Movement Disorders (revue)

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Regional metabolic changes in Parkinsonian patients with normal dopaminergic imaging

Identifieur interne : 001814 ( PascalFrancis/Corpus ); précédent : 001813; suivant : 001815

Regional metabolic changes in Parkinsonian patients with normal dopaminergic imaging

Auteurs : Thomas Eckert ; Andrew Feigin ; Daniel E. Lewis ; Vijay Dhawan ; Steven Frucht ; David Eidelberg

Source :

RBID : Pascal:07-0133238

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
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A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 2
A08 01  1  ENG  @1 Regional metabolic changes in Parkinsonian patients with normal dopaminergic imaging
A11 01  1    @1 ECKERT (Thomas)
A11 02  1    @1 FEIGIN (Andrew)
A11 03  1    @1 LEWIS (Daniel E.)
A11 04  1    @1 DHAWAN (Vijay)
A11 05  1    @1 FRUCHT (Steven)
A11 06  1    @1 EIDELBERG (David)
A14 01      @1 Center for Neurosciences, Feinstein Institute for Medical Research, North Shore-Long Island Jewish Health System @2 Manhasset, New York @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 6 aut.
A14 02      @1 Department of Neurology II, University of Magdeburg @3 DEU @Z 1 aut.
A14 03      @1 Department of Neurology and Medicine, North Shore University Hospital and New York University School of Medicine @2 New York, New York @3 USA @Z 2 aut. @Z 4 aut. @Z 6 aut.
A14 04      @1 The Neurological Institute, Columbia-Presbyterian Medical Center @2 New York, New York @3 USA @Z 5 aut.
A20       @1 167-173
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000145528070030
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 23 ref.
A47 01  1    @0 07-0133238
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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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C02 02  X    @0 002B24A06
C02 03  X    @0 002B17F
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Parkinson maladie @5 02
C03 02  X  ENG  @0 Parkinson disease @5 02
C03 02  X  SPA  @0 Parkinson enfermedad @5 02
C03 03  X  FRE  @0 Homme @5 09
C03 03  X  ENG  @0 Human @5 09
C03 03  X  SPA  @0 Hombre @5 09
C03 04  X  FRE  @0 Métabolisme @5 10
C03 04  X  ENG  @0 Metabolism @5 10
C03 04  X  SPA  @0 Metabolismo @5 10
C03 05  X  FRE  @0 Tomoscintigraphie @5 11
C03 05  X  ENG  @0 Emission tomography @5 11
C03 05  X  SPA  @0 Tomocentelleografía @5 11
C03 06  X  FRE  @0 Positon @5 12
C03 06  X  ENG  @0 Positron @5 12
C03 06  X  SPA  @0 Positrón @5 12
C03 07  X  FRE  @0 Tomographie émission positon @5 13
C03 07  X  ENG  @0 Positron emission tomography @5 13
C03 07  X  SPA  @0 Tomografía emisión positrones @5 13
C07 01  X  FRE  @0 Encéphale pathologie @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 Extrapyramidal syndrome @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Système nerveux central pathologie @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 085
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 07-0133238 INIST
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

Links to Exploration step

Pascal:07-0133238

Le document en format XML

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<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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<s1>P</s1>
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<s0>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.</s0>
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<s5>09</s5>
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<s0>Hombre</s0>
<s5>09</s5>
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<s0>Métabolisme</s0>
<s5>10</s5>
</fC03>
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<s5>10</s5>
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<s5>10</s5>
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<s0>Tomoscintigraphie</s0>
<s5>11</s5>
</fC03>
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<s0>Emission tomography</s0>
<s5>11</s5>
</fC03>
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<s0>Tomocentelleografía</s0>
<s5>11</s5>
</fC03>
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<s0>Positon</s0>
<s5>12</s5>
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<s5>13</s5>
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<s0>Encéphale pathologie</s0>
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<s0>Cerebral disorder</s0>
<s5>37</s5>
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<s5>37</s5>
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<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
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<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<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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<s1>OTO</s1>
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<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>
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