Diffusion weighted imaging best discriminates PD from MSA‐P: A comparison with tilt table testing and heart MIBG scintigraphy
Identifieur interne : 002E94 ( Main/Exploration ); précédent : 002E93; suivant : 002E95Diffusion weighted imaging best discriminates PD from MSA‐P: A comparison with tilt table testing and heart MIBG scintigraphy
Auteurs : Martin Köllensperger [Autriche] ; Klaus Seppi [Autriche] ; Claudia Liener [Autriche] ; Sylvia Boesch [Autriche] ; Dirk Heute [Autriche] ; Katherina J. Mair [Autriche] ; Joerg Mueller [Autriche] ; Martin Sawires [Autriche] ; Christoph Scherfler [Autriche] ; Michael F. Schocke [Autriche] ; Eveline Donnemilier [Autriche] ; Irene Virgolini [Autriche] ; Gregor K. Wenning [Autriche] ; Werner Poewe [Autriche]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-09-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- 3-Iodobenzylguanidine (diagnostic use), 3-Iodobenzylguanidine (pharmacokinetics), Aged, Analysis of Variance, Area Under Curve, Case-Control Studies, Comparative study, Diffusion Magnetic Resonance Imaging (methods), Diffusion imaging, Heart (physiopathology), Heart (radionuclide imaging), Humans, MIBG scintigraphy, Middle Aged, Multiple System Atrophy (diagnosis), Multiple System Atrophy (physiopathology), Multiple system atrophy, Nervous system diseases, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson disease, Parkinson's disease, Radiopharmaceuticals (diagnostic use), Radiopharmaceuticals (pharmacokinetics), Scintigraphy, Sensitivity and Specificity, Tilt table, Tilt-Table Test (methods), Time Factors, diffusion weighted imaging, multiple system atrophy.
- MESH :
- chemical , diagnostic use : 3-Iodobenzylguanidine, Radiopharmaceuticals.
- chemical , pharmacokinetics : 3-Iodobenzylguanidine, Radiopharmaceuticals.
- diagnosis : Multiple System Atrophy, Parkinson Disease.
- methods : Diffusion Magnetic Resonance Imaging, Tilt-Table Test.
- physiopathology : Heart, Multiple System Atrophy, Parkinson Disease.
- radionuclide imaging : Heart.
- Aged, Analysis of Variance, Area Under Curve, Case-Control Studies, Humans, Middle Aged, Sensitivity and Specificity, Time Factors.
Abstract
Both diffusion weighted magnetic resonance imaging (DWI) of the basal ganglia and meta‐iodobenzylguanidin (MIBG) scintigraphy of the heart have been reported useful in the differential diagnosis of patients with Parkinson's disease (PD) vs. the parkinson variant of multiple system atrophy (MSA‐P). Their diagnostic value, however, has never been directly compared in patients with parkinsonism and autonomic dysfunction. We have studied 9 patients with PD and 9 patients with MSA‐P matched for age and disease severity. Regional trace of the diffusion tensor values were determined in the putamina. Cardiac MIBG uptake was quantified by comparing regions of interest over heart and mediastinum Heart/Mediastinum (H/M) ratio. Furthermore, all patients underwent tilt testing. PD patients showed significantly lower H/M ratios than normal controls; however, there was considerable overlap between the two patient groups. We did not detect any significant differences of blood pressure response to passive tilt between the two patient groups. Sensitivity of MIBG scintigraphy versus DWI for the differentiation of MSA‐P from PD was 55.6% vs. 100%, specificity 88.8% vs. 100%, and area under the curve 0.802 vs. 1.000. Our data suggest that DWI is superior to both tilt table testing and MIBG scintigraphy in the differential diagnosis of PD versus MSA‐P. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21614
Affiliations:
