2003
DOI: 10.1002/ana.10480
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Imaging end points for monitoring neuroprotection in Parkinson's disease

Abstract: In this review, the potential role of positron emission tomography and single-photon emission computed tomography as biological markers for following the progression of Parkinson's disease (PD) is discussed, and their value for assessing the efficacy of putative neuroprotective agents in PD is considered. It is concluded that functional imaging provides a valuable adjunct to clinical assessment when judging the efficacy of neuroprotective approaches to PD.

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Cited by 48 publications
(21 citation statements)
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References 63 publications
(124 reference statements)
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“…In 12-month-old mice, however, the more severely affected lateral striatum showed less recovery in both genotypes. Functionally, the lateral striatum, which receives input from the sensorimotor cortex and lateral substantia nigra, is more highly correlated with most aspects of motor function (Gerfen, 1984;McGeorge and Faull, 1989;Voorn et al, 2004) and dysfunction in Parkinson's disease (PD) (Brooks, 2003) than is the medial striatum.…”
Section: Gdnfmentioning
confidence: 99%
“…In 12-month-old mice, however, the more severely affected lateral striatum showed less recovery in both genotypes. Functionally, the lateral striatum, which receives input from the sensorimotor cortex and lateral substantia nigra, is more highly correlated with most aspects of motor function (Gerfen, 1984;McGeorge and Faull, 1989;Voorn et al, 2004) and dysfunction in Parkinson's disease (PD) (Brooks, 2003) than is the medial striatum.…”
Section: Gdnfmentioning
confidence: 99%
“…FDOPA PET and ␤-CIT SPECT show a 4% to 13% yearly reduction in baseline putamen uptake compared with 0 -2.5% in healthy controls in longitudinal studies. 6,7 This technique has also been used to estimate the duration of the preclinical period of PD using a linear regression analysis. 16 Striatal FDOPA measurements correlate with dopamine cell counts measured in postmortem specimens 17,18 and striatal DAT binding decreases with age in healthy volunteers and PD patients.…”
Section: Dopaminergic Imaging In Parkinson S Disease: Neuroprotectionmentioning
confidence: 99%
“…3,4 Brain imaging in movement disorders was originally introduced to visualize the pathological changes associated with different clinical syndromes. 5 Subsequently, these techniques have been used in longitudinal studies designed to assess disease progression 6,7 and the effects of potential neuroprotective strategies. 8 -10 Lately, functional imaging has also been applied in the objective assessment of symptomatic treatment responses.…”
Section: Introductionmentioning
confidence: 99%
“…Beyin FDG PET görüntüleme bulgularına dayanan tanısal sınıflandırma kesin klinik tanı ile %90 oranında örtüşmekte ve nörodejeneratif parkinsonizm nedenleri (PH, MSA, PSP ve LCD) %90 oranında ayırt edilebilmektedir (21,22,35,40). Parkinsonizm sendromlarında beyin FDG PET görüntüleme saptanan anormal bulguların yaygınlığı ve derecesi klinik bulgular ile genellikle korelasyon gösterir (1,3,19,23,24,30,34,35,39,49,50,51,52). PH için klinik belirtiler ile ilişkili özgül metabolik tutulum biçimleri bulunur: Örneğin; tremor ile ilişkili serebellotalamo-kortikal yolakların etkilendiği (23,31,53); motor belirtiler ile ilişkili olarak putamen ve premotor korteksi içine alan (19,50,52,53); bilişsel bozukluklar ile ilişkili olarak da frontal ve parietal asosiyasyon alanlarında hipometabolizma ve serebellumda hipermetabolizma ile karakterize özgül metabolik ağ yapıları tanımlanmıştır (53,54).…”
Section: Beyin Fluorodeoksiglukoz Pozitron Emisyon Tomografisibulgularıunclassified