We used quantitative multimodal MRI to investigate the region-specific damage in progressive supranuclear palsy (PSP) in order to generate a precise model of neurodegeneration at various levels of the central nervous system, including brainstem nuclei, basal ganglia and cortex. PSP patients showed extensive volume decrease and microstructural diffusion changes in the brainstem and the basal ganglia in agreement with previous pathological studies. These results suggest the possibility of direct noninvasive assessment of brain damage in PSP not only in the basal ganglia and the cortex, as done previously, but also in small brainstem nuclei.
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