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Parkinson’s Disease is a progressive neurodegenerative disorder caused by the loss of dopamine-producing neurons in the substantia nigra, leading to motor symptoms like resting tremor, bradykinesia (slowness), rigidity, and postural instability, as well as non-motor symptoms including depression, sleep disturbances, autonomic dysfunction (constipation, orthostatic hypotension), and cognitive impairment (dementia in 80% of long-term cases). It affects over 1 million Americans in 2025, with incidence rising after age 60 (90% of cases idiopathic, 10% genetic like LRRK2 or PARKIN mutations), and a male predominance (1.5:1). Stages range from mild unilateral symptoms (Hoehn and Yahr stage 1) to severe disability requiring assistance (stage 5), with average progression 10-20 years, and complications like falls or pneumonia contributing to reduced life expectancy by 5-10 years.
MRI in Parkinson’s rules out secondary causes (e.g., vascular parkinsonism with white matter lesions or normal pressure hydrocephalus) and assesses atypical features, showing reduced substantia nigra volume on neuromelanin-sensitive sequences or iron accumulation on susceptibility-weighted imaging (SWI), with 85% sensitivity for differentiating from essential tremor. Functional MRI evaluates basal ganglia connectivity disruptions, while diffusion tensor imaging (DTI) tracks nigrostriatal tract degeneration for early detection. In 2025, AI-analyzed MRI predicts disease progression with 80% accuracy, and 7T MRI visualizes Lewy body pathology surrogates for better subtyping.
In 2025, Parkinson’s has no cure, but treatments like levodopa manage symptoms in 70-80% of patients for 5-10 years, with deep brain stimulation (DBS) reducing motor fluctuations by 50% in advanced cases. Survival is near-normal with management, but quality of life declines due to non-motor symptoms. Future research includes alpha-synuclein-targeted therapies (e.g., prasinezumab in trials, slowing progression by 20%), stem cell transplants to replace dopamine neurons (phase II showing safety), and gene therapy for GBA mutations. AI wearables detect early bradykinesia. By 2030, disease-modifying drugs could delay onset by 5 years, reducing disability by 30%.
Diagnosis of Parkinson’s is clinical, based on UK Brain Bank criteria (bradykinesia plus rigidity/tremor), with DaTscan (SPECT) confirming dopamine loss in ambiguous cases. MRI excludes mimics. Genetic testing for mutations in familial cases. Blood/CSF biomarkers (alpha-synuclein) are emerging (70% accuracy in 2025). In 2025, AI integrates clinical/MRI data for 90% diagnostic accuracy.
The information is sourced from the Parkinson’s Foundation’s “MRI in Parkinson’s Disease,” 2025 for how MRI is used; Mayo Clinic’s “Parkinson’s Disease Diagnosis,” 2025 for diagnostic methods; PMC’s “Neuroimaging in Parkinson’s Disease,” 2025 for future outlook.
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