Treatment monitoring and response prediction with proton MR spectroscopy in AD

被引:60
作者
Jessen, F.
Traeber, F.
Freymann, K.
Maier, W.
Schild, H. H.
Block, W.
机构
[1] Univ Bonn, Dept Psychiat, D-53105 Bonn, Germany
[2] Univ Bonn, Dept Radiol, D-53105 Bonn, Germany
关键词
D O I
10.1212/01.wnl.0000228218.68451.31
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In this proton magnetic resonance spectroscopy ( H-1-MRS) study, the authors correlated cognitive improvement after 3 months of treatment with donepezil with changes of N-acetylaspartate ( NAA) level and NAA/Creatine ( Cr) ratio in the medial temporal and parietal lobe of 17 patients with Alzheimer disease. Treatment response was associated with an increase of NAA and NAA/Cr in the parietal lobe. Low baseline NAA/Cr in the parietal lobe predicted positive treatment outcome.
引用
收藏
页码:528 / 530
页数:3
相关论文
共 7 条
[1]   N-Acetylaspartate:: a literature review of animal research on brain ischaemia [J].
Demougeot, C ;
Marie, C ;
Giroud, M ;
Beley, A .
JOURNAL OF NEUROCHEMISTRY, 2004, 90 (04) :776-783
[2]   Quantification of brain metabolites in amyotrophic lateral sclerosis by localized proton magnetic resonance spectroscopy [J].
Gredal, O ;
Rosenbaum, S ;
Topp, S ;
Karlsborg, M ;
Strange, P ;
Werdelin, L .
NEUROLOGY, 1997, 48 (04) :878-881
[3]   Randomized, placebo-controlled trial of the effects of donepezil on neuronal markers and hippocampal volumes in Alzheimer's disease [J].
Krishnan, KRR ;
Charles, HC ;
Doraiswamy, PM ;
Mintzer, J ;
Weisler, R ;
Yu, X ;
Perdomo, C ;
Ieni, JR ;
Rogers, S .
AMERICAN JOURNAL OF PSYCHIATRY, 2003, 160 (11) :2003-2011
[4]   The cholinergic lesion of Alzheimer's disease: Pivotal factor or side show? [J].
Mesulam, M .
LEARNING & MEMORY, 2004, 11 (01) :43-49
[5]   Changes in cortical acetyl-CoA metabolism after selective basal forebrain cholinergic degeneration by 192IgG-saporin [J].
Tomaszewicz, M ;
Rossner, S ;
Schliebs, R ;
Cwikowska, J ;
Szutowicz, A .
JOURNAL OF NEUROCHEMISTRY, 2003, 87 (02) :318-324
[6]  
TRABEFER F, 2006, IN PRESS EUR RADIOL
[7]   Donepezil for the symptomatic treatment of patients with mild to moderate Alzheimer's disease: a meta-analysis of individual patient data from randomised controlled trials [J].
Whitehead, A ;
Perdomo, C ;
Pratt, RD ;
Birks, J ;
Wilcock, GK ;
Evans, JG .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2004, 19 (07) :624-633