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Metabolic networks for assessment of therapy and diagnosis in Parkinson's disease

Identifieur interne : 001968 ( Main/Corpus ); précédent : 001967; suivant : 001969

Metabolic networks for assessment of therapy and diagnosis in Parkinson's disease

Auteurs : Shigeki Hirano ; Thomas Eckert ; Toni Flanagan ; David Eidelberg

Source :

RBID : ISTEX:73BCCFA00D05421E6A9486FFCAD2D8BD7FFBCA36

English descriptors

Abstract

Neuroimaging and modern computational techniques like spatial covariance analysis have contributed greatly to the understanding of neural system abnormalities in neurodegenerative disorders such as Parkinson's disease (PD). The application of network analysis to metabolic PET data obtained from patients with PD has led to the identification and validation of two distinct spatial covariance patterns associated with the motor and cognitive manifestations of the disease. Quantifying the activity of these patterns in individual subjects has provided an objective tool for the assessment of treatment efficacy and differential diagnosis. We have found that activity of the PD motor‐related network is modulated by antiparkinsonian treatments such as dopaminergic therapy, deep brain stimulation (DBS), and subthalamic nucleus (STN) gene therapy. By contrast, the cognitive‐related network is not altered by these interventions for PD motor symptoms. This pattern may however change in response to therapies targeting the cognitive symptoms of this disorder. Recent work has focused on the identification of specific network biomarkers for atypical parkinsonian conditions such as multiple system atrophy (MSA) and progressive supranuclear palsy (PSP). These disease‐related patterns can potentially be used in an automated imaging‐based algorithm to classify patients with these disorders. © 2009 Movement Disorder Society

Url:
DOI: 10.1002/mds.22541

Links to Exploration step

ISTEX:73BCCFA00D05421E6A9486FFCAD2D8BD7FFBCA36

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<p>Neuroimaging and modern computational techniques like spatial covariance analysis have contributed greatly to the understanding of neural system abnormalities in neurodegenerative disorders such as Parkinson's disease (PD). The application of network analysis to metabolic PET data obtained from patients with PD has led to the identification and validation of two distinct spatial covariance patterns associated with the motor and cognitive manifestations of the disease. Quantifying the activity of these patterns in individual subjects has provided an objective tool for the assessment of treatment efficacy and differential diagnosis. We have found that activity of the PD motor‐related network is modulated by antiparkinsonian treatments such as dopaminergic therapy, deep brain stimulation (DBS), and subthalamic nucleus (STN) gene therapy. By contrast, the cognitive‐related network is not altered by these interventions for PD motor symptoms. This pattern may however change in response to therapies targeting the cognitive symptoms of this disorder. Recent work has focused on the identification of specific network biomarkers for atypical parkinsonian conditions such as multiple system atrophy (MSA) and progressive supranuclear palsy (PSP). These disease‐related patterns can potentially be used in an automated imaging‐based algorithm to classify patients with these disorders. © 2009 Movement Disorder Society</p>
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<affiliation>Center for Neurosciences, The Feinstein Institute for Medical Research, North Shore‐Long Island Jewish Health System, Manhasset, New York, USA</affiliation>
<affiliation>Current Address: Department of Molecular Neuroimaging, Molecular Imaging Center, National Institute of Radiological Studies, Inage‐ku, Chiba‐shi, Chiba, Japan</affiliation>
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<namePart type="family">Eckert</namePart>
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<affiliation>Center for Neurosciences, The Feinstein Institute for Medical Research, North Shore‐Long Island Jewish Health System, Manhasset, New York, USA</affiliation>
<affiliation>Department of Neurology II, University of Magdeburg, Magdeburg, Germany</affiliation>
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<affiliation>Center for Neurosciences, The Feinstein Institute for Medical Research, North Shore‐Long Island Jewish Health System, Manhasset, New York, USA</affiliation>
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<affiliation>Center for Neurosciences, The Feinstein Institute for Medical Research, North Shore‐Long Island Jewish Health System, Manhasset, New York, USA</affiliation>
<affiliation>Departments of Neurology and Medicine, North Shore University Hospital and New York University School of Medicine, Manhasset, New York, USA</affiliation>
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<abstract lang="en">Neuroimaging and modern computational techniques like spatial covariance analysis have contributed greatly to the understanding of neural system abnormalities in neurodegenerative disorders such as Parkinson's disease (PD). The application of network analysis to metabolic PET data obtained from patients with PD has led to the identification and validation of two distinct spatial covariance patterns associated with the motor and cognitive manifestations of the disease. Quantifying the activity of these patterns in individual subjects has provided an objective tool for the assessment of treatment efficacy and differential diagnosis. We have found that activity of the PD motor‐related network is modulated by antiparkinsonian treatments such as dopaminergic therapy, deep brain stimulation (DBS), and subthalamic nucleus (STN) gene therapy. By contrast, the cognitive‐related network is not altered by these interventions for PD motor symptoms. This pattern may however change in response to therapies targeting the cognitive symptoms of this disorder. Recent work has focused on the identification of specific network biomarkers for atypical parkinsonian conditions such as multiple system atrophy (MSA) and progressive supranuclear palsy (PSP). These disease‐related patterns can potentially be used in an automated imaging‐based algorithm to classify patients with these disorders. © 2009 Movement Disorder Society</abstract>
<note type="content">*Potential confict of interest: None reported.</note>
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<genre>Keywords</genre>
<topic>positron emission tomography</topic>
<topic>Parkinson's disease</topic>
<topic>brain metabolism</topic>
<topic>differential diagnosis</topic>
<topic>treatment response</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2009</date>
<detail type="volume">
<caption>vol.</caption>
<number>24</number>
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<caption>no.</caption>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2009 Movement Disorder Society</accessCondition>
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