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Efficiency of (123)I-ioflupane SPECT as the marker of basal ganglia damage in acute methanol poisoning: 6-year prospective study

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11510%2F21%3A10421941" target="_blank" >RIV/00216208:11510/21:10421941 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11110/21:10421941 RIV/00064165:_____/21:10421941

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=nP~Tyekd._" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=nP~Tyekd._</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1080/15563650.2020.1802033" target="_blank" >10.1080/15563650.2020.1802033</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Efficiency of (123)I-ioflupane SPECT as the marker of basal ganglia damage in acute methanol poisoning: 6-year prospective study

  • Original language description

    Context: Investigate whether 123I-ioflupane SPECT (DaT SPECT) has the potential as a marker of basal ganglia damage in acute methanol poisoning. Methods: Prospective, single-centre, cohort study of patients with confirmed methanol poisoning was conducted. DaT SPECT was performed twice with semi-quantification using DaTQUANTTM and MRI-based volumetry was calculated. Specific binding ratios (SBR) of striatum, caudate nucleus, and putamen were correlated with laboratory parameters of outcome, volumetric data, and retinal nerve fibres layer (RNFL) thickness measurements. Results: Forty-two patients (mean age 46.3 +- 4.2 years; 8 females), including 15 with MRI-detected putamen lesions (group I) and 27 patients with intact putamen (group II), underwent DaT SPECT. Volumetry was calculated in 35 of the patients assessed. SBR values for the left putamen correlated with putamen volume (r = 0.665; p &lt; 0.001). Decreased bilateral SBR values were determined for the striatum and the putamen, but not for the nucleus caudate, in group I (p &lt; 0.05). Significant correlation was observed between the SBR of the posterior putamen and arterial blood pH (r = 0.574; p &lt; 0.001) and other toxicological parameters of severity of poisoning/outcome including serum lactate, glucose, and creatinine concentrations (p &lt; 0.05). The SBR of the posterior putamen positively correlated with the global RNFL thickness (p &lt; 0.05). ROC analysis demonstrated a significant discriminatory ability of SBR of the posterior putamen with AUC = 0.753 (95%CI 0.604-0.902; p = 0.007). The multivariate regression model demonstrated that arterial blood pH, age, and gender were the most significant factors associated with SBR of the posterior putamen. Conclusion: DaT SPECT demonstrates significant potential for the diagnosis of methanol-induced basal ganglia damage.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30104 - Pharmacology and pharmacy

Result continuities

  • Project

    <a href="/en/project/NV16-27075A" target="_blank" >NV16-27075A: NEURODEGENERATIVE PROCESSES IN PATIENTS EXPOSED TO METHANOL: PROSPECTIVE STUDY AFTER CZECH MASS METHANOL POISONING OUTBREAK IN 2012</a><br>

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2021

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Clinical Toxicology

  • ISSN

    1556-3650

  • e-ISSN

  • Volume of the periodical

    59

  • Issue of the periodical within the volume

    3

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    11

  • Pages from-to

    235-245

  • UT code for WoS article

    000557586300001

  • EID of the result in the Scopus database

    2-s2.0-85089178736