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通过碘-123 IMP断层成像诊断阿尔茨海默病和多发性梗死性痴呆。

Diagnosis of Alzheimer's disease and multiple infarct dementia by tomographic imaging of iodine-123 IMP.

作者信息

Cohen M B, Graham L S, Lake R, Metter E J, Fitten J, Kulkarni M K, Sevrin R, Yamada L, Chang C C, Woodruff N

出版信息

J Nucl Med. 1986 Jun;27(6):769-74.

PMID:3486961
Abstract

Tomographic imaging of the brain was performed using a rotating slant hole collimator and [123I]N-isopropyl p-iodoamphetamine (IMP) in normal subjects (n = 6) and patients with either Alzheimer's disease (n = 5) or multiple infarct dementia (n = 3). Four blinded observers were asked to make a diagnosis from the images. Normal subjects and patients with multiple infarct dementia were correctly identified. Alzheimer's disease was diagnosed in three of the five patients with this disease. One patient with early Alzheimer's disease was classified as normal by two of the four observers. Another patient with Alzheimer's disease had an asymmetric distribution of IMP and was incorrectly diagnosed as multiple infarct dementia by all four observers. Limited angle tomography of the cerebral distribution of 123I appears to be a useful technique for the evaluation of demented patients.

摘要

在正常受试者(n = 6)以及患有阿尔茨海默病(n = 5)或多发性梗死性痴呆(n = 3)的患者中,使用旋转斜孔准直器和[123I]N-异丙基对碘安非他明(IMP)对大脑进行断层成像。要求四名不知情的观察者根据图像做出诊断。正常受试者和患有多发性梗死性痴呆的患者被正确识别。五名患有阿尔茨海默病的患者中有三名被诊断为此病。四名观察者中有两名将一名早期阿尔茨海默病患者归类为正常。另一名患有阿尔茨海默病的患者IMP分布不对称,所有四名观察者均将其错误诊断为多发性梗死性痴呆。123I脑部分布的有限角度断层成像似乎是评估痴呆患者的一种有用技术。

相似文献

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Diagnosis of Alzheimer's disease and multiple infarct dementia by tomographic imaging of iodine-123 IMP.通过碘-123 IMP断层成像诊断阿尔茨海默病和多发性梗死性痴呆。
J Nucl Med. 1986 Jun;27(6):769-74.
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Application of iodine-123-labeled isopropylamphetamine imaging to the study of dementia.
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Single photon emission tomography with 123I-isopropylamphetamine in Alzheimer's disease and multi-infarct dementia.
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An assessment of the role of 123I-N-isopropyl-p-iodoamphetamine with single-photon emission computed tomography in the diagnosis of stroke and Alzheimer's disease.123I-N-异丙基-p-碘安非他明单光子发射计算机断层扫描在中风和阿尔茨海默病诊断中的作用评估。
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[Three-dimensional surface display with 123I-IMP brain perfusion imaging in patients with dementia].
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[Clinical usefulness of three-dimensional brain imaging with N-isopropyl-p-[123I]iodoamphetamine (IMP)].[使用 N-异丙基-p-[123I]碘安非他明(IMP)进行三维脑成像的临床应用价值]
Kaku Igaku. 1989 Mar;26(3):311-7.
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[Benzodiazepine receptor and cerebral blood flow in early Alzheimer's disease--SPECT study using 123I-iomazenil and 123I-IMP].[早期阿尔茨海默病中的苯二氮䓬受体与脑血流量——使用123I-碘美西尼和123I-异丁基安非他明的单光子发射计算机断层扫描研究]
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[N-isopropyl I-123 p-iodoamphetamine (IMP) brain SPECT in Alzheimer's disease].
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Eur Arch Psychiatry Clin Neurosci. 1993;243(1):33-40. doi: 10.1007/BF02191521.
3
Diagnosing Alzheimer's disease in elderly, mildly demented patients: the impact of routine single photon emission computed tomography.
J Neurol. 1995 Jun;242(6):401-5. doi: 10.1007/BF00868397.
4
A comparison of Tc-99m HM-PAO and I-123 IMP cerebral SPECT images in Alzheimer's disease and multi-infarct dementia.
Eur J Nucl Med. 1988;14(9-10):463-6. doi: 10.1007/BF00252389.
5
Clinical applications of SPECT.
Int J Card Imaging. 1989;5(1):25-32. doi: 10.1007/BF01745229.
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Computerized electroencephalography in the evaluation of early dementia.计算机化脑电图在早期痴呆评估中的应用
Brain Topogr. 1989 Summer;1(4):271-82. doi: 10.1007/BF01129605.
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Comparison of I-123 IMP and Tc-99m HMPAO SPECT studies with PET in dementia.
Ann Nucl Med. 1990 Nov;4(3):75-82. doi: 10.1007/BF03164600.
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Cerebral perfusion patterns in vascular dementia of Binswanger type compared with senile dementia of Alzheimer type: a SPECT study.宾斯旺格型血管性痴呆与阿尔茨海默型老年痴呆的脑灌注模式比较:一项单光子发射计算机断层扫描研究
J Neurol. 1991 Oct;238(7):365-70. doi: 10.1007/BF00319853.