[Interobserver agreement in the visual and semi-quantitative analysis of the 123I-FP-CIT SPECT images in the diagnosis of Parkinsonian syndrome]. / Concordancia interobservador en el análisis visual y semicuantitativo de las imágenes SPECT (123)I-FP-CIT en el diagnóstico del síndrome parkinsoniano.

AIMS: Using (123)I-FP-CIT SPECT images makes it possible to identify presynaptic deterioration of the dopaminergic pathway by studying the dopamine transporter (DAT). A correct analysis of the SPECT images contributes to an adequate interpretation and diagnosis of movement disorders. Aims: 1. To compare visual and semiquantitative analysis of (123)I-FP-CIT SPECT images in patients with movement disorders. 2. To evaluate interobserver agreement in visual and semiquantitative analysis. 3. To obtain a cut-off in the semiquantitative analysis to discriminate primary Parkinsonism Syndrome (PS) from non-primary PS. METHODS: A (123)I-FP-CIT SPECT was performed in 32 patients with movement disorders suggestive of primary PS. Visual and semiquantitative images analyses were performed independently by two nuclear medicine physicians. Visual analysis was based on the visual interpretation. Semiquantitative analysis was calculated as specific uptake (caudate, putamen and striatum) versus non-specific uptake (occipital). Sensitivity, specificity, PPV, and NPV were calculated. Data were compared using ANOVA test followed by Bonferroni post-hoc test. Interobserver agreement of the visual and semiquantitative analysis was assessed by intraclass correlation coefficient and Kappa statistics, respectively. ROC curve was generated with semiquantitative data. RESULTS: Visual analysis showed 86% sensitivity and 100-88% specificity for the differential diagnosis of primary PS from non-primary PS. Semiquantitative analysis showed a gradual hypo-uptake proportional to the disease severity obtained in the visual analysis. Semiquantitative analysis did not provide any additional information to the visual analysis. Intraclass correlation coefficient and Kappa statistics showed 0.92 and 0.80 values, respectively. The Cut-off value to differentiate primary PS from non-primary PS was 1.9 on the putamen index.

Ultrasound-assisted extraction for rapid determination of Zn, Cu, Fe, Mg and Mn in liver of diabetic rats under different antioxidant treatments.

The metabolism of several essential elements is altered in diabetes mellitus and these nutrients might have specific roles in the pathogenesis and progress of this disease, nevertheless, the mechanisms are still far from known. Variations in Zn, Cu, Fe, Mg and Mn in rat liver have been measured both in control and diabetic rats which have been given antioxidants (either synthetic or natural extracts) or a placebo. Classical contaminant and time-consuming digestion methods for sample pre-treatment have been substituted by ultrasound-assisted liquid extraction (USLE). The effect of several parameters was studied, the best results being obtained for: 0.2 g of sample in 10 mL 10% HNO(3) and 8 min of sonication with 19 kHz frequency. The complete analytical method was validated regarding linearity, precision, accuracy and limits of detection (LOD) and quantification (LOQ). Values for LOD ranged from 0.6 for Mn to 12.5 for Mg, and LOQ ranged from 1.8 for Mn and to 62.5 for Mg expressed as microg g(-1) in sample. Results showed an increase of all the metal assayed in the liver of diabetic rats as compared to controls. Nevertheless, when animals were treated either with antioxidants or Dunaliella extracts in a short term assay, Fe increase in liver of diabetic rats was lower than with the other treatments, while Rosmarinus (rosemary) extracts were the only treatment producing a decrease in Mn on diabetic rats.