Regional metabolic changes in Parkinsonian patients with normal dopaminergic imaging
Identifieur interne : 001814 ( PascalFrancis/Corpus ); précédent : 001813; suivant : 001815Regional metabolic changes in Parkinsonian patients with normal dopaminergic imaging
Auteurs : Thomas Eckert ; Andrew Feigin ; Daniel E. Lewis ; Vijay Dhawan ; Steven Frucht ; David EidelbergSource :
- Movement disorders [ 0885-3185 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Dopaminergic imaging has been found to be normal in approximately 15% of parkinsonian patients enrolled in neuroprotective trials. We used 18F-fluorodeoxyglucose positron emission tomography (FDG PET) to determine the metabolic basis for this finding. We reviewed scans from 185 patients with clinical signs of Parkinson's disease (PD) who underwent 18F-fluorodopa PET imaging for diagnostic confirmation. Of this group, 27 patients (14.6%) had quantitatively normal scans; 8 of these patients were additionally scanned with FDG PET. Pattern analysis was performed on an individual scan basis to determine whether the metabolic changes were consistent with classic PD. Computer-assisted single-case assessments of the FDG PET scans of these 8 patients did not disclose patterns of regional metabolic change compatible with classical PD or an atypical parkinsonian variant. Similarly, network quantification revealed that PD-related pattern expression was not elevated in these patients as it was in an age- and duration-matched cohort with classical PD (P < 0.0001). None of these patients developed clinical signs of classical PD or of an atypical parkinsonian syndrome at a follow-up visit conducted 3 years after imaging. The results suggest that parkinsonian subjects with normal dopaminergic imaging do not have evidence of classical PD or an atypical parkinsonian syndrome.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 07-0133238 INIST |
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ET : | Regional metabolic changes in Parkinsonian patients with normal dopaminergic imaging |
AU : | ECKERT (Thomas); FEIGIN (Andrew); LEWIS (Daniel E.); DHAWAN (Vijay); FRUCHT (Steven); EIDELBERG (David) |
AF : | Center for Neurosciences, Feinstein Institute for Medical Research, North Shore-Long Island Jewish Health System/Manhasset, New York/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 6 aut.); Department of Neurology II, University of Magdeburg/Allemagne (1 aut.); Department of Neurology and Medicine, North Shore University Hospital and New York University School of Medicine/New York, New York/Etats-Unis (2 aut., 4 aut., 6 aut.); The Neurological Institute, Columbia-Presbyterian Medical Center/New York, New York/Etats-Unis (5 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 2; Pp. 167-173; Bibl. 23 ref. |
LA : | Anglais |
EA : | Dopaminergic imaging has been found to be normal in approximately 15% of parkinsonian patients enrolled in neuroprotective trials. We used 18F-fluorodeoxyglucose positron emission tomography (FDG PET) to determine the metabolic basis for this finding. We reviewed scans from 185 patients with clinical signs of Parkinson's disease (PD) who underwent 18F-fluorodopa PET imaging for diagnostic confirmation. Of this group, 27 patients (14.6%) had quantitatively normal scans; 8 of these patients were additionally scanned with FDG PET. Pattern analysis was performed on an individual scan basis to determine whether the metabolic changes were consistent with classic PD. Computer-assisted single-case assessments of the FDG PET scans of these 8 patients did not disclose patterns of regional metabolic change compatible with classical PD or an atypical parkinsonian variant. Similarly, network quantification revealed that PD-related pattern expression was not elevated in these patients as it was in an age- and duration-matched cohort with classical PD (P < 0.0001). None of these patients developed clinical signs of classical PD or of an atypical parkinsonian syndrome at a follow-up visit conducted 3 years after imaging. The results suggest that parkinsonian subjects with normal dopaminergic imaging do not have evidence of classical PD or an atypical parkinsonian syndrome. |
CC : | 002B17; 002B24A06; 002B17F |
FD : | Système nerveux pathologie; Parkinson maladie; Homme; Métabolisme; Tomoscintigraphie; Positon; Tomographie émission positon |
FG : | Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie |
ED : | Nervous system diseases; Parkinson disease; Human; Metabolism; Emission tomography; Positron; Positron emission tomography |
EG : | Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease |
SD : | Sistema nervioso patología; Parkinson enfermedad; Hombre; Metabolismo; Tomocentelleografía; Positrón; Tomografía emisión positrones |
LO : | INIST-20953.354000145528070030 |
ID : | 07-0133238 |
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Pascal:07-0133238Le document en format XML
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<front><div type="abstract" xml:lang="en">Dopaminergic imaging has been found to be normal in approximately 15% of parkinsonian patients enrolled in neuroprotective trials. We used <sup>18</sup>
F-fluorodeoxyglucose positron emission tomography (FDG PET) to determine the metabolic basis for this finding. We reviewed scans from 185 patients with clinical signs of Parkinson's disease (PD) who underwent <sup>18</sup>
