Measuring the rate of progression of Parkinson's disease over a 5‐year period with β‐CIT SPECT
Identifieur interne : 004041 ( Main/Exploration ); précédent : 004040; suivant : 004042Measuring the rate of progression of Parkinson's disease over a 5‐year period with β‐CIT SPECT
Auteurs : Walter Pirker [Autriche] ; Iris Holler [Autriche] ; Willibald Gerschlager [Autriche] ; Susanne Asenbaum [Autriche] ; Georg Zettinig [Autriche] ; Thomas Brücke [Autriche]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Binding Sites, Cocaine (analogs & derivatives), Cocaine (diagnostic use), Cocaine (pharmacokinetics), Cognition Disorders (diagnosis), Corpus Striatum (metabolism), Corpus Striatum (physiopathology), Disease Progression, Dopamine Plasma Membrane Transport Proteins, Dopaminergic transmission, Emission, Emission tomography, Evolution, Female, Follow-Up Studies, Human, Humans, Male, Membrane Glycoproteins, Membrane Transport Proteins (metabolism), Middle Aged, Nerve Tissue Proteins, Neuropsychological Tests, Parkinson Disease (diagnosis), Parkinson Disease (metabolism), Parkinson Disease (physiopathology), Parkinson disease, Parkinson's disease, Photon, Radiopharmaceuticals (pharmacokinetics), Radiopharmaceuticals (therapeutic use), Severity of Illness Index, Time Factors, Tomography, Emission-Computed, Single-Photon, [123I]β‐CIT, disease progression, single photon emission computerized tomography (SPECT).
- MESH :
- chemical , analogs & derivatives : Cocaine.
- chemical , diagnostic use : Cocaine.
- chemical , metabolism : Membrane Transport Proteins.
- chemical , pharmacokinetics : Cocaine, Radiopharmaceuticals.
- diagnosis : Cognition Disorders, Parkinson Disease.
- metabolism : Corpus Striatum, Parkinson Disease.
- physiopathology : Corpus Striatum, Parkinson Disease.
- chemical , therapeutic use : Radiopharmaceuticals.
- Binding Sites, Disease Progression, Dopamine Plasma Membrane Transport Proteins, Female, Follow-Up Studies, Humans, Male, Membrane Glycoproteins, Middle Aged, Nerve Tissue Proteins, Neuropsychological Tests, Severity of Illness Index, Time Factors, Tomography, Emission-Computed, Single-Photon.
Abstract
Recent imaging studies suggest a rapid degeneration of the dopaminergic system in early Parkinson's disease (PD), followed by a slowing of the degenerative process in advanced disease. In the present study, a group of early‐stage PD patients underwent three sequential [123I]β‐CIT SPECT studies to assess the decline of striatal dopamine transporter binding over a 5‐year period. Twenty‐one of a cohort of 24 early PD patients who participated in an earlier longitudinal β‐CIT SPECT imaging study [Mov Disord 2002;17:45–53] were included. Scan intervals were 26 ± 11 months (scan 1–2) and 38 ± 15 months (scan 2–3), respectively. The relative annual rate of decline of striatal β‐CIT binding from age‐expected normal values at the time of Scan 1 was used as primary outcome variable. The relative annual decline of striatal binding from Scan 1 to Scan 2 (4.5 ± 4.6%) and from Scan 2 to Scan 3 (3.0 ± 3.0%) was not significantly different. The non‐significant difference in progression rate was due mainly to the rapid early decline of striatal binding in 1 patient who subsequently developed a severe dysexecutive dementia syndrome. These data are not suggestive of substantial change in the course of dopaminergic degeneration in PD within the first 5 to 7 years after symptom onset. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10531
Affiliations:
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Le document en format XML
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<term>Cocaine (diagnostic use)</term>
<term>Cocaine (pharmacokinetics)</term>
<term>Cognition Disorders (diagnosis)</term>
<term>Corpus Striatum (metabolism)</term>
<term>Corpus Striatum (physiopathology)</term>
<term>Disease Progression</term>
<term>Dopamine Plasma Membrane Transport Proteins</term>
<term>Dopaminergic transmission</term>
<term>Emission</term>
<term>Emission tomography</term>
<term>Evolution</term>
<term>Female</term>
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<term>Nerve Tissue Proteins</term>
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<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (metabolism)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Photon</term>
<term>Radiopharmaceuticals (pharmacokinetics)</term>
<term>Radiopharmaceuticals (therapeutic use)</term>
<term>Severity of Illness Index</term>
<term>Time Factors</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
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<term>disease progression</term>
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<front><div type="abstract" xml:lang="en">Recent imaging studies suggest a rapid degeneration of the dopaminergic system in early Parkinson's disease (PD), followed by a slowing of the degenerative process in advanced disease. In the present study, a group of early‐stage PD patients underwent three sequential [123I]β‐CIT SPECT studies to assess the decline of striatal dopamine transporter binding over a 5‐year period. Twenty‐one of a cohort of 24 early PD patients who participated in an earlier longitudinal β‐CIT SPECT imaging study [Mov Disord 2002;17:45–53] were included. Scan intervals were 26 ± 11 months (scan 1–2) and 38 ± 15 months (scan 2–3), respectively. The relative annual rate of decline of striatal β‐CIT binding from age‐expected normal values at the time of Scan 1 was used as primary outcome variable. The relative annual decline of striatal binding from Scan 1 to Scan 2 (4.5 ± 4.6%) and from Scan 2 to Scan 3 (3.0 ± 3.0%) was not significantly different. The non‐significant difference in progression rate was due mainly to the rapid early decline of striatal binding in 1 patient who subsequently developed a severe dysexecutive dementia syndrome. These data are not suggestive of substantial change in the course of dopaminergic degeneration in PD within the first 5 to 7 years after symptom onset. © 2003 Movement Disorder Society</div>
</front>
</TEI>
<affiliations><list><country><li>Autriche</li>
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<region><li>Vienne (Autriche)</li>
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<tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Pirker, Walter" sort="Pirker, Walter" uniqKey="Pirker W" first="Walter" last="Pirker">Walter Pirker</name>
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<name sortKey="Asenbaum, Susanne" sort="Asenbaum, Susanne" uniqKey="Asenbaum S" first="Susanne" last="Asenbaum">Susanne Asenbaum</name>
<name sortKey="Asenbaum, Susanne" sort="Asenbaum, Susanne" uniqKey="Asenbaum S" first="Susanne" last="Asenbaum">Susanne Asenbaum</name>
<name sortKey="Brucke, Thomas" sort="Brucke, Thomas" uniqKey="Brucke T" first="Thomas" last="Brücke">Thomas Brücke</name>
<name sortKey="Gerschlager, Willibald" sort="Gerschlager, Willibald" uniqKey="Gerschlager W" first="Willibald" last="Gerschlager">Willibald Gerschlager</name>
<name sortKey="Holler, Iris" sort="Holler, Iris" uniqKey="Holler I" first="Iris" last="Holler">Iris Holler</name>
<name sortKey="Zettinig, Georg" sort="Zettinig, Georg" uniqKey="Zettinig G" first="Georg" last="Zettinig">Georg Zettinig</name>
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