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缩短的嗅觉测试在先发性帕金森病中的预测价值
Pavan A Vaswani1,2, James F Morley3,4, Danna Jennings5
1Parkinson's Disease Research, Education and Clinical Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA. pavan.vaswani@pennmedicine.upenn.edu.
NPJ Parkinson's disease
|June 29, 2023
概括
使用宾夕法尼亚大学嗅觉识别测试 (UPSIT) 的子集进行的嗅觉测试没有比完整的测试更好地预测帕金森病 (PD) 的转化. 较短的嗅觉测试对于早期发现帕金森病缺乏卓越的诊断价值.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 嗅觉研究 嗅觉研究
背景情况:
- 嗅觉功能障碍是帕金森病 (PD) 的常见非运动症状.
- 关于特定的气味障碍和PD嗅觉测试的诊断实用性存在分歧.
- 来自宾夕法尼亚大学气味识别测试 (UPSIT) 的选定气味子集的PD转换的预测值需要验证.
研究的目的:
- 验证UPSIT拟议的气味子集,用于预测在一个独立的前性队列中转化为帕金森病 (PD).
- 评估特定的嗅觉障碍是否表明早期的PD.
- 为了比较全 UPSIT 的诊断准确度与更短,商业可用的气味识别测试.
主要方法:
- 利用了帕金森风险研究的229名参与者的数据,并使用了基线UPSIT测试.
- 通过长达12年的临床和成像评估,跟踪转化为PD.
- 分析了完整的UPSIT和之前提出的"PD特定"气味子集的预测性能.
主要成果:
- 没有商用或拟议的UPSIT气味子集在PD转换方面表现出优异的预测价值,而不是40项UPSIT.
- 调查的"PD特定"子集在预测转换方面表现不比机会更好.
- 在帕金森病中没有发现选择性嗅觉障碍的证据.
结论:
- 通过更短的气味识别测试或预测帕金森病转换的特定子集,完全的UPSIT的性能并没有被超越.
- 较短的嗅觉测试可能会提供方便和成本效益,但不会提高PD早期检测的诊断准确性.
- 目前的证据不支持使用特定的嗅觉子集来改善帕金森病的诊断或预测.
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