Cognitive- and motor-related regions in Parkinson's disease: FDOPA and FDG PET studies

Objective: Using 6-[ 18F]fluoro- l-dopa (FDOPA) and [ 18F]fluorodeoxyglucoce (FDG) positron emission tomography (PET), multiple regression analyses were performed to determine the specific brain regions that are related to cognitive and motor symptoms in nondemented patients with Parkinson's di...

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Veröffentlicht in:NeuroImage (Orlando, Fla.) Fla.), 2004-06, Vol.22 (2), p.553-561
Hauptverfasser: Nagano-Saito, Atsuko, Kato, Takashi, Arahata, Yutaka, Washimi, Yukihiko, Nakamura, Akinori, Abe, Yuji, Yamada, Takako, Iwai, Katsushige, Hatano, Kentaro, Kawasumi, Yasuhiro, Kachi, Teruhiko, Dagher, Alain, Ito, Kengo
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container_end_page 561
container_issue 2
container_start_page 553
container_title NeuroImage (Orlando, Fla.)
container_volume 22
creator Nagano-Saito, Atsuko
Kato, Takashi
Arahata, Yutaka
Washimi, Yukihiko
Nakamura, Akinori
Abe, Yuji
Yamada, Takako
Iwai, Katsushige
Hatano, Kentaro
Kawasumi, Yasuhiro
Kachi, Teruhiko
Dagher, Alain
Ito, Kengo
description Objective: Using 6-[ 18F]fluoro- l-dopa (FDOPA) and [ 18F]fluorodeoxyglucoce (FDG) positron emission tomography (PET), multiple regression analyses were performed to determine the specific brain regions that are related to cognitive and motor symptoms in nondemented patients with Parkinson's disease. Methods: Spatially normalized images of FDOPA influx rate constant (Ki) values and relative regional cerebral metabolic rates for glucose (rrCMRglc) were created. Raven's Coloured Progressive Matrices (RCPM) scores and the Unified Parkinson's Disease Rating Scale (UPDRS) motor scores were used to determine the patients' cognitive and motor functions, respectively. Multiple correlation analyses between the FDOPA and FDG images and the cognitive and motor scores were performed for each voxel. Results: RCPM score was significantly positively correlated with the FDOPA Ki in the left hippocampus and with the rrCMRglc in the left middle frontal gyrus and right retrosplenial cortex. Motor function was significantly positively correlated with the FDOPA Ki in the bilateral striatum and with the rrCMRglc in association areas and primary visual cortex. The level of motor function was significantly inversely correlated with the FDOPA Ki in the anterior cingulate gyrus and with the rrCMRglc in bilateral primary motor cortex and right putamen. Conclusions: Changes of striatal FDOPA uptake and rrCMRglc in the primary motor cortex likely represent dysfunction in the motor system involving the corticobasal ganglia-thalamocortical loop. Change of FDOPA uptake in the anterior cingulate gyrus may be related to up-regulation of dopamine synthesis in surviving dopamine neurons. The regions where correlation with cognitive function was observed belong to a cognitive frontoparietal–hippocampal network.
doi_str_mv 10.1016/j.neuroimage.2004.01.030
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Methods: Spatially normalized images of FDOPA influx rate constant (Ki) values and relative regional cerebral metabolic rates for glucose (rrCMRglc) were created. Raven's Coloured Progressive Matrices (RCPM) scores and the Unified Parkinson's Disease Rating Scale (UPDRS) motor scores were used to determine the patients' cognitive and motor functions, respectively. Multiple correlation analyses between the FDOPA and FDG images and the cognitive and motor scores were performed for each voxel. Results: RCPM score was significantly positively correlated with the FDOPA Ki in the left hippocampus and with the rrCMRglc in the left middle frontal gyrus and right retrosplenial cortex. Motor function was significantly positively correlated with the FDOPA Ki in the bilateral striatum and with the rrCMRglc in association areas and primary visual cortex. The level of motor function was significantly inversely correlated with the FDOPA Ki in the anterior cingulate gyrus and with the rrCMRglc in bilateral primary motor cortex and right putamen. Conclusions: Changes of striatal FDOPA uptake and rrCMRglc in the primary motor cortex likely represent dysfunction in the motor system involving the corticobasal ganglia-thalamocortical loop. Change of FDOPA uptake in the anterior cingulate gyrus may be related to up-regulation of dopamine synthesis in surviving dopamine neurons. The regions where correlation with cognitive function was observed belong to a cognitive frontoparietal–hippocampal network.</description><identifier>ISSN: 1053-8119</identifier><identifier>EISSN: 1095-9572</identifier><identifier>DOI: 10.1016/j.neuroimage.2004.01.030</identifier><identifier>PMID: 15193583</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>6-[ 18F]fluoro- l-dopa ; [ 18F]fluorodeoxyglucoce ; Biological Transport ; Brain - diagnostic imaging ; Brain - physiopathology ; Brain Mapping - methods ; Cognition - physiology ; Cognitive ability ; Dementia ; Dihydroxyphenylalanine - analogs &amp; derivatives ; Dihydroxyphenylalanine - pharmacokinetics ; Dopamine ; Female ; Fluorine Radioisotopes ; Fluorodeoxyglucose F18 - pharmacokinetics ; Functional Laterality ; Humans ; Male ; Middle Aged ; Motor Activity - physiology ; Parkinson Disease - physiopathology ; Parkinson's disease ; Positron emission tomography ; Radiopharmaceuticals - pharmacokinetics ; Regression Analysis ; Tomography, Emission-Computed</subject><ispartof>NeuroImage (Orlando, Fla.), 2004-06, Vol.22 (2), p.553-561</ispartof><rights>2004</rights><rights>Copyright Elsevier Limited Jun 1, 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-17dd5b2f3364260b87f03448b1439077bd4b3aead8d655ad5b900606483f9db33</citedby><cites>FETCH-LOGICAL-c398t-17dd5b2f3364260b87f03448b1439077bd4b3aead8d655ad5b900606483f9db33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1506610477?