Molecular imaging characteristics of dementia with Lewy bodies and Parkinson's disease with cognitive impairment
Abstract:Objective To study the molecular imaging characteristics of dementia with Lewy bodies (DLB) and Parkinson's disease with cognitive impairment (PD-CI).Methods Six DLB patients and 15 PD-CI patients admitted to our hospital from February 2014 to December 2016 were included in this study.Their clinical history,neuropsychological and 11C-β-CFT,11 C-PIB,11C-RAC,18F-FDG imaging characteristics were retrospectively analyzed.Results The rate of symmetrical reduction of 11C-β-CFT uptake on bilateral putamen,radioactive retention of 11C-PIB in extensive cerebral cortex and glucose metabolism reduction on connected area of parietal and occipital cortex was significantly higher while that of asymmetrical reduction of 11C-β-CFT uptake on bilateral putamen was significantly lower in DLB patients than in PD-CI patients (50.0% vs 13.3%,80.0% vs 16.7%,100.0% vs 40.0%,P<0.05;33.3% vs 86.7%,P<0.05).Of the 3 DLB patients who underwent 11C-RAC,1 (33.3 %) showed a lower radioactive retention of 11C-RAC in bilateral putamen and 2 showed a higher radioactive retention of 11C-RAC in bilateral putamen.The 15PD-CI patients (100.0%) showed a high radioactive retention of 11C-RAC in bilateral putamen.Conclusion Molecular imaging can show the molecular characteristics of DLB and PD-CI,thus contributing to their differential diagnosis.
Keywords:Lewy body diseaseParkinson diseasecognition disordersneuropsychologyfluorode-oxyglucose F18positron-emission tomographyearly diagnosis
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 793-796 )
