Imaging the nigrosome 1 has been reported to be promising in the diagnosis of Parkinson’s disease (PD), however, there is no uniform imaging protocol. This study was designed to create a rapid imaging protocol with high image quality to consistently visualize and characterize the N1 and to evaluate the loss of N1 in the diagnosis of PD. We found that the N1 sign could be consistently visualized using true SWI (tSWI) with a resolution of at least 0.67 x 0.67 x 1.34 mm3 and could be seen in 95% of HCs, while only 21.1% in PD and atypical parkinsonian syndromes.
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