PMID- 17493637 OWN - NLM STAT- MEDLINE DCOM- 20071206 LR - 20220317 IS - 0022-510X (Print) IS - 0022-510X (Linking) VI - 260 IP - 1-2 DP - 2007 Sep 15 TI - Evaluation of brain perfusion SPECT using an easy Z-score imaging system (eZIS) as an adjunct to early-diagnosis of neurodegenerative diseases. PG - 57-64 AB - The eZIS allows computer-assisted statistical analysis of brain perfusion SPECT images. We evaluated the diagnostic value of brain perfusion SPECT using eZIS in patients with various neurodegenerative diseases at a very early stage, within one year from onset. METHODS: SPECT using eZIS was performed for patients with Alzheimer disease (AD), dementia with Lewy bodies (DLB), frontotemporal dementia (FTD,), idiopathic Parkinson disease (PD) and vascular Parkinsonism (VP), multiple systemic atrophy of the cerebellar type (MSA-C), cortical cerebellar atrophy (CCA) and amyotrophic lateral sclerosis (ALS). RESULTS: Decreased rCBF was observed in the posterior cingulate cortex, precuneus and parietal cortex in AD; in the frontal gyrus and insula in FTD; in the occipital lobe, precuneus gyrus and posterior cingulate cortex in DLB; in the striatum and the thalamus in VP; in the cerebellum in CCA; in the cerebellum and pons in MSA-C and in the frontal cortex including the central sulcus in ALS. Increased rCBF in the striatum, thalamus and cerebellar dentate nuclei were observed in PD. CONCLUSIONS: A specific rCBF pattern was observed for each disease using eZIS analysis, consistent with previous reports. Our results showed eZIS can be easily used as an adjunct to early-diagnosis of neurodegenerative diseases in any hospital. FAU - Waragai, Masaaki AU - Waragai M AD - Division of Neurology, JR Tokyo General Hospital, 2-1-3, Yoyogi, Shibuya-ku, Tokyo 151-8528, Japan. warawaram2002@aol.com FAU - Yamada, Tatsuo AU - Yamada T FAU - Matsuda, Hiroshi AU - Matsuda H LA - eng PT - Evaluation Study PT - Journal Article DEP - 20070509 PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 SB - IM MH - Adult MH - Aged MH - Alzheimer Disease/diagnostic imaging/pathology/physiopathology MH - Amyotrophic Lateral Sclerosis/diagnostic imaging/pathology/physiopathology MH - Brain/blood supply/*diagnostic imaging/pathology MH - Brain Mapping/methods MH - Cerebrovascular Circulation/*physiology MH - Dementia/diagnostic imaging/pathology/physiopathology MH - Diagnosis, Differential MH - Early Diagnosis MH - Female MH - Humans MH - Image Processing, Computer-Assisted/*methods MH - Lewy Body Disease/diagnostic imaging/pathology/physiopathology MH - Male MH - Middle Aged MH - Multiple System Atrophy/diagnostic imaging/pathology/physiopathology MH - Neurodegenerative Diseases/*diagnostic imaging/pathology/physiopathology MH - Parkinson Disease/diagnostic imaging/pathology/physiopathology MH - Predictive Value of Tests MH - Spinocerebellar Degenerations/diagnostic imaging/pathology/physiopathology MH - Tomography, Emission-Computed, Single-Photon/*methods EDAT- 2007/05/12 09:00 MHDA- 2007/12/07 09:00 CRDT- 2007/05/12 09:00 PHST- 2006/12/13 00:00 [received] PHST- 2007/03/24 00:00 [revised] PHST- 2007/03/29 00:00 [accepted] PHST- 2007/05/12 09:00 [pubmed] PHST- 2007/12/07 09:00 [medline] PHST- 2007/05/12 09:00 [entrez] AID - S0022-510X(07)00269-9 [pii] AID - 10.1016/j.jns.2007.03.027 [doi] PST - ppublish SO - J Neurol Sci. 2007 Sep 15;260(1-2):57-64. doi: 10.1016/j.jns.2007.03.027. Epub 2007 May 9.