Movement Disorders (revue)

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Evaluating posterolateral linearization of the putaminal margin with magnetic resonance imaging to diagnose the Parkinson variant of multiple system atrophy

Identifieur interne : 002A71 ( Istex/Corpus ); précédent : 002A70; suivant : 002A72

Evaluating posterolateral linearization of the putaminal margin with magnetic resonance imaging to diagnose the Parkinson variant of multiple system atrophy

Auteurs : Shoichi Ito ; Wakako Shirai ; Takamichi Hattori

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RBID : ISTEX:553DCE51003DF733F8D6D7CFE4D07A47BF5B1747

English descriptors

Abstract

The objective was to develop a simple method for evaluating putaminal atrophy in patients with the Parkinson variant of multiple system atrophy (MSA‐P). We used magnetic resonance imaging to study 9 patients with MSA‐P, 24 patients with cerebellar variants of multiple system atrophy (MSA‐C), 38 patients with Parkinson's disease (PD), and 27 healthy control subjects. Posterolateral linearization of the putaminal margin was semiquantitatively scored and the putaminal area per intracranial area was calculated as the adjusted putaminal area. There was a negative correlation between the linearization scores and adjusted putaminal areas (r = −0.43, P < 0.001), such that the mean adjusted putaminal area in the group without putaminal linearization (0.0148 ± 0.0022) was greater than that of the group with linearization (0.0124 ± 0.0029, P < 0.005). Moreover, the occurrence of putaminal linearization was significantly higher in MSA‐P patients (88.8%) than in MSA‐C (8.3%), PD (7.9%) and healthy subjects (7.4%; P < 0.005). Putaminal linearization was a highly sensitive (0.89) and specific (0.91) measure for differentiating MSA‐P. Our results suggest that evaluating posterolateral putaminal linearization is useful for assessing putaminal atrophy and for differentiating MSA‐P from MSA‐C, PD, and healthy subjects. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21329

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ISTEX:553DCE51003DF733F8D6D7CFE4D07A47BF5B1747

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<affiliation>Department of Neurology, Graduate School of Medicine, Chiba University, Chuo‐ku, Chiba, Japan</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Takamichi</namePart>
<namePart type="family">Hattori</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Graduate School of Medicine, Chiba University, Chuo‐ku, Chiba, Japan</affiliation>
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<dateIssued encoding="w3cdtf">2007-03-15</dateIssued>
<dateCaptured encoding="w3cdtf">2006-09-27</dateCaptured>
<dateValid encoding="w3cdtf">2006-10-23</dateValid>
<copyrightDate encoding="w3cdtf">2007</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<extent unit="figures">1</extent>
<extent unit="tables">1</extent>
<extent unit="references">16</extent>
<extent unit="words">2224</extent>
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<abstract lang="en">The objective was to develop a simple method for evaluating putaminal atrophy in patients with the Parkinson variant of multiple system atrophy (MSA‐P). We used magnetic resonance imaging to study 9 patients with MSA‐P, 24 patients with cerebellar variants of multiple system atrophy (MSA‐C), 38 patients with Parkinson's disease (PD), and 27 healthy control subjects. Posterolateral linearization of the putaminal margin was semiquantitatively scored and the putaminal area per intracranial area was calculated as the adjusted putaminal area. There was a negative correlation between the linearization scores and adjusted putaminal areas (r = −0.43, P < 0.001), such that the mean adjusted putaminal area in the group without putaminal linearization (0.0148 ± 0.0022) was greater than that of the group with linearization (0.0124 ± 0.0029, P < 0.005). Moreover, the occurrence of putaminal linearization was significantly higher in MSA‐P patients (88.8%) than in MSA‐C (8.3%), PD (7.9%) and healthy subjects (7.4%; P < 0.005). Putaminal linearization was a highly sensitive (0.89) and specific (0.91) measure for differentiating MSA‐P. Our results suggest that evaluating posterolateral putaminal linearization is useful for assessing putaminal atrophy and for differentiating MSA‐P from MSA‐C, PD, and healthy subjects. © 2007 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>putaminal atrophy</topic>
<topic>linearization</topic>
<topic>multiple system atrophy</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Movement Disorders</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
</titleInfo>
<subject>
<genre>article category</genre>
<topic>Brief Report</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2007</date>
<detail type="volume">
<caption>vol.</caption>
<number>22</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>4</number>
</detail>
<extent unit="pages">
<start>578</start>
<end>581</end>
<total>4</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">553DCE51003DF733F8D6D7CFE4D07A47BF5B1747</identifier>
<identifier type="DOI">10.1002/mds.21329</identifier>
<identifier type="ArticleID">MDS21329</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2007 Movement Disorder Society</accessCondition>
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<recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
<recordContentSource>WILEY</recordContentSource>
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