Patients with scans without evidence of dopaminergic deficit (SWEDD) do not have early Parkinson's disease : Analysis of the PPMI data

BACKGROUND: To evaluate whether patients with scans without evidence of dopaminergic deficit (SWEDD) have early Parkinson's disease (PD).

METHODS: The clinical characteristics, striatal specific binding ratios (SBRs), and the indices of I-123 FP-CIT SPECT images of 50 SWEDD patients, 304 PD patients, and 141 healthy controls were acquired from the Parkinson's Progression Markers Initiative (PPMI) data and evaluated during a 2-year clinical follow-up period.

RESULTS: Of the 50 subjects with SWEDD, PD was confirmed in 13 subjects (the PD-SWEDD group), while the remaining 37 subjects had other diseases (the Other-SWEDD group). Striatal SBR values and striatal asymmetry indices of the PD group were significantly different with those of the PD-SWEDD and Other-SWEDD groups at both baseline and after 2 years (p < 0.001). Putaminal SBR values of the PD-SWEDD group were significantly decreased after 2 years (p < 0.05). There was no difference of the SBR values between baseline and after 2 years in the Other-SWEDD group. A baseline MDS-UPDRS III score matched comparison of the PD and PD-SWEDD group was done due to the large difference of the subject numbers. Striatal SBR values and striatal asymmetry indices were significantly different (p < 0.001) between the two groups at both baseline and after 2 years, but there were no significant difference with respect to the MDS-UPDRS III scores after 2 years between the two groups.

CONCLUSION: The different SBR values and asymmetry indices between the PD and PD-SWEDD groups at baseline and after 2 years indicate that SWEDD may not be early PD, but rather a different disease entity.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

PloS one - 16(2021), 2 vom: 01., Seite e0246881

Sprache:

Englisch

Beteiligte Personen:

Lee, Jeong Won [VerfasserIn]
Song, Yoo Sung [VerfasserIn]
Kim, Hyeyun [VerfasserIn]
Ku, Bon D [VerfasserIn]
Lee, Won Woo [VerfasserIn]

Links:

Volltext

Themen:

155797-99-2
2-carbomethoxy-8-(3-fluoropropyl)-3-(4-iodophenyl)tropane
Clinical Trial
Dopamine
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Tropanes
VTD58H1Z2X

Anmerkungen:

Date Completed 02.08.2021

Date Revised 30.03.2024

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1371/journal.pone.0246881

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM321269888