Typical Cerebral Metabolic Patterns in Neurodegenerative Brain Diseases
Identifieur interne : 000827 ( PascalFrancis/Corpus ); précédent : 000826; suivant : 000828Typical Cerebral Metabolic Patterns in Neurodegenerative Brain Diseases
Auteurs : Laura K. Teune ; Anna L. Bartels ; Bauke M. De Jong ; Antoon T. M. Willemsen ; Silvia A. Eshuis ; Jeroen J. De Vries ; Joost C. H. Van Oostrom ; Klaus L. LeendersSource :
- Movement disorders [ 0885-3185 ] ; 2010.
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- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
The differential diagnosis of neurodegenerative brain diseases on clinical grounds is difficult, especially at an early disease stage. Several studies have found specific regional differences of brain metabolism applying [18F]-fluoro-deoxyglucose positron emission tomography (FDG-PET), suggesting that this method can assist in early differential diagnosis of neurodegenerative brain diseases. We have studied patients who had an FDG-PET scan on clinical grounds at an early disease stage and included those with a retrospectively confirmed diagnosis according to strictly defined clinical research criteria. Ninety-six patients could be included of which 20 patients with Parkinson's disease (PD), 21 multiple system atrophy (MSA), 17 progressive supranuclear palsy (PSP), 10 corticobasal degeneration (CBD), 6 dementia with Lewy bodies (DLB), 15 Alzheimer's disease (AD), and 7 frontotemporal dementia (FTD). FDG PET images of each patient group were analyzed and compared to 18 healthy controls using Statistical Parametric Mapping (SPM5). Disease-specific patterns of relatively decreased metabolic activity were found in PD (contralateral parietooccipital and frontal regions), MSA (bilateral putamen and cerebellar hemispheres), PSP (prefrontal cortex and caudate nucleus, thalamus, and mesencephalon), CBD (contralateral cortical regions), DLB (occipital and parietotemporal regions), AD (parietotemporal regions), and FTD (frontotemporal regions). The integrated method addressing a spectrum of various neurodegenerative brain diseases provided means to discriminate patient groups also at early disease stages. Clinical follow-up enabled appropriate patient inclusion. This implies that an early diagnosis in individual patients can be made by comparing each subject's metabolic findings with a complete database of specific disease related patterns.
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Format Inist (serveur)
NO : | PASCAL 10-0491625 INIST |
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ET : | Typical Cerebral Metabolic Patterns in Neurodegenerative Brain Diseases |
AU : | TEUNE (Laura K.); BARTELS (Anna L.); DE JONG (Bauke M.); WILLEMSEN (Antoon T. M.); ESHUIS (Silvia A.); DE VRIES (Jeroen J.); VAN OOSTROM (Joost C. H.); LEENDERS (Klaus L.) |
AF : | Department of Neurology, University Medical Center Groningen/Groningen/Pays-Bas (1 aut., 2 aut., 3 aut., 6 aut., 7 aut., 8 aut.); Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen/Groningen/Pays-Bas (4 aut., 5 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 14; Pp. 2395-2404; Bibl. 36 ref. |
LA : | Anglais |
EA : | The differential diagnosis of neurodegenerative brain diseases on clinical grounds is difficult, especially at an early disease stage. Several studies have found specific regional differences of brain metabolism applying [18F]-fluoro-deoxyglucose positron emission tomography (FDG-PET), suggesting that this method can assist in early differential diagnosis of neurodegenerative brain diseases. We have studied patients who had an FDG-PET scan on clinical grounds at an early disease stage and included those with a retrospectively confirmed diagnosis according to strictly defined clinical research criteria. Ninety-six patients could be included of which 20 patients with Parkinson's disease (PD), 21 multiple system atrophy (MSA), 17 progressive supranuclear palsy (PSP), 10 corticobasal degeneration (CBD), 6 dementia with Lewy bodies (DLB), 15 Alzheimer's disease (AD), and 7 frontotemporal dementia (FTD). FDG PET images of each patient group were analyzed and compared to 18 healthy controls using Statistical Parametric Mapping (SPM5). Disease-specific patterns of relatively decreased metabolic activity were found in PD (contralateral parietooccipital and frontal regions), MSA (bilateral putamen and cerebellar hemispheres), PSP (prefrontal cortex and caudate nucleus, thalamus, and mesencephalon), CBD (contralateral cortical regions), DLB (occipital and parietotemporal regions), AD (parietotemporal regions), and FTD (frontotemporal regions). The integrated method addressing a spectrum of various neurodegenerative brain diseases provided means to discriminate patient groups also at early disease stages. Clinical follow-up enabled appropriate patient inclusion. This implies that an early diagnosis in individual patients can be made by comparing each subject's metabolic findings with a complete database of specific disease related patterns. |
CC : | 002B17; 002B17G |
FD : | Pathologie de l'encéphale; Parkinsonisme; Démence; Pathologie du système nerveux; Encéphale; Maladie métabolique; Glucose(2-désoxy-2-fluor); Tomographie par émission de positons; Diagnostic différentiel |
FG : | Système nerveux central; Pathologie du système nerveux central; Maladie dégénérative |
ED : | Cerebral disorder; Parkinsonism; Dementia; Nervous system diseases; Encephalon; Metabolic diseases; 2-deoxy-2-fluoroglucose; Positron emission tomography; Differential diagnostic |
