We would like to share a new MATLAB-based pipeline for processing DAT-SPECT data is now available through the **MJFF GitHub Imaging Repo (“DAT_SPECT_subregional_pipeline”). This pipeline computes striatal binding ratios (SBRs) in striatal subregions, allowing for more sensitive detection of subtle focal changes in DAT activity. This can be especially valuable in the preclinical (prodromal) phases of Parkinson’s disease, where pathology typically progresses along a dorso-posterior to ventro-anterior gradient, and early focal changes may be missed by whole-striatum analyses.
This was developed in parallel with the ongoing DAT-SPECT re-analysis by PPMI, providing a complementary tool for more detailed assessment of striatal subregional DAT changes over time. The resulting subregional SBR measures may serve as promising candidate progression markers, possibly capturing both co-occurring dopaminergic damage and compensatory processes, and offering richer insight than global SBR metrics alone.
This pipeline has been validated on two independent datasets, demonstrating robustness, and outputs are provided as tabular CSV /excel files that can be used for clustering analyses or as a complement to the Parkinson’s Insight Engine (PIE) pipeline recently presented by @vcatterson @cameronreidhamilton to the community.
We highly encourage interested members to test the pipeline to their own data and provide feedback on any issues or bugs so that we can continue to refine and improve the tool.
Access the pipeline here: Imaging/DAT_SPECT_subregional_pipeline at main · MJFF-ResearchCommunity/Imaging · GitHub