Development and Validation of Automated Magnetic Resonance Parkinsonism Index 2.0 to Distinguish Progressive Supranuclear Palsy‐Parkinsonism From Parkinson's Disease
| العنوان: | Development and Validation of Automated |
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| المؤلفون: | Andrea Quattrone, Maria G. Bianco, Angelo Antonini, David E. Vaillancourt, Klaus Seppi, Roberto Ceravolo, Antonio P. Strafella, Gioacchino Tedeschi, Alessandro Tessitore, Roberto Cilia, Maurizio Morelli, Salvatore Nigro, Basilio Vescio, Pier Paolo Arcuri, Rosa De Micco, Mario Cirillo, Luca Weis, Eleonora Fiorenzato, Roberta Biundo, Roxana G. Burciu, Florian Krismer, Nikolaus R. McFarland, Christoph Mueller, Elke R. Gizewski, Mirco Cosottini, Eleonora Del Prete, Sonia Mazzucchi, Aldo Quattrone |
| المساهمون: | Quattrone, A., Bianco, M. G., Antonini, A., Vaillancourt, D. E., Seppi, K., Ceravolo, R., Strafella, A. P., Tedeschi, G., Tessitore, A., Cilia, R., Morelli, M., Nigro, S., Vescio, B., Arcuri, P. P., De Micco, R., Cirillo, M., Weis, L., Fiorenzato, E., Biundo, R., Burciu, R. G., Krismer, F., Mcfarland, N. R., Mueller, C., Gizewski, E. R., Cosottini, M., Del Prete, E., Mazzucchi, S. |
| المصدر: | Movement disorders (Online) 37 (2022): 1272–1281. doi:10.1002/mds.28992 info:cnr-pdr/source/autori:Quattrone A.; Bianco M.G.; Antonini A.; Vaillancourt D.E.; Seppi K.; Ceravolo R.; Strafella A.P.; Tedeschi G; Tessitore A.; Cilia R.; Morelli M.; Nigro S.; Vescio B.; Arcuri P.P.; De Micco R.; Cirillo M.; Weis L.; Fiorenzato E.; Biundo R.; Burciu R.G.; Krismer F.; McFarland N.R.; Mueller C.; Gizewski E.R.; Cosottini M.; Del Prete E.; Mazzucchi S.; Quattrone A./titolo:Development and Validation of Automated Magnetic Resonance Parkinsonism Index 2.0 to Distinguish Progressive Supranuclear Palsy-Parkinsonism From Parkinson's Disease/doi:10.1002%2Fmds.28992/rivista:Movement disorders (Online)/anno:2022/pagina_da:1272/pagina_a:1281/intervallo_pagine:1272–1281/volume:37 |
| بيانات النشر: | Wiley, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Magnetic Resonance Spectroscopy, Parkinson's disease, Magnetic Resonance Parkinsonism Index 2.0, Parkinson Disease, automated MRI biomarker, progressive supranuclear palsy-parkinsonism, Magnetic Resonance Imaging, eye diseases, Diagnosis, Differential, Parkinsonian Disorders, Neurology, Humans, Paralysis, Supranuclear Palsy, Progressive, Neurology (clinical) |
| الوصف: | Background: Differentiating progressive supranuclear palsy-parkinsonism (PSP-P) from Parkinson's disease (PD) is clinically challenging. Objective: This study aimed to develop an automated Magnetic Resonance Parkinsonism Index 2.0 (MRPI 2.0) algorithm to distinguish PSP-P from PD and to validate its diagnostic performance in two large independent cohorts. Methods: We enrolled 676 participants: a training cohort (n=346; 43 PSP-P, 194 PD, and 109 control subjects) from our center and an independent testing cohort (n=330; 62 PSP-P, 171 PD, and 97 control subjects) from an international research group. We developed a new in-house algorithm for MRPI 2.0 calculation and assessed its performance in distinguishing PSP-P from PD and control subjects in both cohorts using receiver operating characteristic curves. Results: The automated MRPI 2.0 showed excellent performance in differentiating patients with PSP-P from patients with PD and control subjects both in the training cohort (area under the receiver operating characteristic curve [AUC]=0.93 [95% confidence interval, 0.89–0.98] and AUC=0.97 [0.93–1.00], respectively) and in the international testing cohort (PSP-P versus PD, AUC=0.92 [0.87–0.97]; PSP-P versus controls, AUC=0.94 [0.90–0.98]), suggesting the generalizability of the results. The automated MRPI 2.0 also accurately distinguished between PSP-P and PD in the early stage of the diseases (AUC=0.91 [0.84–0.97]). A strong correlation (r=0.91, P < 0.001) was found between automated and manual MRPI 2.0 values. Conclusions: Our study provides an automated, validated, and generalizable magnetic resonance biomarker to distinguish PSP-P from PD. The use of the automated MRPI 2.0 algorithm rather than manual measurements could be important to standardize measures in patients with PSP-P across centers, with a positive impact on multicenter studies and clinical trials involving patients from different geographic regions. © 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. |
| تدمد: | 1531-8257 0885-3185 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::17e16b259991f5d2c0d244bb037d42ac https://doi.org/10.1002/mds.28992 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....17e16b259991f5d2c0d244bb037d42ac |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15318257 08853185 |
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