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Neuroimaging and pathology biomarkers in parkinson’s disease and parkinsonism

datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
datacite.subject.sdg04:Educação de Qualidade
dc.contributor.authorCilia, Roberto
dc.contributor.authorArnaldi, Dario
dc.contributor.authorBallanger, Bénédicte
dc.contributor.authorCeravolo, Roberto
dc.contributor.authorMicco, Rosa De
dc.contributor.authorDel Sole, Angelo
dc.contributor.authorEleopra, Roberto
dc.contributor.authorEndo, Hironobu
dc.contributor.authorFasano, Alfonso
dc.contributor.authorHoenig, Merle C.
dc.contributor.authorHorsager, Jacob
dc.contributor.authorLehéricy, Stéphane
dc.contributor.authorLeta, Valentina
dc.contributor.authorModa, Fabio
dc.contributor.authorNolano, Maria
dc.contributor.authorOuteiro, Tiago
dc.contributor.authorParkkinen, Laura
dc.contributor.authorPavese, Nicola
dc.contributor.authorQuattrone, Andrea
dc.contributor.authorRay, Nicola J.
dc.contributor.authorReich, Martin M.
dc.contributor.authorRektorová, Irena
dc.contributor.authorStrafella, Antonio P.
dc.contributor.authorTagliavini, Fabrizio
dc.contributor.authorTessitore, Alessandro
dc.contributor.authorvan Eimeren, Thilo
dc.date.accessioned2026-02-19T12:58:47Z
dc.date.available2026-02-19T12:58:47Z
dc.date.issued2026-01-19
dc.description.abstractThe “Neuroimaging and Pathology Biomarkers in Parkinson’s Disease” course held on 12–13 September 2025 in Milan, Italy, convened an international faculty to review state-ofthe- art biomarkers spanning neurotransmitter dysfunction, protein pathology and clinical translation. Here, we synthesize the four themed sessions and highlights convergent messages for diagnosis, stratification and trial design. The first session focused on neuroimaging markers of neurotransmitter dysfunction, highlighting how positron emission tomography (PET), single photon emission computed tomography (SPECT), and magnetic resonance imaging (MRI) provided complementary insights into dopaminergic, noradrenergic, cholinergic and serotonergic dysfunction. The second session addressed in vivo imaging of protein pathology, presenting recent advances in PET ligands targeting α- synuclein, progress in four-repeat tau imaging for progressive supranuclear palsy and corticobasal syndromes, and the prognostic relevance of amyloid imaging in the context of mixed pathologies. Imaging of neuroinflammation captures inflammatory processes in vivo and helps study pathophysiological effects. The third session bridged pathology and disease mechanisms, covering the biology of α-synuclein and emerging therapeutic strategies, the clinical potential of seed amplification assays and skin biopsy, the impact of co-pathologies on disease expression, and the “brain-first” versus “body-first” model of pathological spread. Finally, the fourth session addressed disease progression and clinical translation, focusing on imaging predictors of phenoconversion from prodromal to clinically overt stages of synucleinopathies, concepts of neural reserve and compensation, imaging correlates of cognitive impairment, and MRI approaches for atypical parkinsonism. Biomarker-informed pharmacological, infusion-based, and surgical strategies, including network-guided and adaptive deep brain stimulation, were discussed as examples of how multimodal biomarkers may inform personalized management. Across all sessions, the need for harmonization, longitudinal validation, and pathology-confirmed outcome measures was consistently emphasized as essential for advancing biomarker qualification in multicentre research and clinical practice.eng
dc.identifier.doi10.3390/brainsci16010110
dc.identifier.issn2076-3425
dc.identifier.urihttp://hdl.handle.net/10400.1/28190
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.ispartofBrain Sciences
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectParkinson’s disease biomarkers
dc.subjectMultimodal neuroimaging
dc.subjectProteinopathies
dc.subjectCo-pathology
dc.subjectProdromal and atypical parkinsonism
dc.subjectTranslational precision medicine
dc.titleNeuroimaging and pathology biomarkers in parkinson’s disease and parkinsonismeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.titleBrain Sciences
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameOuteiro
person.givenNameTiago
person.identifier.orcid0000-0003-1679-1727
relation.isAuthorOfPublicationd7d181a8-97fb-4279-aa9f-e736cbdfb672
relation.isAuthorOfPublication.latestForDiscoveryd7d181a8-97fb-4279-aa9f-e736cbdfb672

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