In recent studies, we have found a marked increase in substantia nigra (SN)
echogenicity in patients with Parkinson's disease (PD) using transcranial
ultrasound. Because a substantial body of evidence has accumulated indicati
ng a selective elevation of iron in the SN from patients with PD, we set ou
t to test the hypothesis that trace metals like iron could lead to the obse
rved increase of SN echogenicity in PD, Rat brains were scanned after stere
otactic injection of iron in different concentrations into the SN and after
injecting ferritin, zinc and 6-OHDA alone, and after the addition of desfe
rrioxamine. The amount of iron in the SN was measured spectroscopically. Fo
r iron, and partly for 6-OHDA, in different concentrations, a dose-dependen
t increase of SN echogenicity could be visualized, corresponding to an incr
ease of iron measured by spectroscopy. No increase of echogenicity was visu
alized after the injection of ferritin and the addition of desferrioxamine
to 6-OHDA, though an increase of iron was measured by spectroscopy. Therefo
re, we conclude that iron not bound to these proteins may lead to an increa
se of echogenicity of the SN. (C) 1999 World Federation for Ultrasound in M
edicine & Biology.