Statistical parametric mapping with 18F-dopa PET shows bilaterally reduced striatal and nigral dopaminergic function in early Parkinson’s disease
- K Itoa,c,d,
- P K Morrisha,
- J S Rakshia,
- T Uemaa,
- J Ashburnerb,
- D L Baileya,
- K J Fristonb,
- D J Brooksa,b
- aMRC Cyclotron Unit, Hammersmith Hospital, London, UK, bInstitute of Neurology, Queen Square, London, UK, cDepartment of Radiology, Nagoya University School of Medicine, Nagoya, Japan, dDepartment of Biofunctional Research, National Institute for Longevity Sciences, Obu, Japan
- Dr Kengo Ito, Department of Biofunctional Research, National Institute for Longevity Sciences, 36–3 Gengo Morioka-cho, Obu, Aichi Prefecture, 474–8522 Japan. Telephone 0081 562 46 2311, ext 843 or 836; fax 0081 562 44 6596; email kito{at}nils.go.jp
- Received 16 March 1998
- Revised 1 October 1998
- Accepted 3 November 1998
Abstract
OBJECTIVE To apply statistical parametric mapping to 18F-dopa PET data sets, to examine the regional distribution of changes in dopaminergic metabolism in early asymmetric Parkinson’s disease.
METHODS Thirteen normal volunteers (age 57.7 (SD 16.5) years; four women, nine men ) and six patients (age 50.3 (SD 13.5) years; three women, three men) with asymmetric (right sided) Parkinson’s disease were studied. Images from each dynamic dopa PET dataset were aligned and parametric images of18F-dopa influx (Ki) were created for each subject. The Ki images were transformed into standard stereotactic space. The Ki values of the caudate and putamen on spatially normalised images were compared with the Ki values before normalisation. The application of statistical parametric mapping (SPM) allowed statistical comparison of regional Ki values on a voxel by voxel basis between healthy volunteers and patients with Parkinson’s disease.
RESULTS There was a strong correlation between the Ki values before and after spatial normalisation (r=0.898, p=0.0001). Significant decreases in the Ki values were found for the Parkinson’s desease group throughout the entire left putamen (p< 0.001) and focally in the dorsal right putamen (p< 0.001). Decreased Ki values were also shown bilaterally in the substantia nigra (p< 0.01).
CONCLUSION Using (SPM) and 18F-dopa PET, reductions in both striatal and nigral brain dopaminergic function could be demonstrated in early Parkinson’s disease.
