Isolated REM sleep behavior disorder (iRBD) is considered a prodromal stage of parkinsonism. Neurodegenerative changes in the substantia nigra pars compacta (SNc) in parkinsonism can be detected using neuromelanin-sensitive MRI. In this cross-sectional, observational, case-control study, we investigated changes in neuromelanin in participants with iRBD compared to Parkinson’s disease and healthy volunteers in the SNc segmented automatically using convolutional neural network-based U-net architecture. The iRBD participants had reduced neuromelanin content at an intermediate level between the values in HV and PD patients.
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