Neuroimaging of the dopamine transporter in Parkinsons disease: first study using [ super(99m)Tc]-TRODAT-1 and SPECT in Brazil

BACKGROUND: Dopamine transporter (DAT) neuroimaging radiotracers were developed to estimate dopamine neuronal loss In vivo in Parkinsons disease (PD). OBJECTIVE: To evaluate DAT density in vivo using [ super(99m)Tc]-TRODAT-1 and single photon computerized tomography (SPECT) in a population of Brazil...

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Veröffentlicht in:Arquivos de neuro-psiquiatria 2006-09, Vol.64 (2b), p.628-634
1. Verfasser: Shih, M C
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description BACKGROUND: Dopamine transporter (DAT) neuroimaging radiotracers were developed to estimate dopamine neuronal loss In vivo in Parkinsons disease (PD). OBJECTIVE: To evaluate DAT density in vivo using [ super(99m)Tc]-TRODAT-1 and single photon computerized tomography (SPECT) in a population of Brazilian PD. METHOD: Fifteen PD patients and 15 matched healthy controls scanned with [ super(99m)Tc]-TRODAT-1 (INER-Taiwan) and SPECT. Estimates of striatum DAT density were calculated using binding potential (BP). Patients were assessed with PD scales. RESULTS: PD patients had significantly lower striatal DAT-BP (mean plus or minus SD) (0.38 plus or minus 0.12) compared to controls (BP=0.84 plus or minus 0.16; p
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OBJECTIVE: To evaluate DAT density in vivo using [ super(99m)Tc]-TRODAT-1 and single photon computerized tomography (SPECT) in a population of Brazilian PD. METHOD: Fifteen PD patients and 15 matched healthy controls scanned with [ super(99m)Tc]-TRODAT-1 (INER-Taiwan) and SPECT. Estimates of striatum DAT density were calculated using binding potential (BP). Patients were assessed with PD scales. RESULTS: PD patients had significantly lower striatal DAT-BP (mean plus or minus SD) (0.38 plus or minus 0.12) compared to controls (BP=0.84 plus or minus 0.16; p&lt;0.01). A 100% sensitivity and 100% specificity was obtained to discriminate PD cases from controls. Negative correlations between striatal DAT-BP and PD severity (rho= -0.7, p&lt;0.001) and motor scales (rho= -0.80, p&lt;0.001) were found. CONCLUSION: [ super(99m)Tc]TRODAT-1 SPECTs scanning was able to discriminate PD patients from controls. 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title Neuroimaging of the dopamine transporter in Parkinsons disease: first study using [ super(99m)Tc]-TRODAT-1 and SPECT in Brazil
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