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Mair</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinical Department of Neurology, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Mueller, Joerg" sort="Mueller, Joerg" uniqKey="Mueller J" first="Joerg" last="Mueller">Joerg Mueller</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinical Department of Neurology, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Sawires, Martin" sort="Sawires, Martin" uniqKey="Sawires M" first="Martin" last="Sawires">Martin Sawires</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinical Department of Neurology, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Scherfler, Christoph" sort="Scherfler, Christoph" uniqKey="Scherfler C" first="Christoph" last="Scherfler">Christoph Scherfler</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinical Department of Neurology, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Schocke, Michael F" sort="Schocke, Michael F" uniqKey="Schocke M" first="Michael F." last="Schocke">Michael F. Schocke</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Radiology I, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Donnemilier, Eveline" sort="Donnemilier, Eveline" uniqKey="Donnemilier E" first="Eveline" last="Donnemilier">Eveline Donnemilier</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinical Department of Nuclear Medicine, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Virgolini, Irene" sort="Virgolini, Irene" uniqKey="Virgolini I" first="Irene" last="Virgolini">Irene Virgolini</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinical Department of Nuclear Medicine, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Wenning, Gregor K" sort="Wenning, Gregor K" uniqKey="Wenning G" first="Gregor K." last="Wenning">Gregor K. Wenning</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinical Department of Neurology, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Poewe, Werner" sort="Poewe, Werner" uniqKey="Poewe W" first="Werner" last="Poewe">Werner Poewe</name><affiliation wicri:level="1"><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinical Department of Neurology, Innsbruck Medical University, Anichstraβe 35, A‐6020 Innsbruck</wicri:regionArea><wicri:noRegion>A‐6020 Innsbruck</wicri:noRegion><placeName><settlement type="city">Innsbruck</settlement><region nuts="2" type="region">Tyrol (Land)</region></placeName><orgName type="university">Université de médecine d'Innsbruck</orgName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2007-09-15">2007-09-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">12</biblScope><biblScope unit="page" from="1771">1771</biblScope><biblScope unit="page" to="1776">1776</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">A102EE0D4B9850C17E566F570FC6BA81BF454B28</idno><idno type="DOI">10.1002/mds.21614</idno><idno type="ArticleID">MDS21614</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>3-Iodobenzylguanidine (diagnostic use)</term><term>3-Iodobenzylguanidine (pharmacokinetics)</term><term>Aged</term><term>Analysis of Variance</term><term>Area Under Curve</term><term>Case-Control Studies</term><term>Comparative study</term><term>Diffusion Magnetic Resonance Imaging (methods)</term><term>Diffusion imaging</term><term>Heart (physiopathology)</term><term>Heart (radionuclide imaging)</term><term>Humans</term><term>MIBG scintigraphy</term><term>Middle Aged</term><term>Multiple System Atrophy (diagnosis)</term><term>Multiple System Atrophy (physiopathology)</term><term>Multiple system atrophy</term><term>Nervous system diseases</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Radiopharmaceuticals (diagnostic use)</term><term>Radiopharmaceuticals (pharmacokinetics)</term><term>Scintigraphy</term><term>Sensitivity and Specificity</term><term>Tilt table</term><term>Tilt-Table Test (methods)</term><term>Time Factors</term><term>diffusion weighted imaging</term><term>multiple system atrophy</term></keywords><keywords scheme="MESH" type="chemical" qualifier="diagnostic use" xml:lang="en"><term>3-Iodobenzylguanidine</term><term>Radiopharmaceuticals</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacokinetics" xml:lang="en"><term>3-Iodobenzylguanidine</term><term>Radiopharmaceuticals</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Multiple System Atrophy</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Diffusion Magnetic Resonance Imaging</term><term>Tilt-Table Test</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Heart</term><term>Multiple System Atrophy</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en"><term>Heart</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Analysis