PMID- 21840242 OWN - NLM STAT- MEDLINE DCOM- 20120207 LR - 20220321 IS - 1873-5126 (Electronic) IS - 1353-8020 (Linking) VI - 17 IP - 9 DP - 2011 Nov TI - Differentiating Parkinson's disease from multiple system atrophy by [123I] meta-iodobenzylguanidine myocardial scintigraphy and olfactory test. PG - 698-700 LID - 10.1016/j.parkreldis.2011.07.011 [doi] AB - We aimed to study whether either [(123)l] myocardial meta-iodobenzylguanidine (MIBG) myocardial scintigraphy or the odor stick identification test for Japanese (OSIT-J) is effective in differentiating Parkinson's disease (PD) from multiple system atrophy (MSA). We compared the MIBG accumulation and olfactory score between 42 PD and 42 MSA (19 MSA-P and 23 MSA-C) patients in the early stages. [(123)l] MIBG myocardial scintigraphy showed higher sensitivity and the olfactory test higher specificity in differentiating PD from MSA. There were significant differences between PD and MSA-C (p = 0.0019) instead of MSA-P (p > 0.05) in the MIBG accumulation, while there were significant differences between PD and MSA-P (p = 0.0003) or MSA-C (p = 0.0003) in the OSIT-J score. Our data suggest that the olfactory test can be useful as a clinical tool with its higher specificity in differentiating PD from MSA in the early stages and, moreover, support the discrimination of PD from MSA-P. CI - Copyright (c) 2011 Elsevier Ltd. All rights reserved. FAU - Kikuchi, Akio AU - Kikuchi A AD - Department of Neurology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan. akikuchi@med.tohoku.ac.jp FAU - Baba, Toru AU - Baba T FAU - Hasegawa, Takafumi AU - Hasegawa T FAU - Sugeno, Naoto AU - Sugeno N FAU - Konno, Masatoshi AU - Konno M FAU - Takeda, Atsushi AU - Takeda A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110812 PL - England TA - Parkinsonism Relat Disord JT - Parkinsonism & related disorders JID - 9513583 RN - 0 (Iodine Radioisotopes) RN - 0 (Radiopharmaceuticals) RN - 35MRW7B4AD (3-Iodobenzylguanidine) SB - IM MH - *3-Iodobenzylguanidine MH - Aged MH - Diagnosis, Differential MH - Female MH - Humans MH - Iodine Radioisotopes MH - Male MH - Middle Aged MH - Multiple System Atrophy/complications/*diagnosis MH - Myocardial Perfusion Imaging MH - Olfaction Disorders/diagnosis/etiology MH - Parkinson Disease/complications/*diagnosis MH - *Radiopharmaceuticals MH - Sensitivity and Specificity EDAT- 2011/08/16 06:00 MHDA- 2012/02/09 06:00 CRDT- 2011/08/16 06:00 PHST- 2011/03/01 00:00 [received] PHST- 2011/06/21 00:00 [revised] PHST- 2011/07/26 00:00 [accepted] PHST- 2011/08/16 06:00 [entrez] PHST- 2011/08/16 06:00 [pubmed] PHST- 2012/02/09 06:00 [medline] AID - S1353-8020(11)00230-6 [pii] AID - 10.1016/j.parkreldis.2011.07.011 [doi] PST - ppublish SO - Parkinsonism Relat Disord. 2011 Nov;17(9):698-700. doi: 10.1016/j.parkreldis.2011.07.011. Epub 2011 Aug 12.