Movement Disorders (revue)

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Diffusion Tensor Imaging of Parkinson’s Disease, Atypical Parkinsonism and Essential Tremor

Identifieur interne : 000327 ( Pmc/Corpus ); précédent : 000326; suivant : 000328

Diffusion Tensor Imaging of Parkinson’s Disease, Atypical Parkinsonism and Essential Tremor

Auteurs : Janey Prodoehl ; Hong Li ; Peggy J. Planetta ; Christopher G. Goetz ; Kathleen M. Shannon ; Ruth Tangonan ; Cynthia L. Comella ; Tanya Simuni ; Xiaohong Joe Zhou ; Sue Leurgans ; Daniel M. Corcos ; David E. Vaillancourt

Source :

RBID : PMC:3748146

Abstract

Summary

Diffusion tensor imaging could be useful in characterizing movement disorders because it non-invasively examines multiple brain regions simultaneously. We report a multi-target imaging approach focused on the basal ganglia and cerebellum in Parkinson’s disease, parkinsonian variant of multiple system atrophy, progressive supranuclear palsy, essential tremor, and healthy controls. Seventy-two subjects were studied with a diffusion tensor imaging protocol at 3 Tesla. Receiver operating characteristics analysis was performed to directly compare groups. Sensitivity and specificity values were quantified for control vs. movement disorder (92% sensitivity, 88% specificity), control vs. parkinsonism (93% sensitivity, 91% specificity), Parkinson’s disease vs. atypical parkinsonism (90% sensitivity, 100% specificity), Parkinson’s disease vs. multiple system atrophy (94% sensitivity, 100% specificity), Parkinson’s disease vs. progressive supranuclear palsy (87% sensitivity, 100% specificity), multiple system atrophy vs. progressive supranuclear palsy (90% sensitivity, 100% specificity), and Parkinson’s disease vs. essential tremor (92% sensitivity, 87% specificity). The brain targets varied for each comparison, but the substantia nigra, putamen, caudate, and middle cerebellar peduncle were the most frequently selected brain regions across classifications. These results indicate that using diffusion tensor imaging of the basal ganglia and cerebellum accurately classifies subjects diagnosed with Parkinson’s disease, atypical parkinsonism, and essential tremor and clearly distinguishes them from control subjects.


Url:
DOI: 10.1002/mds.25491
PubMed: 23674400
PubMed Central: 3748146

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