F-fluorodopa PET imaging for diagnostic confirmation. Of this group, 27 patients (14.6%) had quantitatively normal scans; 8 of these patients were additionally scanned with FDG PET. Pattern analysis was performed on an individual scan basis to determine whether the metabolic changes were consistent with classic PD. Computer-assisted single-case assessments of the FDG PET scans of these 8 patients did not disclose patterns of regional metabolic change compatible with classical PD or an atypical parkinsonian variant. Similarly, network quantification revealed that PD-related pattern expression was not elevated in these patients as it was in an age- and duration-matched cohort with classical PD (P < 0.0001). None of these patients developed clinical signs of classical PD or of an atypical parkinsonian syndrome at a follow-up visit conducted 3 years after imaging. The results suggest that parkinsonian subjects with normal dopaminergic imaging do not have evidence of classical PD or an atypical parkinsonian syndrome.</div>
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F-fluorodopa PET imaging for diagnostic confirmation. Of this group, 27 patients (14.6%) had quantitatively normal scans; 8 of these patients were additionally scanned with FDG PET. Pattern analysis was performed on an individual scan basis to determine whether the metabolic changes were consistent with classic PD. Computer-assisted single-case assessments of the FDG PET scans of these 8 patients did not disclose patterns of regional metabolic change compatible with classical PD or an atypical parkinsonian variant. Similarly, network quantification revealed that PD-related pattern expression was not elevated in these patients as it was in an age- and duration-matched cohort with classical PD (P < 0.0001). None of these patients developed clinical signs of classical PD or of an atypical parkinsonian syndrome at a follow-up visit conducted 3 years after imaging. The results suggest that parkinsonian subjects with normal dopaminergic imaging do not have evidence of classical PD or an atypical parkinsonian syndrome.</s0>
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<fC07 i1="02" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fN21><s1>085</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
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<fN82><s1>OTO</s1>
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<server><NO>PASCAL 07-0133238 INIST</NO>
<ET>Regional metabolic changes in Parkinsonian patients with normal dopaminergic imaging</ET>
<AU>ECKERT (Thomas); FEIGIN (Andrew); LEWIS (Daniel E.); DHAWAN (Vijay); FRUCHT (Steven); EIDELBERG (David)</AU>
<AF>Center for Neurosciences, Feinstein Institute for Medical Research, North Shore-Long Island Jewish Health System/Manhasset, New York/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 6 aut.); Department of Neurology II, University of Magdeburg/Allemagne (1 aut.); Department of Neurology and Medicine, North Shore University Hospital and New York University School of Medicine/New York, New York/Etats-Unis (2 aut., 4 aut., 6 aut.); The Neurological Institute, Columbia-Presbyterian Medical Center/New York, New York/Etats-Unis (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 2; Pp. 167-173; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Dopaminergic imaging has been found to be normal in approximately 15% of parkinsonian patients enrolled in neuroprotective trials. We used <sup>18</sup>
F-fluorodeoxyglucose positron emission tomography (FDG PET) to determine the metabolic basis for this finding. We reviewed scans from 185 patients with clinical signs of Parkinson's disease (PD) who underwent <sup>18</sup>
F-fluorodopa PET imaging for diagnostic confirmation. Of this group, 27 patients (14.6%) had quantitatively normal scans; 8 of these patients were additionally scanned with FDG PET. Pattern analysis was performed on an individual scan basis to determine whether the metabolic changes were consistent with classic PD. Computer-assisted single-case assessments of the FDG PET scans of these 8 patients did not disclose patterns of regional metabolic change compatible with classical PD or an atypical parkinsonian variant. Similarly, network quantification revealed that PD-related pattern expression was not elevated in these patients as it was in an age- and duration-matched cohort with classical PD (P < 0.0001). None of these patients developed clinical signs of classical PD or of an atypical parkinsonian syndrome at a follow-up visit conducted 3 years after imaging. The results suggest that parkinsonian subjects with normal dopaminergic imaging do not have evidence of classical PD or an atypical parkinsonian syndrome.</EA>
<CC>002B17; 002B24A06; 002B17F</CC>
<FD>Système nerveux pathologie; Parkinson maladie; Homme; Métabolisme; Tomoscintigraphie; Positon; Tomographie émission positon</FD>
<FG>Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie</FG>
<ED>Nervous system diseases; Parkinson disease; Human; Metabolism; Emission tomography; Positron; Positron emission tomography</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Sistema nervioso patología; Parkinson enfermedad; Hombre; Metabolismo; Tomocentelleografía; Positrón; Tomografía emisión positrones</SD>
<LO>INIST-20953.354000145528070030</LO>
<ID>07-0133238</ID>
</server>
</inist>
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