment of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York, NY 10032; bUniversity of Ottawa Institute of Mental Health Research, affiliated with The Royal, Ottawa, ON K1Z 8N3, Canada; cInstitute of Biomedical Technologies, National Research Council of Italy, Segrate, 20090 Milan, Italy; dDepartment of Psychiatry, Stony Brook University, Stony Brook, NY 11794; eDepartment of Neurology, Columbia University Medical Center, New York, NY 10032; and fDepartment of Neurology and Neurosurgery, McGill University, Montreal, QC H3A 2B4, Canada Edited by Marcus E. Raichle, Washington University in St. Louis, St. Louis, MO, and approved January 22, 2019 (received for review May 9, 2018) Neuromelanin-sensitive MRI (NM-MRI) purports to detect the are only cleared from tissue following cell death through the content of neuromelanin (NM), a product of dopamine metabolism action of microglia, as in neurodegenerative conditions such as that accumulates with age in dopamine neurons of the substantia PD (5, 6). Given that NM–iron complexes are paramagnetic (6, nigra (SN). Interindividual variability in dopamine function may 7), they can be imaged using MRI (8–11). A family of MRI se- result in varying levels of NM accumulation in the SN; however, quences, known as NM-MRI, captures groups of neurons with the ability of NM-MRI to measure dopamine function in non- high NM content, such as those in the SN, as hyperintense re- neurodegenerative conditions has not been established.
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