Movement Disorders (revue)

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Meta-Analysis of 123I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders

Identifieur interne : 000559 ( PascalFrancis/Corpus ); précédent : 000558; suivant : 000560

Meta-Analysis of 123I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders

Auteurs : Alisha E. King ; Jim Mintz ; Donald R. Royall

Source :

RBID : Pascal:11-0321200

Descripteurs français

English descriptors

Abstract

Patients with parkinsonism pose a diagnostic challenge. Parkinson's disease may be difficult to distinguish from multiple system atrophy and progressive supranuclear palsy, whereas Parkinson's disease and dementia with Lewy bodies can be difficult to distinguish from Alzheimer's disease and other dementias. A number of studies have found diminished cardiac 123I-metaiodobenzylguanidine uptake in Lewy body-related conditions (Parkinson's disease and Lewy body dementia). In 2005, the Dementia With Lewy Bodies Consortium considered 123I-metaiodobenzylguanidine cardiac scintigraphy a "supportive" diagnostic feature, based on limited evidence. We report a meta-analysis of the literature and an assessment of the utility of 123I-metaiodobenzylguanidine for the diagnosis of dementia with Lewy bodies and Parkinson's disease. A search was conducted of articles published between 1950 and June 2010. Forty-six studies involving neuropsychiatric and movement disorders, comprising 2680 subjects, were included in the analysis. A mixed-effects regression model was used to analyze the delayed mean heart-to-mediastinum ratio of 123I-metaiodobenzylguanidine uptake. 123I-metaiodobenzylguanidine cardiac scintigraphy sensitively detected and specifically distinguished 2 diagnostic clusters: (1) Parkinson's disease, dementia with Lewy bodies, and rapid eye movement sleep behavior disorder ; and (2) normal controls and patients with Alzheimer's disease, multiple system atrophy, progressive supranuclear palsy, vascular dementia, and frontotemporal dementia. The area under the receiver operating characteristic curve was 0.987 at a cluster discriminatory heart-to-mediastinum ratio threshold of 1.77. This threshold yielded 94% sensitivity and 91% specificity for the discrimination of these diagnostic clusters. 123I-metaiodobenzylguanidine cardiac scintigraphy can accurately distinguish between 2 movement disorders, Parkinson's disease and multiple system atrophy, and between 2 common causes of dementia, Alzheimer's disease and dementia with Lewy bodies.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 Meta-Analysis of 123I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders
A11 01  1    @1 KING (Alisha E.)
A11 02  1    @1 MINTZ (Jim)
A11 03  1    @1 ROYALL (Donald R.)
A14 01      @1 Department of Psychiatry, University of Texas Health Science Center at San Antonio @2 San Antonio, Texas @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut.
A14 02      @1 Department of Medicine, University of Texas Health Science Center at San Antonio @2 San Antonio, Texas @3 USA @Z 3 aut.
A14 03      @1 Department of Pharmacology, University of Texas Health Science Center at San Antonio @2 San Antonio, Texas @3 USA @Z 3 aut.
A14 04      @1 Department of Family & Community Medicine, University of Texas Health Science Center at San Antonio @2 San Antonio, Texas @3 USA @Z 3 aut.
