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A follow‐up study on 6‐[18F]fluoro‐L‐dopa uptake in early Parkinson's disease shows nonlinear progression in the putamen

Identifieur interne : 001143 ( Istex/Corpus ); précédent : 001142; suivant : 001144

A follow‐up study on 6‐[18F]fluoro‐L‐dopa uptake in early Parkinson's disease shows nonlinear progression in the putamen

Auteurs : Anna Brück ; Sargo Aalto ; Elina Rauhala ; Jörgen Bergman ; Reijo Marttila ; Juha O. Rinne

Source :

RBID : ISTEX:12548E91311719D3CCC6D5C8F6C6C3FA73C373D5

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Abstract

Sixteen subjects with de novo Parkinson's disease (PD) underwent three 6‐[18F]fluoro‐L‐dopa (Fdopa) positron emission tomography (PET) scans during a follow‐up time of 5 years (mean ± SD 5.5 ± 0.4 years) to study the progression of striatal dopaminergic hypofunction. Throughout the study, the smallest Fdopa uptake values were found in the dorso‐caudal part of the putamen contralateral to the side with dominant motor symptoms. The rate of decline in Fdopa uptake in the contralateral putamen was faster in the beginning of the disease and slowed down as the disease progressed. The annual decline in Fdopa influx constant (Ki, unit × 10−3 min−1) was on average 0.5 during the first 2 years and 0.2 during the subsequent 3 years (P = 0.002) in the contralateral putamen. In caudate, the rate of decline in Fdopa values was slower than in the putamen and did not change significantly during the follow‐up time, annual decline in the contralateral caudate being 0.1 between baseline and 2 years and 0.3 between 2 and 5 years (P = 0.4). These results suggest that progression of putaminal dopaminergic hypofuncion in PD follows a nonlinear pattern at least in the contralateral side being faster in the beginning of the disease. © 2009 Movement Disorder Society

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DOI: 10.1002/mds.22484

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F]fluoro‐L‐dopa uptake in early Parkinson's disease shows nonlinear progression in the putamen
<link href="#fn3"></link>
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<title type="short" xml:lang="en">Striatal Fdopa Uptake in Parkinson's Disease</title>
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<personName>
<givenNames>Anna</givenNames>
<familyName>Brück</familyName>
<degrees>MD, PhD</degrees>
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<degrees>MSc</degrees>
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<personName>
<givenNames>Elina</givenNames>
<familyName>Rauhala</familyName>
<degrees>MD, PhD</degrees>
</personName>
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<givenNames>Jörgen</givenNames>
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<personName>
<givenNames>Reijo</givenNames>
<familyName>Marttila</familyName>
<degrees>MD, PhD</degrees>
</personName>
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<creator xml:id="au6" creatorRole="author" affiliationRef="#af1">
<personName>
<givenNames>Juha O.</givenNames>
<familyName>Rinne</familyName>
<degrees>MD, PhD</degrees>
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<keyword xml:id="kwd1">Parkinson's disease</keyword>
<keyword xml:id="kwd2">PET</keyword>
<keyword xml:id="kwd3">6‐[
<sup>18</sup>
F]fluoro‐L‐dopa</keyword>
<keyword xml:id="kwd4">progression</keyword>
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<fundingAgency>Emil Aaltonen Foundation</fundingAgency>
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<fundingAgency>Finnish Neurological Foundation</fundingAgency>
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<fundingInfo>
<fundingAgency>Duodecim Foundation</fundingAgency>
</fundingInfo>
<fundingInfo>
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</fundingInfo>
<fundingInfo>
<fundingAgency>Varsinais‐Suomi Regional Fund</fundingAgency>
</fundingInfo>
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<title type="main">Abstract</title>
<p>Sixteen subjects with de novo Parkinson's disease (PD) underwent three 6‐[18F]fluoro‐L‐dopa (Fdopa) positron emission tomography (PET) scans during a follow‐up time of 5 years (mean ± SD 5.5 ± 0.4 years) to study the progression of striatal dopaminergic hypofunction. Throughout the study, the smallest Fdopa uptake values were found in the dorso‐caudal part of the putamen contralateral to the side with dominant motor symptoms. The rate of decline in Fdopa uptake in the contralateral putamen was faster in the beginning of the disease and slowed down as the disease progressed. The annual decline in Fdopa influx constant (Ki, unit × 10
<sup>−3</sup>
min
<sup>−1</sup>
) was on average 0.5 during the first 2 years and 0.2 during the subsequent 3 years (
<i>P</i>
= 0.002) in the contralateral putamen. In caudate, the rate of decline in Fdopa values was slower than in the putamen and did not change significantly during the follow‐up time, annual decline in the contralateral caudate being 0.1 between baseline and 2 years and 0.3 between 2 and 5 years (
<i>P</i>
= 0.4). These results suggest that progression of putaminal dopaminergic hypofuncion in PD follows a nonlinear pattern at least in the contralateral side being faster in the beginning of the disease. © 2009 Movement Disorder Society</p>
</abstract>
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<p>Potential conflict of interest: No conflicts of interest.</p>
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<affiliation>Turku PET Centre, University of Turku, Turku, Finland</affiliation>
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<abstract lang="en">Sixteen subjects with de novo Parkinson's disease (PD) underwent three 6‐[18F]fluoro‐L‐dopa (Fdopa) positron emission tomography (PET) scans during a follow‐up time of 5 years (mean ± SD 5.5 ± 0.4 years) to study the progression of striatal dopaminergic hypofunction. Throughout the study, the smallest Fdopa uptake values were found in the dorso‐caudal part of the putamen contralateral to the side with dominant motor symptoms. The rate of decline in Fdopa uptake in the contralateral putamen was faster in the beginning of the disease and slowed down as the disease progressed. The annual decline in Fdopa influx constant (Ki, unit × 10−3 min−1) was on average 0.5 during the first 2 years and 0.2 during the subsequent 3 years (P = 0.002) in the contralateral putamen. In caudate, the rate of decline in Fdopa values was slower than in the putamen and did not change significantly during the follow‐up time, annual decline in the contralateral caudate being 0.1 between baseline and 2 years and 0.3 between 2 and 5 years (P = 0.4). These results suggest that progression of putaminal dopaminergic hypofuncion in PD follows a nonlinear pattern at least in the contralateral side being faster in the beginning of the disease. © 2009 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: No conflicts of interest.</note>
<note type="funding">Emil Aaltonen Foundation</note>
<note type="funding">Finnish Parkinson Foundation</note>
<note type="funding">Finnish Neurological Foundation</note>
<note type="funding">Duodecim Foundation</note>
<note type="funding">Clinical Grants (EVO) of Turku University Hospital</note>
<note type="funding">Varsinais‐Suomi Regional Fund</note>
<subject lang="en">
<genre>Keywords</genre>
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<identifier type="ISSN">0885-3185</identifier>
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<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2009</date>
<detail type="volume">
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<number>24</number>
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