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Transcranial sonography and (123)I-FP-CIT single photon emission computed tomography in movement disorders

P. Bártová, O. Kraft, J. Bernátek, M. Havel, P. Ressner, K. Langová, R. Herzig, D. Skoloudík,

. 2014 ; 40 (10) : 2365-71.

Language English Country England, Great Britain

Document type Journal Article, Research Support, Non-U.S. Gov't

Diagnosis of Parkinson's disease (PD) can be difficult in the early stages of the disease. The aim of the study described here was to assess the correlation between transcranial sonography (TCS) and (123)I-FP-CIT ([(123)I]ioflupane, N-ω-fluoropropyl-2β-carbomethoxy-3β-(4-[(123)I]iodophenyl)nortropane) SPECT (single photon emission computed tomography) findings and the diagnosis of PD. A total of 49 patients were enrolled in the study: 29 patients with PD, 7 patients with other parkinsonian syndromes, 11 patients with essential tremor and 2 with psychogenic movement disorder. Substantia nigra echogenicity was measured using TCS. SPECT was performed using DaTSCAN ([(123)I]ioflupane). TCS and SPECT findings were correlated in 84% of patients, with κ = 0.62 (95% confidence interval: 0.38-0.86). TCS-measured substantia nigra echogenicity and SPECT-measured striatal binding ratio were negatively correlated (r = -0.326, p = 0.003). TCS/SPECT sensitivity, specificity and positive and negative predictive values for the diagnosis of PD were 89.7%/96.6%, 60.0%/70.0%, 76.5%/82.4% and 80.0%/93.3%, respectively. Both positive TCS and SPECT findings correlated significantly with the diagnosis of PD (κ = 0.52, 95% confidence interval: 0.27-0.76, and κ = 0.69, 95% confidence interval: 0.49-0.90, respectively).

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$a Bártová, Petra $u Department of Neurology, Ostrava University and University Hospital, Ostrava, Czech Republic. Electronic address: petrabartova@seznam.cz.
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$a Diagnosis of Parkinson's disease (PD) can be difficult in the early stages of the disease. The aim of the study described here was to assess the correlation between transcranial sonography (TCS) and (123)I-FP-CIT ([(123)I]ioflupane, N-ω-fluoropropyl-2β-carbomethoxy-3β-(4-[(123)I]iodophenyl)nortropane) SPECT (single photon emission computed tomography) findings and the diagnosis of PD. A total of 49 patients were enrolled in the study: 29 patients with PD, 7 patients with other parkinsonian syndromes, 11 patients with essential tremor and 2 with psychogenic movement disorder. Substantia nigra echogenicity was measured using TCS. SPECT was performed using DaTSCAN ([(123)I]ioflupane). TCS and SPECT findings were correlated in 84% of patients, with κ = 0.62 (95% confidence interval: 0.38-0.86). TCS-measured substantia nigra echogenicity and SPECT-measured striatal binding ratio were negatively correlated (r = -0.326, p = 0.003). TCS/SPECT sensitivity, specificity and positive and negative predictive values for the diagnosis of PD were 89.7%/96.6%, 60.0%/70.0%, 76.5%/82.4% and 80.0%/93.3%, respectively. Both positive TCS and SPECT findings correlated significantly with the diagnosis of PD (κ = 0.52, 95% confidence interval: 0.27-0.76, and κ = 0.69, 95% confidence interval: 0.49-0.90, respectively).
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$a Kraft, Otakar $u Department of Nuclear Medicine, University Hospital, Ostrava, Czech Republic.
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$a Bernátek, Jaromír $u Department of Nuclear Medicine, Bata Hospital Zlín, Zlín, Czech Republic.
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$a Havel, Martin $u Department of Nuclear Medicine, University Hospital, Ostrava, Czech Republic.
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$a Ressner, Pavel $u Department of Neurology, Ostrava University and University Hospital, Ostrava, Czech Republic.
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$a Langová, Kateřina $u Department of Biophysics, Faculty of Medicine and Dentistry, Institute of Molecular and Translational Medicine, Palacký University, Olomouc, Czech Republic.
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$a Herzig, Roman $u Department of Neurology, Faculty of Medicine, Charles University, Hradec Králové, Czech Republic.
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$a Skoloudík, David $u Department of Neurology, Ostrava University and University Hospital, Ostrava, Czech Republic; Department of Nursing, Faculty of Health Science, Palacký University and University Hospital, Olomouc, Czech Republic.
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