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C01 01    ENG  @0 Patients with parkinsonism pose a diagnostic challenge. Parkinson's disease may be difficult to distinguish from multiple system atrophy and progressive supranuclear palsy, whereas Parkinson's disease and dementia with Lewy bodies can be difficult to distinguish from Alzheimer's disease and other dementias. A number of studies have found diminished cardiac 123I-metaiodobenzylguanidine uptake in Lewy body-related conditions (Parkinson's disease and Lewy body dementia). In 2005, the Dementia With Lewy Bodies Consortium considered 123I-metaiodobenzylguanidine cardiac scintigraphy a "supportive" diagnostic feature, based on limited evidence. We report a meta-analysis of the literature and an assessment of the utility of 123I-metaiodobenzylguanidine for the diagnosis of dementia with Lewy bodies and Parkinson's disease. A search was conducted of articles published between 1950 and June 2010. Forty-six studies involving neuropsychiatric and movement disorders, comprising 2680 subjects, were included in the analysis. A mixed-effects regression model was used to analyze the delayed mean heart-to-mediastinum ratio of 123I-metaiodobenzylguanidine uptake. 123I-metaiodobenzylguanidine cardiac scintigraphy sensitively detected and specifically distinguished 2 diagnostic clusters: (1) Parkinson's disease, dementia with Lewy bodies, and rapid eye movement sleep behavior disorder ; and (2) normal controls and patients with Alzheimer's disease, multiple system atrophy, progressive supranuclear palsy, vascular dementia, and frontotemporal dementia. The area under the receiver operating characteristic curve was 0.987 at a cluster discriminatory heart-to-mediastinum ratio threshold of 1.77. This threshold yielded 94% sensitivity and 91% specificity for the discrimination of these diagnostic clusters. 123I-metaiodobenzylguanidine cardiac scintigraphy can accurately distinguish between 2 movement disorders, Parkinson's disease and multiple system atrophy, and between 2 common causes of dementia, Alzheimer's disease and dementia with Lewy bodies.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
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C03 01  X  SPA  @0 Demencia cuerpos Lewy @2 NM @5 01
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C03 02  X  SPA  @0 Parkinson enfermedad @2 NM @5 02
C03 03  X  FRE  @0 Atrophie multisystématisée @2 NM @5 03
C03 03  X  ENG  @0 Multiple system atrophy @2 NM @5 03
C03 03  X  SPA  @0 Atrofia multisistematizada @2 NM @5 03
C03 04  X  FRE  @0 Démence d'Alzheimer @5 04
C03 04  X  ENG  @0 Alzheimer disease @5 04
C03 04  X  SPA  @0 Demencia Alzheimer @5 04
C03 05  X  FRE  @0 Pathologie du système nerveux @5 05
C03 05  X  ENG  @0 Nervous system diseases @5 05
C03 05  X  SPA  @0 Sistema nervioso patología @5 05
C03 06  X  FRE  @0 Scintigraphie @5 09
C03 06  X  ENG  @0 Scintigraphy @5 09
C03 06  X  SPA  @0 Centelleografía @5 09
C03 07  X  FRE  @0 Diagnostic @5 10
C03 07  X  ENG  @0 Diagnosis @5 10
C03 07  X  SPA  @0 Diagnóstico @5 10
C03 08  X  FRE  @0 Corps Lewy @5 11
C03 08  X  ENG  @0 Lewy body @5 11
C03 08  X  SPA  @0 Cuerpo Lewy @5 11
C03 09  X  FRE  @0 Parasomnie @2 NM @5 12
C03 09  X  ENG  @0 Parasomnia @2 NM @5 12
C03 09  X  SPA  @0 Parasomnio @2 NM @5 12
C07 01  X  FRE  @0 Pathologie de l'encéphale @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Maladie dégénérative @5 38
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C07 04  X  FRE  @0 Syndrome extrapyramidal @5 41
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Format Inist (serveur)