of Variance</term><term>Area Under Curve</term><term>Case-Control Studies</term><term>Humans</term><term>Middle Aged</term><term>Sensitivity and Specificity</term><term>Time Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atrophie multisystématisée</term><term>Etude comparative</term><term>Imagerie de diffusion</term><term>Parkinson maladie</term><term>Scintigraphie</term><term>Système nerveux pathologie</term><term>Table basculante</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Both diffusion weighted magnetic resonance imaging (DWI) of the basal ganglia and meta‐iodobenzylguanidin (MIBG) scintigraphy of the heart have been reported useful in the differential diagnosis of patients with Parkinson's disease (PD) vs. the parkinson variant of multiple system atrophy (MSA‐P). Their diagnostic value, however, has never been directly compared in patients with parkinsonism and autonomic dysfunction. We have studied 9 patients with PD and 9 patients with MSA‐P matched for age and disease severity. Regional trace of the diffusion tensor values were determined in the putamina. Cardiac MIBG uptake was quantified by comparing regions of interest over heart and mediastinum Heart/Mediastinum (H/M) ratio. Furthermore, all patients underwent tilt testing. PD patients showed significantly lower H/M ratios than normal controls; however, there was considerable overlap between the two patient groups. We did not detect any significant differences of blood pressure response to passive tilt between the two patient groups. Sensitivity of MIBG scintigraphy versus DWI for the differentiation of MSA‐P from PD was 55.6% vs. 100%, specificity 88.8% vs. 100%, and area under the curve 0.802 vs. 1.000. Our data suggest that DWI is superior to both tilt table testing and MIBG scintigraphy in the differential diagnosis of PD versus MSA‐P. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Autriche</li></country><region><li>Tyrol (Land)</li></region><settlement><li>Innsbruck</li></settlement><orgName><li>Université de médecine d'Innsbruck</li></orgName></list><tree><country name="Autriche"><noRegion><name sortKey="Kollensperger, Martin" sort="Kollensperger, Martin" uniqKey="Kollensperger M" first="Martin" last="Köllensperger">Martin Köllensperger</name></noRegion><name sortKey="Boesch, Sylvia" sort="Boesch, Sylvia" uniqKey="Boesch S" first="Sylvia" last="Boesch">Sylvia Boesch</name><name sortKey="Donnemilier, Eveline" sort="Donnemilier, Eveline" uniqKey="Donnemilier E" first="Eveline" last="Donnemilier">Eveline Donnemilier</name><name sortKey="Heute, Dirk" sort="Heute, Dirk" uniqKey="Heute D" first="Dirk" last="Heute">Dirk Heute</name><name sortKey="Liener, Claudia" sort="Liener, Claudia" uniqKey="Liener C" first="Claudia" last="Liener">Claudia Liener</name><name sortKey="Mair, Katherina J" sort="Mair, Katherina J" uniqKey="Mair K" first="Katherina J." last="Mair">Katherina J. Mair</name><name sortKey="Mueller, Joerg" sort="Mueller, Joerg" uniqKey="Mueller J" first="Joerg" last="Mueller">Joerg Mueller</name><name sortKey="Poewe, Werner" sort="Poewe, Werner" uniqKey="Poewe W" first="Werner" last="Poewe">Werner Poewe</name><name sortKey="Sawires, Martin" sort="Sawires, Martin" uniqKey="Sawires M" first="Martin" last="Sawires">Martin Sawires</name><name sortKey="Scherfler, Christoph" sort="Scherfler, Christoph" uniqKey="Scherfler C" first="Christoph" last="Scherfler">Christoph Scherfler</name><name sortKey="Schocke, Michael F" sort="Schocke, Michael F" uniqKey="Schocke M" first="Michael F." last="Schocke">Michael F. Schocke</name><name sortKey="Seppi, Klaus" sort="Seppi, Klaus" uniqKey="Seppi K" first="Klaus" last="Seppi">Klaus Seppi</name><name sortKey="Virgolini, Irene" sort="Virgolini, Irene" uniqKey="Virgolini I" first="Irene" last="Virgolini">Irene Virgolini</name><name sortKey="Wenning, Gregor K" sort="Wenning, Gregor K" uniqKey="Wenning G" first="Gregor K." last="Wenning">Gregor K. Wenning</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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