Journal article

The 18F-FDG PET cingulate island sign and comparison to 123I-β-CIT SPECT for diagnosis of dementia with lewy bodies

ML Seok, A Katsifis, VL Villemagne, R Best, G Jones, M Saling, J Bradshaw, J Merory, M Woodward, M Hopwood, CC Rowe

Journal of Nuclear Medicine | SOC NUCLEAR MEDICINE INC | Published : 2009

Abstract

Neuroimaging is increasingly used to supplement the clinical diagnosis of dementia with Lewy bodies (DLB) by showing reduced occipital metabolism and perfusion and reduced striatal dopaminergic innervation. We aimed to optimize the interpretation of 18F-FDG PET images for differentiating DLB from Alzheimer disease (AD) and to compare the results with dopamine transporter imaging using 123I-β-carbomethoxy-3β-(4-iodophenyl)-tropane (123I-β-CIT) SPECT. Methods: Fourteen subjects with a clinical diagnosis of DLB and 10 with AD underwent both 18FFDG PET and 123I-β-CIT SPECT. Four DLB and 1 AD diagnoses were subsequently confirmed at autopsy. Diagnostic accuracy was calculated for visual interpret..

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