We examine nigral volume and tissue microstructure in prodromal and symptomatic Parkinson’s disease. Decreases in nigral volume were observed in the symptomatic Parkinson's disease group relative to the control group (p<10-3) and prodromal Parkinson's disease (p<10-3) group. A reduction in nigral volume was seen in the prodromal Parkinson's disease group relative to the control group (p=0.025). An increase in nigral free water was also found in the symptomatic Parkinson’s disease group relative to the control group (p=0.014).
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