[18F]FDG-PET study in dementia with Lewy bodies and Alzheimer's disease

被引:39
作者
Okamura, N
Arai, H [1 ]
Higuchi, M
Tashiro, M
Matsui, T
Hu, XS
Takeda, A
Itoh, M
Sasaki, H
机构
[1] Tohoku Univ, Sch Med, Dept Geriatr Med, Sendai, Miyagi 9808574, Japan
[2] Tohoku Univ, Sch Med, Dept Neurol, Sendai, Miyagi 9808574, Japan
[3] Tohoku Univ, Sch Med, Ctr Cyclotron & Radioisotope, Div Nucl Med, Sendai, Miyagi 9808574, Japan
关键词
familiar dementia with Lewy bodies; Alzheimer's disease; positron emission tomography;
D O I
10.1016/S0278-5846(01)80005-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
1. The authors report two siblings with dementia with Lewy bodies (DLB). Both the older brother and the younger sister underwent positron emission tomography (PET) studies with [F-18]-2-fluoro-deoxy-D-glucose (FDG) during life. The FDG-PET study demonstrated unique and pronounced metabolic impairment in the occipital cortex in both patients. The clinical diagnosis of DLB in the sister was confirmed by autopsy. 2. FDG-PET images from 11 patients with Alzheimer's disease (AD), 7 patients with DLB and 10 age-matched normal subjects were obtained and analyzed by the statistical parametric mapping (SPM) method. The SPM demonstrated a widespread metabolic reduction in the DLB group. The reduction was particularly pronounced in the visual association cortex in the DLB group compared to the AD group irrespective of clinical severity of the disease. 3. These findings suggest that functional neuroimaging techniques, including FDG-PET, will provide a valuable diagnostic aid to differentiate DLB from AD, and this will help detect DLB patients in the early stage of the disease.
引用
收藏
页码:447 / 456
页数:10
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