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パーキンソン病関連疾患における核医学検査定量値を用いた 診断アルゴリズム作成の試み
https://tohoku-mpu.repo.nii.ac.jp/records/872
https://tohoku-mpu.repo.nii.ac.jp/records/87243897aee-4483-4d4a-b340-d464eff82cc1
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||||||||||||||||||||
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公開日 | 2023-04-28 | |||||||||||||||||||||||
タイトル | ||||||||||||||||||||||||
タイトル | パーキンソン病関連疾患における核医学検査定量値を用いた 診断アルゴリズム作成の試み | |||||||||||||||||||||||
言語 | ja | |||||||||||||||||||||||
タイトル | ||||||||||||||||||||||||
タイトル | An attempt to create a diagnostic algorithm in Parkinsonʼs disease‒related disorders using quantitative variables of nuclear medical imaging | |||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
言語 | ||||||||||||||||||||||||
言語 | jpn | |||||||||||||||||||||||
キーワード | ||||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
主題Scheme | Other | |||||||||||||||||||||||
主題 | MIBG myocardial scintigraphy | |||||||||||||||||||||||
キーワード | ||||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
主題Scheme | Other | |||||||||||||||||||||||
主題 | DAT scintigraphy | |||||||||||||||||||||||
キーワード | ||||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
主題Scheme | Other | |||||||||||||||||||||||
主題 | Parkinsonʼs disease | |||||||||||||||||||||||
キーワード | ||||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
主題Scheme | Other | |||||||||||||||||||||||
主題 | progressive supranuclear palsy | |||||||||||||||||||||||
キーワード | ||||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
主題Scheme | Other | |||||||||||||||||||||||
主題 | multiple system atrophy | |||||||||||||||||||||||
資源タイプ | ||||||||||||||||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||
資源タイプ | departmental bulletin paper | |||||||||||||||||||||||
著者 |
木村, 諒
× 木村, 諒
× 藤盛, 寿一
× 中島, 一郎
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抄録 | ||||||||||||||||||||||||
内容記述タイプ | Abstract | |||||||||||||||||||||||
内容記述 | Objective: To create a diagnostic algorithm and evaluate severity using nuclear medical imaging in patients with Parkinsonʼs disease(PD)-related disorders. Methods: Forty-seven patients with PD, 17 patients with progressive supranuclear palsy(PSP), and 5 patients with multiple system atrophy(MSA)were studied. By applying a machine learning method to data from meta-iodobenzylguanidine(MIBG)myocardial scintigraphy or dopamine transporter(DAT)scintigraphy, we tried to create a diagnostic algorithm to assist in the differential diagnosis of patients with PD, PSP, and MSA. We also searched for quantitative values in these images that could reflect the severity of PD-related disorders. Results: The three disease groups were not significantly different in age, gender, disease duration, or severity. Compared to patients with PSP and those with MSA, patients with PD had a significantly reduced heart/mediastinum(H/M)ratio in early and/or delayed images on MIBG myocardial scintigraphy. A differential diagnostic algorithm using MIBG myocardial scintigraphy showed that all patients with an H/M ratio(early image) of less than 2.36 and a washout rate of 31.2 or more had PD. In contrast, all patients with PSP had an H/M ratio (early image)of 2.36 or higher. In building an algorithm for differential diagnosis using DAT scintigraphy, we found that more than half of patients with PSP had a specific binding ratio(SBR)of less than 2.615, and the frequency was higher in PSP than in the other two diseases. The severity of PD-related disorders was not significantly correlated with any other variable except the degree of SBR. Conclusion: Nuclear medical imaging might be useful in the establishment of a diagnostic algorism and severity assessment of PD-related diseases. |
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言語 | en | |||||||||||||||||||||||
書誌情報 |
ja : 東北医科薬科大学研究誌 en : Journal of Tohoku Medical and Pharmaceutical University 号 69, p. 25-32, 発行日 2022-12 |
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出版者 | ||||||||||||||||||||||||
出版者 | 東北医科薬科大学 | |||||||||||||||||||||||
言語 | ja | |||||||||||||||||||||||
ISSN | ||||||||||||||||||||||||
収録物識別子タイプ | PISSN | |||||||||||||||||||||||
収録物識別子 | 2432-5724 | |||||||||||||||||||||||
権利 | ||||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
権利情報Resource | https://creativecommons.org/licenses/by-nc-nd/3.0/deed.en | |||||||||||||||||||||||
権利情報 | Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND 3.0) | |||||||||||||||||||||||
著者版フラグ | ||||||||||||||||||||||||
出版タイプ | VoR | |||||||||||||||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |