The impact of DaTscan on the diagnosis and management of movement disorders: A retrospective study.

American journal of neurodegenerative disease Pub Date : 2013-01-01 Epub Date: 2013-03-08

Kimberly D Seifert, Jonathan I Wiener

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Abstract

Background: The diagnosis of Parkinson's disease remains a challenge in patients who have abnormal symptoms or show a lack of response to medication. The imaging technique, DaTscan, can be used to visualize dopamine degeneration in the nigro-striatum, which is associated with Parkinsonian Syndrome. We examined the use of the DaTscan in diagnosis, confidence in diagnosis, and clinical management.

Methods: Physicians of 125 patients were contacted to fill out a brief survey about changes in diagnosis, confidence of diagnosis, and clinical management after assessment with the DaTscan.

Results: There was an overall increase in confidence of diagnosis with the results of the DaTscan. Physicians also stated that the DaTscan impacted their diagnosis in 68% of the patients, as well as an impact in the clinical management of 58% of the patients.

Conclusion: The DaTsan can be used as a tool to help diagnose Parkinsonian Syndrome in patients with unclear symptoms.

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DaTscan对运动障碍诊断和治疗的影响:一项回顾性研究。

背景:对于有异常症状或对药物缺乏反应的患者，帕金森病的诊断仍然是一个挑战。这种成像技术，DaTscan，可以用来可视化与帕金森综合症相关的黑纹状体多巴胺退化。我们检查了DaTscan在诊断中的使用，诊断的信心和临床管理。方法:对125例患者的临床医师进行问卷调查，问卷内容为:经DaTscan评估后患者的诊断变化、诊断置信度及临床处理情况。结果:对诊断结果的信心总体上有所增加。医生们还表示，DaTscan对68%的患者的诊断产生了影响，对58%的患者的临床管理产生了影响。结论:对症状不明确的帕金森综合征患者，大散可作为诊断帕金森综合征的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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American journal of neurodegenerative disease

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