Disease State and Progression Biomarkers
A, Evidence for disease-state biomarkers in patients with preclinical and prodromal, early-stage, and moderate to late-stage Parkinson disease. B, Evidence for progression biomarkers in patients with preclinical and prodromal, early-stage, and moderate to late-stage Parkinson disease. + Indicates the effect was shown by only 1 article or that there are inconsistent results across studies; ++, effect shown in 2 to 3 articles using a single-site cohort; +++, effect shown consistently in 3 or more articles or in a multisite cohort; −, no effect of biomarker was shown. Gray-colored squares are used where there are no studies available. aSN indicates anterior substantia nigra; MRI, magnetic resonance imaging; NA, not applicable; PET, positron emission tomography; pSN, posterior substantia nigra; SN, substantia nigra; SPECT, single-photon emission computed tomography.