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[帕金森病中的单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)]

[SPECT and PET in Parkinson's disease].

作者信息

Matsuda H

机构信息

Department of Radiology, National Center Hospital for Mental, Nervous, and Muscular Disorders.

出版信息

Nihon Rinsho. 2000 Oct;58(10):2000-6.

Abstract

In Parkinson's disease(PD) cerebral blood flow and glucose metabolic rate measurements using SPECT and PET have demonstrated functional abnormality in basal ganglia-thalamocortical and its related circuits. [123I] IBF SPECT and [11C] raclopride PET seemed promising tools to assessing D2 receptor status in humans. Studies of D2 status have demonstrated normal or increased receptor density in PD and decreased receptor density in multiple system atrophy. Marked differences of the dopamine transporters located on dopaminergic terminals in the striatum has been demonstrated in healthy controls and PD patients using SPECT. The correlation of SPECT measures of dopamine transporters and motor severity suggests that this may be an useful marker of disease severity in PD.

摘要

在帕金森病(PD)中,使用单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)测量脑血流量和葡萄糖代谢率,已证明基底神经节 - 丘脑皮质及其相关回路存在功能异常。[123I]异碘苯腈(IBF)SPECT和[11C]雷氯必利PET似乎是评估人类D2受体状态的有前景的工具。对D2状态的研究表明,帕金森病患者的受体密度正常或增加,而多系统萎缩患者的受体密度降低。使用SPECT已证明,健康对照者和帕金森病患者纹状体中多巴胺能终末上的多巴胺转运体存在显著差异。多巴胺转运体的SPECT测量值与运动严重程度之间的相关性表明,这可能是帕金森病疾病严重程度的一个有用标志物。

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