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PET and SPECT in Psychiatric Complications of Parkinson’s Disease

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Abstract

The psychiatric complications of Parkinson’s disease (PD) are a source of additional disability and greatly reduce the quality of life of both the patients and the caregivers. Depression, psychosis, impulse control disorders, and other comorbid psychiatric disorders in PD may result from both intrinsic disease-related and iatrogenic treatment-related factors. Functional neuroimaging with PET and SPECT, with tracers for monoamine transmitters, glucose metabolism, and cerebral blood flow, has been used to reveal neuropathophysiological processes underlying specific psychiatric complications of PD. This chapter covers the current knowledge concerning brain PET and SPECT imaging in the psychiatric complications of PD, with a particular focus on the dopaminergic system.

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Abbreviations

BDI:

Beck Depression Inventory

CNS:

Central nervous system

DAT:

Dopamine transporter

ECD:

[99mTc]ethyl-cysteinate-dimer-bicisate

FDOPA:

6-[18F]fluoro-L-dopa

MADRS:

Montgomery-Åsberg Depression Rating Scale

PD:

Parkinson’s disease

PET:

Positron emission tomography

rCBF:

Regional cerebral blood flow

ROI:

Region of interest

SERT:

Serotonin transporter

SPECT:

Single photon emission computed tomography

SPM:

Statistical parametric mapping

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Authors and Affiliations

  1. Division of Clinical Neurosciences and Turku PET Centre, University of Turku and Turku University Hospital, 52, FIN-20521, Turku, Finland

    Valtteri Kaasinen

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  1. Valtteri Kaasinen
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Editors and Affiliations

  1. Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, Groningen, The Netherlands

    Rudi A.J.O. Dierckx

  2. Faculty of Electrical Engineering and Information Technology, University of Applied Sciences Offenburg, Offenburg, Germany

    Andreas Otte

  3. Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, Groningen, The Netherlands

    Erik F. J. de Vries

  4. Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, Groningen, The Netherlands

    Aren van Waarde

  5. Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen (UMCG), Groningen, The Netherlands

    Johan A. den Boer

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Kaasinen, V. (2014). PET and SPECT in Psychiatric Complications of Parkinson’s Disease. In: Dierckx, R., Otte, A., de Vries, E., van Waarde, A., den Boer, J. (eds) PET and SPECT in Psychiatry. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40384-2_10

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