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974,64362,64364,64366,72216</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15193583$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagano-Saito, Atsuko</creatorcontrib><creatorcontrib>Kato, Takashi</creatorcontrib><creatorcontrib>Arahata, Yutaka</creatorcontrib><creatorcontrib>Washimi, Yukihiko</creatorcontrib><creatorcontrib>Nakamura, Akinori</creatorcontrib><creatorcontrib>Abe, Yuji</creatorcontrib><creatorcontrib>Yamada, Takako</creatorcontrib><creatorcontrib>Iwai, Katsushige</creatorcontrib><creatorcontrib>Hatano, Kentaro</creatorcontrib><creatorcontrib>Kawasumi, Yasuhiro</creatorcontrib><creatorcontrib>Kachi, Teruhiko</creatorcontrib><creatorcontrib>Dagher, Alain</creatorcontrib><creatorcontrib>Ito, Kengo</creatorcontrib><title>Cognitive- and motor-related regions in Parkinson's disease: FDOPA and FDG PET studies</title><title>NeuroImage (Orlando, Fla.)</title><addtitle>Neuroimage</addtitle><description>Objective: Using 6-[ 18F]fluoro- l-dopa (FDOPA) and [ 18F]fluorodeoxyglucoce (FDG) positron emission tomography (PET), multiple regression analyses were performed to determine the specific brain regions that are related to cognitive and motor symptoms in nondemented patients with Parkinson's disease. Methods: Spatially normalized images of FDOPA influx rate constant (Ki) values and relative regional cerebral metabolic rates for glucose (rrCMRglc) were created. Raven's Coloured Progressive Matrices (RCPM) scores and the Unified Parkinson's Disease Rating Scale (UPDRS) motor scores were used to determine the patients' cognitive and motor functions, respectively. Multiple correlation analyses between the FDOPA and FDG images and the cognitive and motor scores were performed for each voxel. Results: RCPM score was significantly positively correlated with the FDOPA Ki in the left hippocampus and with the rrCMRglc in the left middle frontal gyrus and right retrosplenial cortex. Motor function was significantly positively correlated with the FDOPA Ki in the bilateral striatum and with the rrCMRglc in association areas and primary visual cortex. 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Methods: Spatially normalized images of FDOPA influx rate constant (Ki) values and relative regional cerebral metabolic rates for glucose (rrCMRglc) were created. Raven's Coloured Progressive Matrices (RCPM) scores and the Unified Parkinson's Disease Rating Scale (UPDRS) motor scores were used to determine the patients' cognitive and motor functions, respectively. Multiple correlation analyses between the FDOPA and FDG images and the cognitive and motor scores were performed for each voxel. Results: RCPM score was significantly positively correlated with the FDOPA Ki in the left hippocampus and with the rrCMRglc in the left middle frontal gyrus and right retrosplenial cortex. Motor function was significantly positively correlated with the FDOPA Ki in the bilateral striatum and with the rrCMRglc in association areas and primary visual cortex. The level of motor function was significantly inversely correlated with the FDOPA Ki in the anterior cingulate gyrus and with the rrCMRglc in bilateral primary motor cortex and right putamen. Conclusions: Changes of striatal FDOPA uptake and rrCMRglc in the primary motor cortex likely represent dysfunction in the motor system involving the corticobasal ganglia-thalamocortical loop. Change of FDOPA uptake in the anterior cingulate gyrus may be related to up-regulation of dopamine synthesis in surviving dopamine neurons. The regions where correlation with cognitive function was observed belong to a cognitive frontoparietal–hippocampal network.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15193583</pmid><doi>10.1016/j.neuroimage.2004.01.030</doi><tpages>9</tpages></addata></record>
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1095-9572
language eng
recordid cdi_proquest_miscellaneous_72020693
source MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland
subjects 6-[ 18F]fluoro- l-dopa
[ 18F]fluorodeoxyglucoce
Biological Transport
Brain - diagnostic imaging
Brain - physiopathology
Brain Mapping - methods
Cognition - physiology
Cognitive ability
Dementia
Dihydroxyphenylalanine - analogs & derivatives
Dihydroxyphenylalanine - pharmacokinetics
Dopamine
Female
Fluorine Radioisotopes
Fluorodeoxyglucose F18 - pharmacokinetics
Functional Laterality
Humans
Male
Middle Aged
Motor Activity - physiology
Parkinson Disease - physiopathology
Parkinson's disease
Positron emission tomography
Radiopharmaceuticals - pharmacokinetics
Regression Analysis
Tomography, Emission-Computed
title Cognitive- and motor-related regions in Parkinson's disease: FDOPA and FDG PET studies
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