Accuracy of magnetic resonance parkinsonism index for differentiation of progressive supranuclear palsy from probable or possible Parkinson disease.
Identifieur interne : 001487 ( PubMed/Checkpoint ); précédent : 001486; suivant : 001488Accuracy of magnetic resonance parkinsonism index for differentiation of progressive supranuclear palsy from probable or possible Parkinson disease.
Auteurs : Maurizio Morelli [Italie] ; Gennarina Arabia ; Maria Salsone ; Fabiana Novellino ; Laura Giofrè ; Rosina Paletta ; Demetrio Messina ; Giuseppe Nicoletti ; Francesca Condino ; Olivier Gallo ; Pierluigi Lanza ; Aldo QuattroneSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2011.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Brain Mapping, Brain Stem (pathology), Diagnosis, Differential, Female, Humans, Image Processing, Computer-Assisted (methods), Magnetic Resonance Imaging (methods), Male, Middle Aged, Parkinson Disease (diagnosis), ROC Curve, Sensitivity and Specificity, Severity of Illness Index, Supranuclear Palsy, Progressive (diagnosis).
- MESH :
- diagnosis : Parkinson Disease, Supranuclear Palsy, Progressive.
- methods : Image Processing, Computer-Assisted, Magnetic Resonance Imaging.
- pathology : Brain Stem.
- Aged, Aged, 80 and over, Brain Mapping, Diagnosis, Differential, Female, Humans, Male, Middle Aged, ROC Curve, Sensitivity and Specificity, Severity of Illness Index.
Abstract
Combined measurements on conventional magnetic resonance imaging (MRI), such as midbrain area/pons area or magnetic resonance parkinsonism index (MRPI) (pons area/midbrain area × middle cerebellar peduncle width/superior cerebellar peduncle width), have been proposed as powerful tools in the differential diagnosis between progressive supranuclear palsy (PSP) and Parkinson disease (PD). In this study, we evaluated the accuracy of MRPI, compared with midbrain/pons ratio, in distinguishing PSP from probable and possible PD.
DOI: 10.1002/mds.23529
PubMed: 21287599
Affiliations:
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pubmed:21287599Le document en format XML
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<author><name sortKey="Giofre, Laura" sort="Giofre, Laura" uniqKey="Giofre L" first="Laura" last="Giofrè">Laura Giofrè</name>
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<author><name sortKey="Paletta, Rosina" sort="Paletta, Rosina" uniqKey="Paletta R" first="Rosina" last="Paletta">Rosina Paletta</name>
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<author><name sortKey="Messina, Demetrio" sort="Messina, Demetrio" uniqKey="Messina D" first="Demetrio" last="Messina">Demetrio Messina</name>
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<author><name sortKey="Nicoletti, Giuseppe" sort="Nicoletti, Giuseppe" uniqKey="Nicoletti G" first="Giuseppe" last="Nicoletti">Giuseppe Nicoletti</name>
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<author><name sortKey="Condino, Francesca" sort="Condino, Francesca" uniqKey="Condino F" first="Francesca" last="Condino">Francesca Condino</name>
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<author><name sortKey="Paletta, Rosina" sort="Paletta, Rosina" uniqKey="Paletta R" first="Rosina" last="Paletta">Rosina Paletta</name>
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<author><name sortKey="Messina, Demetrio" sort="Messina, Demetrio" uniqKey="Messina D" first="Demetrio" last="Messina">Demetrio Messina</name>
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<author><name sortKey="Nicoletti, Giuseppe" sort="Nicoletti, Giuseppe" uniqKey="Nicoletti G" first="Giuseppe" last="Nicoletti">Giuseppe Nicoletti</name>
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<author><name sortKey="Condino, Francesca" sort="Condino, Francesca" uniqKey="Condino F" first="Francesca" last="Condino">Francesca Condino</name>
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<author><name sortKey="Gallo, Olivier" sort="Gallo, Olivier" uniqKey="Gallo O" first="Olivier" last="Gallo">Olivier Gallo</name>
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<author><name sortKey="Lanza, Pierluigi" sort="Lanza, Pierluigi" uniqKey="Lanza P" first="Pierluigi" last="Lanza">Pierluigi Lanza</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (diagnosis)</term>
<term>ROC Curve</term>
<term>Sensitivity and Specificity</term>
<term>Severity of Illness Index</term>
<term>Supranuclear Palsy, Progressive (diagnosis)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term>
<term>Supranuclear Palsy, Progressive</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain Stem</term>
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<term>Aged, 80 and over</term>
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<term>Diagnosis, Differential</term>
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<term>Humans</term>
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<front><div type="abstract" xml:lang="en">Combined measurements on conventional magnetic resonance imaging (MRI), such as midbrain area/pons area or magnetic resonance parkinsonism index (MRPI) (pons area/midbrain area × middle cerebellar peduncle width/superior cerebellar peduncle width), have been proposed as powerful tools in the differential diagnosis between progressive supranuclear palsy (PSP) and Parkinson disease (PD). In this study, we evaluated the accuracy of MRPI, compared with midbrain/pons ratio, in distinguishing PSP from probable and possible PD.</div>
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<Month>04</Month>
<Day>04</Day>
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<Month>07</Month>
<Day>29</Day>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>Accuracy of magnetic resonance parkinsonism index for differentiation of progressive supranuclear palsy from probable or possible Parkinson disease.</ArticleTitle>
<Pagination><MedlinePgn>527-33</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Combined measurements on conventional magnetic resonance imaging (MRI), such as midbrain area/pons area or magnetic resonance parkinsonism index (MRPI) (pons area/midbrain area × middle cerebellar peduncle width/superior cerebellar peduncle width), have been proposed as powerful tools in the differential diagnosis between progressive supranuclear palsy (PSP) and Parkinson disease (PD). In this study, we evaluated the accuracy of MRPI, compared with midbrain/pons ratio, in distinguishing PSP from probable and possible PD.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Forty-two PSP patients, 170 probable PD patients, 132 possible PD patients, and 38 control subjects underwent MRI and, for each patient, midbrain/pons ratio and MRPI were calculated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Midbrain/pons ratio showed low accuracy in distinguishing PSP patients from those with probable PD (92.9% sensitivity; 85.3% specificity; 86.8% diagnostic accuracy) or those with possible PD (88.1% sensitivity, 88.3% specificity, and 88.2% diagnostic accuracy) and control subjects (97.6% sensitivity, 92.1% specificity, and 95% diagnostic accuracy). By contrast, MRPI showed higher accuracy to distinguish PSP from probable PD (100% sensitivity, 99.4% specificity, and 99.5% diagnostic accuracy), from possible PD (100% sensitivity, 99.2% specificity, and 99.4% diagnostic accuracy), and from control subjects (sensitivity, specificity, and diagnostic accuracy of 100%).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our study confirms that MRPI is a more accurate measure than midbrain/pons ratio for differentiation of patients with PSP from those with probable and possible PD.</AbstractText>
<CopyrightInformation>Copyright © 2011 Movement Disorder Society.</CopyrightInformation>
</Abstract>
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