NO : PASCAL 11-0321200 INIST
ET : Meta-Analysis of 123I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders
AU : KING (Alisha E.); MINTZ (Jim); ROYALL (Donald R.)
AF : Department of Psychiatry, University of Texas Health Science Center at San Antonio/San Antonio, Texas/Etats-Unis (1 aut., 2 aut., 3 aut.); Department of Medicine, University of Texas Health Science Center at San Antonio/San Antonio, Texas/Etats-Unis (3 aut.); Department of Pharmacology, University of Texas Health Science Center at San Antonio/San Antonio, Texas/Etats-Unis (3 aut.); Department of Family & Community Medicine, University of Texas Health Science Center at San Antonio/San Antonio, Texas/Etats-Unis (3 aut.); South Texas Veterans' Health System, Audie L. Murphy Division GRECC/San Antonio, Texas/Etats-Unis (3 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 7; Pp. 1218-1224; Bibl. 31 ref.
LA : Anglais
EA : Patients with parkinsonism pose a diagnostic challenge. Parkinson's disease may be difficult to distinguish from multiple system atrophy and progressive supranuclear palsy, whereas Parkinson's disease and dementia with Lewy bodies can be difficult to distinguish from Alzheimer's disease and other dementias. A number of studies have found diminished cardiac 123I-metaiodobenzylguanidine uptake in Lewy body-related conditions (Parkinson's disease and Lewy body dementia). In 2005, the Dementia With Lewy Bodies Consortium considered 123I-metaiodobenzylguanidine cardiac scintigraphy a "supportive" diagnostic feature, based on limited evidence. We report a meta-analysis of the literature and an assessment of the utility of 123I-metaiodobenzylguanidine for the diagnosis of dementia with Lewy bodies and Parkinson's disease. A search was conducted of articles published between 1950 and June 2010. Forty-six studies involving neuropsychiatric and movement disorders, comprising 2680 subjects, were included in the analysis. A mixed-effects regression model was used to analyze the delayed mean heart-to-mediastinum ratio of 123I-metaiodobenzylguanidine uptake. 123I-metaiodobenzylguanidine cardiac scintigraphy sensitively detected and specifically distinguished 2 diagnostic clusters: (1) Parkinson's disease, dementia with Lewy bodies, and rapid eye movement sleep behavior disorder ; and (2) normal controls and patients with Alzheimer's disease, multiple system atrophy, progressive supranuclear palsy, vascular dementia, and frontotemporal dementia. The area under the receiver operating characteristic curve was 0.987 at a cluster discriminatory heart-to-mediastinum ratio threshold of 1.77. This threshold yielded 94% sensitivity and 91% specificity for the discrimination of these diagnostic clusters. 123I-metaiodobenzylguanidine cardiac scintigraphy can accurately distinguish between 2 movement disorders, Parkinson's disease and multiple system atrophy, and between 2 common causes of dementia, Alzheimer's disease and dementia with Lewy bodies.
CC : 002B17; 002B17G
FD : Démence à corps de Lewy; Maladie de Parkinson; Atrophie multisystématisée; Démence d'Alzheimer; Pathologie du système nerveux; Scintigraphie; Diagnostic; Corps Lewy; Parasomnie
FG : Pathologie de l'encéphale; Maladie dégénérative; Pathologie du système nerveux central; Syndrome extrapyramidal; Trouble du sommeil; Trouble neurologique
ED : Lewy body dementia; Parkinson disease; Multiple system atrophy; Alzheimer disease; Nervous system diseases; Scintigraphy; Diagnosis; Lewy body; Parasomnia
EG : Cerebral disorder; Degenerative disease; Central nervous system disease; Extrapyramidal syndrome; Sleep disorder; Neurological disorder
SD : Demencia cuerpos Lewy; Parkinson enfermedad; Atrofia multisistematizada; Demencia Alzheimer; Sistema nervioso patología; Centelleografía; Diagnóstico; Cuerpo Lewy; Parasomnio
LO : INIST-20953.354000190480410050
ID : 11-0321200

