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Radionuclide Imaging in Parkinsons Disease: Diagnosis, Treatment, and Disease ProgressionDepartment of Medicine, Neurodegenerative Disorders Center, University of British Columbia, Room M36, Purdy Pavilion, 2221 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada, ddoudet{at}interchange.ubc.ca This paper reviews the abilities of positron emission tomography (PET) and single photon emission tomography (SPECT) to detect Parkinsons disease, monitor its progression and the effect of therapy. It also provides insights on the role these two modalities provide in terms of discriminating atypical syndromes from Parkinsons disease. Both PET and SPECT are sensitive means of detecting alterations in metabolism and blood flow in the brain and impairments in neurotransmitter function, especially dopaminergic, in the striatum and, more recently, in extrastriatal structures. To date, PET presents the added advantage of quantification, better sensitivity and resolution and a greater variety of tracers for both the dopaminergic and nondopaminergic systems.
Key Words: Parkinsons disease PET SPECT dopamine system disease progression
Journal of Pharmacy Practice, Vol. 14, No. 4,
341-350 (2001) |
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