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MR imaging of middle cerebellar peduncle width: differentiation of multiple system atrophy from Parkinson disease. (Articolo in rivista)
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- MR imaging of middle cerebellar peduncle width: differentiation of multiple system atrophy from Parkinson disease. (Articolo in rivista) (literal)
- Anno
- 2006-01-01T00:00:00+01:00 (literal)
- Alternative label
Nicoletti G, Fera F, Condino F, Auteri W, Gallo O, Pugliese P, Arabia G, Morgante L, Barone P, Zappia M, Quattrone A. (2006)
MR imaging of middle cerebellar peduncle width: differentiation of multiple system atrophy from Parkinson disease.
in Radiology
(literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
- Nicoletti G, Fera F, Condino F, Auteri W, Gallo O, Pugliese P, Arabia G, Morgante L, Barone P, Zappia M, Quattrone A. (literal)
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- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
- Rivista
- Note
- ISI Web of Science (WOS) (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
- Fera Francesco: Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
Nicoletti Giuseppe: Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
Gallo Oliver: Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
Arabia Gennarina: Institute of Neurology, University Magna Graecia, Catanzaro, Italy
Condino Francesca: Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
Quattrone Aldo: Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
Pugliese Pierfrancesco: Institute of Neurology, University Magna Graecia, Catanzaro, Italy (literal)
- Titolo
- MR imaging of middle cerebellar peduncle width: differentiation of multiple system atrophy from Parkinson disease. (literal)
- Abstract
- Purpose: To prospectively assess if middle cerebellar peduncle
(MCP) atrophy, evaluated at magnetic resonance (MR)
imaging, can help differentiate multiple system atrophy
(MSA) from Parkinson disease (PD).
Materials and
Methods:
All participants provided informed consent for participation
in the study, which was approved by the institutional
review board. Sixteen consecutive patients with MSA, 26
consecutive patients with PD, and 14 healthy control subjects
were examined with MR imaging. Images were interpreted
independently by two experienced neuroradiologists
blinded to clinical information, who visually inspected
the images for the presence or absence of putaminal atrophy,
putaminal hypointensity, slitlike hyperintensity in the
posterolateral margin of the putamen, brainstem atrophy,
hyperintensity of the MCP, and cruciform hyperintensity
of the pons. Measurements of MCP width on T1-weighted
volumetric spoiled gradient-echo images were performed
in all subjects. Differences in MCP width among the groups
were evaluated by using the Kruskall-Wallis test, followed
by the Mann-Whitney U test for multiple comparisons and
Bonferroni correction.
Results: All patients (mean age, 63.88 years; range, 55-72 years)
with MSA had at least one of the features commonly observed
in this disease on MR images, whereas control
subjects (mean age, 66.93 years; range, 61-77 years) and
all but one patient with PD (mean age, 65.31 years; range,
51-79 years) had normal MR images. The average MCP
width was significantly smaller in patients with MSA (6.10
mm ? 1.18 [standard deviation]) than in those with PD
(9.32 mm ? 0.77, P ? .001) or control subjects (9.80
mm ? 0.66, P ? .001).
Conclusion: Measurement of MCP width on MR images may be useful
for distinguishing patients with MSA from those with PD. (literal)
- PURPOSE: To prospectively assess if middle cerebellar peduncle (MCP) atrophy, evaluated at magnetic resonance (MR) imaging, can help differentiate multiple system atrophy (MSA) from Parkinson disease (PD). MATERIALS AND METHODS: All participants provided informed consent for participation in the study, which was approved by the institutional review board. Sixteen consecutive patients with MSA, 26 consecutive patients with PD, and 14 healthy control subjects were examined with MR imaging. Images were interpreted independently by two experienced neuroradiologists blinded to clinical information, who visually inspected the images for the presence or absence of putaminal atrophy, putaminal hypointensity, slitlike hyperintensity in the posterolateral margin of the putamen, brainstem atrophy, hyperintensity of the MCP, and cruciform hyperintensity of the pons. Measurements of MCP width on T1-weighted volumetric spoiled gradient-echo images were performed in all subjects. Differences in MCP width among the groups were evaluated by using the Kruskall-Wallis test, followed by the Mann-Whitney U test for multiple comparisons and Bonferroni correction. RESULTS: All patients (mean age, 63.88 years; range, 55-72 years) with MSA had at least one of the features commonly observed in this disease on MR images, whereas control subjects (mean age, 66.93 years; range, 61-77 years) and all but one patient with PD (mean age, 65.31 years; range, 51-79 years) had normal MR images. The average MCP width was significantly smaller in patients with MSA (6.10 mm+/-1.18 [standard deviation]) than in those with PD (9.32 mm+/-0.77, P<.001) or control subjects (9.80 mm+/-0.66, P<.001). CONCLUSION: Measurement of MCP width on MR images may be useful for distinguishing patients with MSA from those with PD. Copyright (c) RSNA, 2006. (literal)
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