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Pascal:11-0321200

Le document en format XML

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<div type="abstract" xml:lang="en">Patients with parkinsonism pose a diagnostic challenge. Parkinson's disease may be difficult to distinguish from multiple system atrophy and progressive supranuclear palsy, whereas Parkinson's disease and dementia with Lewy bodies can be difficult to distinguish from Alzheimer's disease and other dementias. A number of studies have found diminished cardiac
<sup>123</sup>
I-metaiodobenzylguanidine uptake in Lewy body-related conditions (Parkinson's disease and Lewy body dementia). In 2005, the Dementia With Lewy Bodies Consortium considered
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy a "supportive" diagnostic feature, based on limited evidence. We report a meta-analysis of the literature and an assessment of the utility of
<sup>123</sup>
I-metaiodobenzylguanidine for the diagnosis of dementia with Lewy bodies and Parkinson's disease. A search was conducted of articles published between 1950 and June 2010. Forty-six studies involving neuropsychiatric and movement disorders, comprising 2680 subjects, were included in the analysis. A mixed-effects regression model was used to analyze the delayed mean heart-to-mediastinum ratio of
<sup>123</sup>
I-metaiodobenzylguanidine uptake.
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy sensitively detected and specifically distinguished 2 diagnostic clusters: (1) Parkinson's disease, dementia with Lewy bodies, and rapid eye movement sleep behavior disorder ; and (2) normal controls and patients with Alzheimer's disease, multiple system atrophy, progressive supranuclear palsy, vascular dementia, and frontotemporal dementia. The area under the receiver operating characteristic curve was 0.987 at a cluster discriminatory heart-to-mediastinum ratio threshold of 1.77. This threshold yielded 94% sensitivity and 91% specificity for the discrimination of these diagnostic clusters.
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy can accurately distinguish between 2 movement disorders, Parkinson's disease and multiple system atrophy, and between 2 common causes of dementia, Alzheimer's disease and dementia with Lewy bodies.</div>
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<s0>Patients with parkinsonism pose a diagnostic challenge. Parkinson's disease may be difficult to distinguish from multiple system atrophy and progressive supranuclear palsy, whereas Parkinson's disease and dementia with Lewy bodies can be difficult to distinguish from Alzheimer's disease and other dementias. A number of studies have found diminished cardiac
<sup>123</sup>
I-metaiodobenzylguanidine uptake in Lewy body-related conditions (Parkinson's disease and Lewy body dementia). In 2005, the Dementia With Lewy Bodies Consortium considered
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy a "supportive" diagnostic feature, based on limited evidence. We report a meta-analysis of the literature and an assessment of the utility of
<sup>123</sup>
I-metaiodobenzylguanidine for the diagnosis of dementia with Lewy bodies and Parkinson's disease. A search was conducted of articles published between 1950 and June 2010. Forty-six studies involving neuropsychiatric and movement disorders, comprising 2680 subjects, were included in the analysis. A mixed-effects regression model was used to analyze the delayed mean heart-to-mediastinum ratio of
<sup>123</sup>
I-metaiodobenzylguanidine uptake.
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy sensitively detected and specifically distinguished 2 diagnostic clusters: (1) Parkinson's disease, dementia with Lewy bodies, and rapid eye movement sleep behavior disorder ; and (2) normal controls and patients with Alzheimer's disease, multiple system atrophy, progressive supranuclear palsy, vascular dementia, and frontotemporal dementia. The area under the receiver operating characteristic curve was 0.987 at a cluster discriminatory heart-to-mediastinum ratio threshold of 1.77. This threshold yielded 94% sensitivity and 91% specificity for the discrimination of these diagnostic clusters.
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy can accurately distinguish between 2 movement disorders, Parkinson's disease and multiple system atrophy, and between 2 common causes of dementia, Alzheimer's disease and dementia with Lewy bodies.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B17G</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Démence à corps de Lewy</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Lewy body dementia</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Demencia cuerpos Lewy</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Maladie de Parkinson</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Parkinson disease</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Parkinson enfermedad</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Atrophie multisystématisée</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Multiple system atrophy</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Atrofia multisistematizada</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Démence d'Alzheimer</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Alzheimer disease</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Demencia Alzheimer</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Scintigraphie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Scintigraphy</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Centelleografía</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Diagnostic</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Diagnosis</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Diagnóstico</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Corps Lewy</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Lewy body</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Cuerpo Lewy</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Parasomnie</s0>