EG : | Central nervous system; Central nervous system disease; Degenerative disease |
SD : | Encéfalo patología; Parkinson síndrome; Demencia; Sistema nervioso patología; Encéfalo; Metabolismo patología; Glucosa(2-desoxi-2-fluoro); Tomografía emisión positrones; Diagnóstico diferencial |
LO : | INIST-20953.354000192780100190 |
ID : | 10-0491625 |
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<front><div type="abstract" xml:lang="en">The differential diagnosis of neurodegenerative brain diseases on clinical grounds is difficult, especially at an early disease stage. Several studies have found specific regional differences of brain metabolism applying [<sup>18</sup>
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<fC03 i1="06" i2="X" l="FRE"><s0>Maladie métabolique</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Metabolic diseases</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Metabolismo patología</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Glucose(2-désoxy-2-fluor)</s0>
<s2>NK</s2>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>2-deoxy-2-fluoroglucose</s0>
<s2>NK</s2>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Glucosa(2-desoxi-2-fluoro)</s0>
<s2>NK</s2>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Tomographie par émission de positons</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Positron emission tomography</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Tomografía emisión positrones</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Diagnostic différentiel</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Differential diagnostic</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Diagnóstico diferencial</s0>
<s5>13</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Système nerveux central</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Central nervous system</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Sistema nervioso central</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>40</s5>
</fC07>
<fN21><s1>326</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
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<server><NO>PASCAL 10-0491625 INIST</NO>
<ET>Typical Cerebral Metabolic Patterns in Neurodegenerative Brain Diseases</ET>
<AU>TEUNE (Laura K.); BARTELS (Anna L.); DE JONG (Bauke M.); WILLEMSEN (Antoon T. M.); ESHUIS (Silvia A.); DE VRIES (Jeroen J.); VAN OOSTROM (Joost C. H.); LEENDERS (Klaus L.)</AU>
<AF>Department of Neurology, University Medical Center Groningen/Groningen/Pays-Bas (1 aut., 2 aut., 3 aut., 6 aut., 7 aut., 8 aut.); Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen/Groningen/Pays-Bas (4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 14; Pp. 2395-2404; Bibl. 36 ref.</SO>
<LA>Anglais</LA>
<EA>The differential diagnosis of neurodegenerative brain diseases on clinical grounds is difficult, especially at an early disease stage. Several studies have found specific regional differences of brain metabolism applying [<sup>18</sup>
F]-fluoro-deoxyglucose positron emission tomography (FDG-PET), suggesting that this method can assist in early differential diagnosis of neurodegenerative brain diseases. We have studied patients who had an FDG-PET scan on clinical grounds at an early disease stage and included those with a retrospectively confirmed diagnosis according to strictly defined clinical research criteria. Ninety-six patients could be included of which 20 patients with Parkinson's disease (PD), 21 multiple system atrophy (MSA), 17 progressive supranuclear palsy (PSP), 10 corticobasal degeneration (CBD), 6 dementia with Lewy bodies (DLB), 15 Alzheimer's disease (AD), and 7 frontotemporal dementia (FTD). FDG PET images of each patient group were analyzed and compared to 18 healthy controls using Statistical Parametric Mapping (SPM5). Disease-specific patterns of relatively decreased metabolic activity were found in PD (contralateral parietooccipital and frontal regions), MSA (bilateral putamen and cerebellar hemispheres), PSP (prefrontal cortex and caudate nucleus, thalamus, and mesencephalon), CBD (contralateral cortical regions), DLB (occipital and parietotemporal regions), AD (parietotemporal regions), and FTD (frontotemporal regions). The integrated method addressing a spectrum of various neurodegenerative brain diseases provided means to discriminate patient groups also at early disease stages. Clinical follow-up enabled appropriate patient inclusion. This implies that an early diagnosis in individual patients can be made by comparing each subject's metabolic findings with a complete database of specific disease related patterns.</EA>
<CC>002B17; 002B17G</CC>
<FD>Pathologie de l'encéphale; Parkinsonisme; Démence; Pathologie du système nerveux; Encéphale; Maladie métabolique; Glucose(2-désoxy-2-fluor); Tomographie par émission de positons; Diagnostic différentiel</FD>
<FG>Système nerveux central; Pathologie du système nerveux central; Maladie dégénérative</FG>
<ED>Cerebral disorder; Parkinsonism; Dementia; Nervous system diseases; Encephalon; Metabolic diseases; 2-deoxy-2-fluoroglucose; Positron emission tomography; Differential diagnostic</ED>
<EG>Central nervous system; Central nervous system disease; Degenerative disease</EG>
<SD>Encéfalo patología; Parkinson síndrome; Demencia; Sistema nervioso patología; Encéfalo; Metabolismo patología; Glucosa(2-desoxi-2-fluoro); Tomografía emisión positrones; Diagnóstico diferencial</SD>
<LO>INIST-20953.354000192780100190</LO>
<ID>10-0491625</ID>
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