Meta-Analysis of 123I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders
Identifieur interne : 000559 ( PascalFrancis/Corpus ); précédent : 000558; suivant : 000560Meta-Analysis of 123I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders
Auteurs : Alisha E. King ; Jim Mintz ; Donald R. RoyallSource :
- Movement disorders [ 0885-3185 ] ; 2011.
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- Pascal (Inist)
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- KwdEn :
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.
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Format Inist (serveur)
NO : | PASCAL 11-0321200 INIST |
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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:11-0321200Le document en format XML
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I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders</title>
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I-MIBG Cardiac Scintigraphy for the Diagnosis of Lewy Body-Related Disorders</title>
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<front><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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<fC01 i1="01" l="ENG"><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>
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<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>
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