<s2>NM</s2>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Parasomnia</s0>
<s2>NM</s2>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Parasomnio</s0>
<s2>NM</s2>
<s5>12</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Trouble du sommeil</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Sleep disorder</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Trastorno sueño</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>43</s5>
</fC07>
<fN21>
<s1>220</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
<server>
<NO>PASCAL 11-0321200 INIST</NO>
<ET>Meta-Analysis of
<sup>123</sup>
I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders</ET>
<AU>KING (Alisha E.); MINTZ (Jim); ROYALL (Donald R.)</AU>
<AF>Department of Psychiatry, University of Texas Health Science Center at San Antonio/San Antonio, Texas/Etats-Unis (1 aut., 2 aut., 3 aut.); Department of Medicine, University of Texas Health Science Center at San Antonio/San Antonio, Texas/Etats-Unis (3 aut.); Department of Pharmacology, University of Texas Health Science Center at San Antonio/San Antonio, Texas/Etats-Unis (3 aut.); Department of Family & Community Medicine, University of Texas Health Science Center at San Antonio/San Antonio, Texas/Etats-Unis (3 aut.); South Texas Veterans' Health System, Audie L. Murphy Division GRECC/San Antonio, Texas/Etats-Unis (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 7; Pp. 1218-1224; Bibl. 31 ref.</SO>
<LA>Anglais</LA>
<EA>Patients with parkinsonism pose a diagnostic challenge. Parkinson's disease may be difficult to distinguish from multiple system atrophy and progressive supranuclear palsy, whereas Parkinson's disease and dementia with Lewy bodies can be difficult to distinguish from Alzheimer's disease and other dementias. A number of studies have found diminished cardiac
<sup>123</sup>
I-metaiodobenzylguanidine uptake in Lewy body-related conditions (Parkinson's disease and Lewy body dementia). In 2005, the Dementia With Lewy Bodies Consortium considered
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy a "supportive" diagnostic feature, based on limited evidence. We report a meta-analysis of the literature and an assessment of the utility of
<sup>123</sup>
I-metaiodobenzylguanidine for the diagnosis of dementia with Lewy bodies and Parkinson's disease. A search was conducted of articles published between 1950 and June 2010. Forty-six studies involving neuropsychiatric and movement disorders, comprising 2680 subjects, were included in the analysis. A mixed-effects regression model was used to analyze the delayed mean heart-to-mediastinum ratio of
<sup>123</sup>
I-metaiodobenzylguanidine uptake.
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy sensitively detected and specifically distinguished 2 diagnostic clusters: (1) Parkinson's disease, dementia with Lewy bodies, and rapid eye movement sleep behavior disorder ; and (2) normal controls and patients with Alzheimer's disease, multiple system atrophy, progressive supranuclear palsy, vascular dementia, and frontotemporal dementia. The area under the receiver operating characteristic curve was 0.987 at a cluster discriminatory heart-to-mediastinum ratio threshold of 1.77. This threshold yielded 94% sensitivity and 91% specificity for the discrimination of these diagnostic clusters.
<sup>123</sup>
I-metaiodobenzylguanidine cardiac scintigraphy can accurately distinguish between 2 movement disorders, Parkinson's disease and multiple system atrophy, and between 2 common causes of dementia, Alzheimer's disease and dementia with Lewy bodies.</EA>
<CC>002B17; 002B17G</CC>
<FD>Démence à corps de Lewy; Maladie de Parkinson; Atrophie multisystématisée; Démence d'Alzheimer; Pathologie du système nerveux; Scintigraphie; Diagnostic; Corps Lewy; Parasomnie</FD>
<FG>Pathologie de l'encéphale; Maladie dégénérative; Pathologie du système nerveux central; Syndrome extrapyramidal; Trouble du sommeil; Trouble neurologique</FG>
<ED>Lewy body dementia; Parkinson disease; Multiple system atrophy; Alzheimer disease; Nervous system diseases; Scintigraphy; Diagnosis; Lewy body; Parasomnia</ED>
<EG>Cerebral disorder; Degenerative disease; Central nervous system disease; Extrapyramidal syndrome; Sleep disorder; Neurological disorder</EG>
<SD>Demencia cuerpos Lewy; Parkinson enfermedad; Atrofia multisistematizada; Demencia Alzheimer; Sistema nervioso patología; Centelleografía; Diagnóstico; Cuerpo Lewy; Parasomnio</SD>
<LO>INIST-20953.354000190480410050</LO>
<ID>11-0321200</ID>
</server>
</inist>
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