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Neuroimaging Assessment of Nigrosome 1 with a Multiecho Gre Magnetic Resonance Sequence in the Differentiation Between Parkinson’s Disease from Essential Tremor and Healthy Individuals Cover

Neuroimaging Assessment of Nigrosome 1 with a Multiecho Gre Magnetic Resonance Sequence in the Differentiation Between Parkinson’s Disease from Essential Tremor and Healthy Individuals

Open Access
|May 2021

Figures & Tables

Table 1

Clinical and demographic characteristics of patients and controls.

N (%)PD N = 38 (54,28%)ET N = 11(15,72%)HC N = 21(30%)
Mean Age60.466.559.1
Male (%)23 (62.5%)7 (63.6%)6 (28.6%)
Female (%)15 (37.5%)4 (36.4%)15 (71.4%)
Mean disease duration (in years)8.515.1
First-degree family history of tremor, dementia or parkinsonism7 (18.42%)4 (36.4%)4 (19.0%)

[i] HC: Healthy Controls, ET: Essential Tremor, PD: Parkinson Disease, N: numbers.

tohm-11-1-604-g1.png
Figure 1

Axial Mecho 3T MRI, 51-year-old male with Parkinson Disease and 5 years of disease. Bilateral Absence of N1 (arrows).

tohm-11-1-604-g2.png
Figure 2

Axial Mecho o 3T, 63-year-old female with essential tremor and 26 years of disease. Bilateral presence of N1 (arrows).

tohm-11-1-604-g3.png
Figure 3

Axial Mecho 3T, 43-year-old female without neurological disease (healthy control). Bilateral presence of N1 (arrows).

Table 2

Sensitivity, Specificity, Positive Predictive Value (PPV) and Negative Predictive Value (NPV) of the Nigrosome 1 sign in the diagnosis of idiopathic Parkinson’s Disease (PD), Healthy Controls (HC) and Essential Tremor (ET).

C.I: Confidence Interval, HC: Healthy Controls, ET: Essential Tremor, PD: Parkinson Disease, N: numbers, OR: odds ratio.

PD × HCPD × ETET × HC
Sensitivity (95% C.I)100%82% (75%-89%)18% (11%-25%)
Specificity (95% C.I)95% (93%–97%)100%95% (93–97%)
PPV (95% C.I)97% (97%–98%)100%67% (36–97%)
NPV (95% C.I)100%95% (94%-96%)69% (66–72%)
Accuracy (95% C.I)98% (98%-99%)96% (95%-97%)69% (66–72%
Chi Squarep ≤ 0.001p = 0.047p ≤ 0.001
OR39.005.229.09
DOI: https://doi.org/10.5334/tohm.604 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jan 29, 2021
Accepted on: Apr 10, 2021
Published on: May 18, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Gabriel Henrique Almeida Antonio Bienes, Caroline de Pietro Franco Zorzenon, Ernesto Duarte Alves, Luís Antônio Tobaru Tibana, Vanderci Borges, Henrique Carrete Junior, Henrique Ballalai Ferraz, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.