Longitudinal changes in cardiac mIBG scintigraphy in mild cognitive impairment with Lewy bodies
2024

Changes in Heart Imaging in Mild Cognitive Impairment with Lewy Bodies

Sample size: 8 publication Evidence: low

Author Information

Author(s): Gemma Greenfinch, Calum A. Hamilton, Paul C. Donaghy, Michael Firbank, Nicola A. Barnett, Louise Allan, George S. Petrides, John-Paul Taylor, John T. O'Brien, Alan J. Thomas

Primary Institution: Newcastle University Translational and Clinical Research Institute, Newcastle, UK

Hypothesis

Is there a significant change in cardiac mIBG uptake between baseline and follow-up in individuals with mild cognitive impairment with Lewy bodies who had normal baseline scans?

Conclusion

Some individuals with mild cognitive impairment with Lewy bodies show a small decline in cardiac mIBG uptake over time, but all follow-up scans remained normal.

Supporting Evidence

  • All eight participants had normal baseline scans and remained normal at follow-up.
  • Three participants showed a decrease in uptake greater than 10%.
  • The mean change in uptake was −5.2%.

Takeaway

The study looked at how heart scans changed over time in people with mild cognitive problems related to Lewy bodies, and found that while some showed a small decline, all their scans were still normal.

Methodology

Participants with mild cognitive impairment with Lewy bodies and normal baseline cardiac mIBG scans were rescanned after 2-4 years to assess changes in uptake.

Potential Biases

Potential bias due to the small sample size and exclusion of participants who progressed to dementia.

Limitations

The study had a small all-male sample and lacked definitive reference standards for Lewy body disease.

Participant Demographics

All participants were male, aged between 60 and 82 years.

Statistical Information

P-Value

0.22

Confidence Interval

95% confidence interval not specified

Statistical Significance

p=0.22

Digital Object Identifier (DOI)

10.1192/bjo.2024.766

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