Comparison of diagnostic utility of semi-quantitative analysis for DAT-SPECT for distinguishing DLB from AD
Autor: | Yusuke Ogawa, Kentaro Hirao, Akito Tsugawa, Yoshitsugu Kaneko, Daisuke Hirose, Takahiko Umahara, Soichiro Shimizu, Hirofumi Sakurai, Haruo Hanyu, Nayuta Namioka, Hirokuni Hatanaka, Naoto Takenoshita, Hidekazu Kanetaka |
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Rok vydání: | 2017 |
Předmět: |
Lewy Body Disease
Male Oncology medicine.medical_specialty Dat spect Striatum Single-photon emission computed tomography 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Alzheimer Disease Internal medicine Outpatients mental disorders medicine Humans Aged Dopamine transporter Aged 80 and over Tomography Emission-Computed Single-Photon Dopamine Plasma Membrane Transport Proteins medicine.diagnostic_test biology business.industry Dementia with Lewy bodies Putamen Significant difference medicine.disease Corpus Striatum ROC Curve nervous system Neurology biology.protein Female Neurology (clinical) Mental Status Schedule Nuclear medicine business Psychology Semi quantitative 030217 neurology & neurosurgery |
Zdroj: | Journal of the Neurological Sciences. 377:50-54 |
ISSN: | 0022-510X |
Popis: | Purpose It is widely known that there is low striatal 123I-FP-CIT dopamine transporter single photon emission computed tomography (DAT-SPECT) uptake in patients with dementia with Lewy bodies (DLB). However, a consistent quantitative evaluation method for DAT-SPECT has not yet been established. There are two semi-quantitative software packages for DAT-SPECT available in Japan, namely, DaTView and DaTQUANT. The aim of this study was to identify which of these is superior for distinguishing DLB from AD. Moreover, we aimed to identify which region of the striatum is more suitable for distinguishing DLB from AD. Methods Patients with Alzheimer's disease (AD) (n = 95) and patients with DLB (n = 133) who underwent DAT-SPECT were enrolled. DaTView and DaTQUANT were used as semi-quantitative analysis tools for DAT-SPECT. Results There were significant correlations in DAT uptake between DaTView and entire regions by DaTQUANT. There was no significant difference in diagnostic accuracy between DaTView and DaTQUANT except in the posterior putamen by DaTQUANT. Conclusions For distinguishing DLB from AD, both of DaTView and DaTQUANT software are useful. Moreover, assessing the DAT uptake in entire striatum by DaTView might be sufficient for distinguishing DLB from AD. |
Databáze: | OpenAIRE |
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