Movement Disorders (revue)

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Premotor Parkinson's Disease: Clinical Features and Detection Strategies

Identifieur interne : 002044 ( PascalFrancis/Curation ); précédent : 002043; suivant : 002045

Premotor Parkinson's Disease: Clinical Features and Detection Strategies

Auteurs : Randolph Stephenson [États-Unis] ; Andrew Siderowf [États-Unis] ; Matthew B. Stem [États-Unis]

Source :

RBID : Pascal:10-0038136

Descripteurs français

English descriptors

Abstract

In many areas of medicine, the focus has shifted from treating existing disease to screening and prevention. The technology to screen for Parkinson's disease (PD) already exists. The current challenge is to define the appropriate use of predictive testing for PD. Imaging technologies currently offer the highest degree of accuracy for identifying premotor PD, but they are expensive as screening tools. Efficiency is greatly enhanced by combining imaging with a pre-screening test, such as olfactory testing. This two-step process has the potential to greatly reduce costs while retaining diagnostic accuracy. Ultimately, the role of preclinical detection of PD will be determined by the ability of emerging therapies to influence clinical outcomes. As such, implementation of large-scale screening strategies awaits the arrival of clearly safe and effective therapies that address the underlying pathogenesis of PD. Current research to evaluate efficient screening methods and to understand the clinical and physiological features of "premotor" PD will lay the foundation for the screening and prevention strategies of the future.
pA  
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A08 01  1  ENG  @1 Premotor Parkinson's Disease: Clinical Features and Detection Strategies
A09 01  1  ENG  @1 Imaging in Parkinson's Disease
A11 01  1    @1 STEPHENSON (Randolph)
A11 02  1    @1 SIDEROWF (Andrew)
A11 03  1    @1 STEM (Matthew B.)
A12 01  1    @1 POEWE (Werner) @9 ed.
A12 02  1    @1 SCHERFLER (Christopher) @9 ed.
A14 01      @1 Parkinson's Disease and Movement Disorders Center, Department of Neurology, University of Pennsylvania @2 Philadelphia, Pennysylvania @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut.
A15 01      @1 Department of Neurology, Innsbruck Medical University @2 Innsbruck @3 AUT @Z 1 aut. @Z 2 aut.
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C01 01    ENG  @0 In many areas of medicine, the focus has shifted from treating existing disease to screening and prevention. The technology to screen for Parkinson's disease (PD) already exists. The current challenge is to define the appropriate use of predictive testing for PD. Imaging technologies currently offer the highest degree of accuracy for identifying premotor PD, but they are expensive as screening tools. Efficiency is greatly enhanced by combining imaging with a pre-screening test, such as olfactory testing. This two-step process has the potential to greatly reduce costs while retaining diagnostic accuracy. Ultimately, the role of preclinical detection of PD will be determined by the ability of emerging therapies to influence clinical outcomes. As such, implementation of large-scale screening strategies awaits the arrival of clearly safe and effective therapies that address the underlying pathogenesis of PD. Current research to evaluate efficient screening methods and to understand the clinical and physiological features of "premotor" PD will lay the foundation for the screening and prevention strategies of the future.
C02 01  X    @0 002B17
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C03 01  X  FRE  @0 Maladie de Parkinson @2 NM @5 01
C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Dépistage @5 09
C03 03  X  ENG  @0 Medical screening @5 09
C03 03  X  SPA  @0 Descubrimiento @5 09
C03 04  X  FRE  @0 Stratégie @5 10
C03 04  X  ENG  @0 Strategy @5 10
C03 04  X  SPA  @0 Estrategia @5 10
C03 05  X  FRE  @0 Olfaction @5 11
C03 05  X  ENG  @0 Olfaction @5 11
C03 05  X  SPA  @0 Olfación @5 11
C03 06  X  FRE  @0 Imagerie moléculaire @4 CD @5 96
C03 06  X  ENG  @0 Molecular imaging @4 CD @5 96
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 Syndrome extrapyramidal @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 Pathologie du système nerveux central @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       @1 025
N44 01      @1 OTO
N82       @1 OTO

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Pascal:10-0038136

Le document en format XML

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