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August 16, 2022; 99 (7 Supplement 1) How to Measure PreventionOpen Access

What Is the Role of Dopamine Transporter Imaging in Parkinson Prevention Clinical Trials?

John Peter Seibyl, Phillip Kuo
First published August 15, 2022, DOI: https://doi.org/10.1212/WNL.0000000000200786
John Peter Seibyl
From the Institute for Neurodegenerative Disorders (J.P.S.), New Haven, CT; Department of Radiology (P.K.), University of Arizona, Tucson; and Invicro, LLC (P.K.), New Haven, CT.
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Phillip Kuo
From the Institute for Neurodegenerative Disorders (J.P.S.), New Haven, CT; Department of Radiology (P.K.), University of Arizona, Tucson; and Invicro, LLC (P.K.), New Haven, CT.
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What Is the Role of Dopamine Transporter Imaging in Parkinson Prevention Clinical Trials?
John Peter Seibyl, Phillip Kuo
Neurology Aug 2022, 99 (7 Supplement 1) 61-67; DOI: 10.1212/WNL.0000000000200786

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    Figure 1 Signal Loss and Asymmetry

    123-I ioflupane SPECT in a healthy volunteer (A) and de novo Parkinson research participant (B) show characteristic left-right and anterior-posterior asymmetry seen in PD. This pattern of loss has bearing on the optimized uses of DaT imaging in clinical trials. DaT = dopamine transporter; PD = Parkinson disease.

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    Figure 2 Baseline Regional Striatal SBR Analysis

    Regional striatal subregion mean SBRs (green bars) demonstrate the topographic pattern consequent of the left-right and anterior-posterior differential asymmetry noted in Figure 1. SBR = specific binding ratio.

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    Figure 3 Years to 100% Age-Expected SBR by Subregion

    Estimate in years of duration of premotor pathologic progression for striatal subregions based on modeling of the exponential curve fit to Ioflupane SPECT SBRs determined a baseline, year 1, 2 and 4 scans. The most affected region, the contralateral putamen, suggests a nearly 13-year period of change where motor function remains intact. SBR = specific binding ratio.

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