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Evaluation of a Multimodal Neuroimaging Method for Diagnosis in Parkinsonian Syndromes

Not Applicable
Completed
Conditions
Parkinson's Disease
Multiple System Atrophy
Interventions
Other: MRI acquisition
Behavioral: behavioral evaluations
Registration Number
NCT02428816
Lead Sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Brief Summary

Based on previous promising results, the next step for the validation of a multimodal MRI method in diagnosis and follow up of patients reached by parkinsonian syndromes is (i) to test whether the multimodal neuroimaging is able to discriminate at the individual level, patients with multiple system atrophy parkinsonism (MSA) and patients with idiopathic Parkinson's disease (PD) (ii) to determine whether the method is sensitive to measure changes over time for the two diseases, according to imaging, neuropsychological and other clinical data. Patients will be compared with healthy controls.

Detailed Description

30 patients with PD, 30 patients with MSA and 30 healthy controls will be examined in a 3Tesla MRI.

The aim of our project is to demonstrate that our multimodal MRI method can discriminate both diseases with a similar clinical presentation and monitor the progress of the disease. CIC's expertise in recruitment and assessment of patients, and the powers of the INSERM U825 in terms of development and processing in neuroimaging guarantee the feasibility of the project and its successful completion.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
94
Inclusion Criteria
  • informed consent signed
  • right handed patients
  • Mini Mental Score > 22
  • no other neurological disease than Parkinson's Disease (PD) or Multiple System Atrophy (MSA)
  • non-demented patients reached by PD or MSA (according to diagnosis criteria from UK PD Brain Bank and from Gilman and colleagues, 1998, for PD and MSA respectively)
  • for PD patients only : Hoehn and Yahr score from 2 to 3
Exclusion Criteria
  • claustrophobia
  • contraindications to MRI (cardiac or auditive prothesis, pacemakers, cerebral clip, stimulating electrodes)
  • pregnant women
  • major neuropsychiatric disease
  • refusal to be informed in case of cerebral anomaly detected during MRI acquisition
  • uncompensated thyroid deficit

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlsMRI acquisition30 healthy controls will be submitted to an MRI acquisition and to behavioural evaluations in a sole visit
Patients with Parkinson's Diseasebehavioral evaluationsPatients with PD will be submitted to an MRI acquisition and to behavioural evaluations in each visits (two visits planned)
Patients with MSAbehavioral evaluationsPatients with MSA will be submitted to an MRI acquisition and to behavioural evaluations in each visits (two visits planned)
Controlsbehavioral evaluations30 healthy controls will be submitted to an MRI acquisition and to behavioural evaluations in a sole visit
Patients with Parkinson's DiseaseMRI acquisitionPatients with PD will be submitted to an MRI acquisition and to behavioural evaluations in each visits (two visits planned)
Patients with MSAMRI acquisitionPatients with MSA will be submitted to an MRI acquisition and to behavioural evaluations in each visits (two visits planned)
Primary Outcome Measures
NameTimeMethod
The primary outcome measure to discriminate individual patients and patients with MPI and AMS through multimodal MRI isolating multiparametric spatial signature resulting from a combination of markers in multimodal imaging.1 year
Secondary Outcome Measures
NameTimeMethod
correlate MP and MSA disease severity with extracted multimodal MRI biomarkers in whole brain1 year

Trial Locations

Locations (1)

Inserm Umr 825

🇫🇷

Toulouse, France

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