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OtherClinical Investigations

99mTc-TRODAT-1 Imaging of Multiple System Atrophy

Chin-Song Lu, Yi-Hsin Weng, Min-Chi Chen, Rou-Shayn Chen, Kai-Yuan Tzen, Shiaw-Pyng Wey, Gann Ting, Hsiu-Chen Chang and Tzu-Chen Yen
Journal of Nuclear Medicine January 2004, 45 (1) 49-55;
Chin-Song Lu
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Yi-Hsin Weng
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Min-Chi Chen
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Rou-Shayn Chen
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Kai-Yuan Tzen
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Shiaw-Pyng Wey
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Gann Ting
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Hsiu-Chen Chang
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Tzu-Chen Yen
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  • FIGURE 1.
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    FIGURE 1.

    99mTc-TRODAT-1 SPECT images of 4 similarly aged individuals, 1 from each group: healthy subject (A), MSA-C patient (B), MSA-P patient (C), and PD control patient (D).

  • FIGURE 2.
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    FIGURE 2.

    Bilateral putaminal uptakes (P/O ratios) of 99mTc-TRODAT-1 in 4 groups. Bilateral P/O ratios are significantly reduced in PD and MSA-P groups but are less reduced in MSA-C group. Cont = contralateral; Ipsi = ipsilateral.

  • FIGURE 3.
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    FIGURE 3.

    Bilateral caudate nucleus uptakes (C/O ratios) of 99mTc-TRODAT-1 in 4 groups. Similar to findings for P/O ratios, bilateral C/O ratios are significantly reduced in PD and MSA-P groups but are only mildly reduced in MSA-C group. Cont = contralateral; Ipsi = ipsilateral.

  • FIGURE 4.
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    FIGURE 4.

    Bilateral P/C ratios of 99mTc-TRODAT-1 in 4 groups. There is preferential involvement of putamen in PD and MSA-P groups, whereas P/C ratios for MSA-C are closer to those of healthy subjects. This indicates relatively diffuse involvement of both putamen and caudate nucleus in MSA-C group. Cont = contralateral; Ipsi = ipsilateral.

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    TABLE 1

    Clinical Information for 33 Healthy Control Subjects, 36 PD Patients, and 49 MSA Patients

    GroupnSex* (F/M)Mean†
    Age (y)Disease duration (y)H&YADL‡ (%)UPDRSUPDRS-III§
    Healthy control3317/16(52/48)61.76 ± 8.77(46–75)—————
    PD3616/20(44/56)63.17 ± 7.48(45–75)4.81 ± 3.49(1–17)2.25 ± 0.86(1–4)82.06 ± 11.75(50–100)45.38 ± 22.28(3–93)29.94 ± 14.20(2–62)
    MSA-C1910/9(53/47)63.89 ± 6.56(47–73)3.95 ± 2.46(1–11)3.73 ± 1.19(2–5)64.55 ± 15.08(40–90)50.55 ± 19.77(18–84)29.73 ± 12.99(9–53)
    MSA-P3018/12(60/40)61.50 ± 7.92(46–75)4.53 ± 3.28(1–15)3.50 ± 1.33(1–5)60.80 ± 18.47(30–90)69.12 ± 23.20(24–123)43.44 ± 14.59(16–79)
    • ↵* Values in parentheses are percentage.

    • ↵† Values are mean ± SD; values in parentheses are range.

    • ↵‡ Schwab and England scale of ADL; a higher score indicates better ADL.

    • ↵§ Motor score from UPDRS.

    • — = not applicable.

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    TABLE 2

    99mTc-TRODAT-1 Uptakes in Different Striatal Regions for 4 Groups

    Type of URMean uptake ± SDP value*
    Contralateral S/O
     Healthy control0.87 ± 0.11
     PD0.31 ± 0.11<0.0001
     MSA-C0.59 ± 0.23<0.0001<0.0001
     MSA-P0.33 ± 0.16<0.00010.978<0.0001
    Contralateral C/O
     Healthy control1.17 ± 0.16
     PD0.68 ± 0.20<0.0001
     MSA-C0.90 ± 0.290.0040.037
     MSA-P0.67 ± 0.27<0.00010.9980.05
    Contralateral P/O
     Healthy control0.73 ± 0.09
     PD0.17 ± 0.09<0.0001
     MSA-C0.47 ± 0.22<0.0001<0.0001
     MSA-P0.20 ± 0.13<0.00010.859<0.0001
    Contralateral P/C
     Healthy control0.63 ± 0.05
     PD0.26 ± 0.11<0.0001
     MSA-C0.51 ± 0.150.007<0.0001
     MSA-P0.29 ± 0.10<0.00010.888<0.0001
    Ipsilateral S/O
     Healthy control0.87 ± 0.11
     PD0.42 ± 0.15<0.0001
     MSA-C0.63 ± 0.230.0020.006
     MSA-P0.37 ± 0.16<0.00010.5700.001
    Ipsilateral C/O
     Healthy control1.17 ± 0.15
     PD0.76 ± 0.21<0.0001
     MSA-C0.93 ± 0.290.0130.117
     MSA-P0.73 ± 0.27<0.00010.9620.081
    Ipsilateral P/O
     Healthy control0.74 ± 0.10
     PD0.29 ± 0.14<0.0001
     MSA-C0.52 ± 0.230.0030.003
     MSA-P0.24 ± 0.14<0.0010.370<0.0001
    Ipsilateral P/C
     Healthy control0.63 ± 0.05
     PD0.39 ± 0.12<0.0001
     MSA-C0.55 ± 0.150.1980.004
     MSA-P0.32 ± 0.11<0.00010.117<0.0001
    • ↵* One-way ANOVA followed by comparisons using Games-Howell’s multiple comparisons.

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Journal of Nuclear Medicine
Vol. 45, Issue 1
January 1, 2004
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99mTc-TRODAT-1 Imaging of Multiple System Atrophy
Chin-Song Lu, Yi-Hsin Weng, Min-Chi Chen, Rou-Shayn Chen, Kai-Yuan Tzen, Shiaw-Pyng Wey, Gann Ting, Hsiu-Chen Chang, Tzu-Chen Yen
Journal of Nuclear Medicine Jan 2004, 45 (1) 49-55;

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99mTc-TRODAT-1 Imaging of Multiple System Atrophy
Chin-Song Lu, Yi-Hsin Weng, Min-Chi Chen, Rou-Shayn Chen, Kai-Yuan Tzen, Shiaw-Pyng Wey, Gann Ting, Hsiu-Chen Chang, Tzu-Chen Yen
Journal of Nuclear Medicine Jan 2004, 45 (1) 49-55;
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