Evidence map›Paper›PMID 35588012›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2022

Decoding the dopamine transporter imaging for the differential diagnosis of parkinsonism using deep learning.

Yu Zhao, Ping Wu, Jianjun Wu, Matthias Brendel, Jiaying Lu, Jingjie Ge, Chunmeng Tang, Jimin Hong, Qian Xu, Fengtao Liu and 11 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  7. The role of neuro-imaging in multiple system atrophy.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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  13. Baseline [NPJ Parkinson's disease · 2025
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  15. Dopaminergic PET to SPECT domain adaptation: a cycle GAN translation approach.European journal of nuclear medicine and molecular imaging · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 9 institutions in 4 countries.

Yu Zhao *Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern , Bern, Switzerland.
Ping WuPET Center, Huashan Hospital, Fudan University, No 518, East Wuzhong Road, Xuhui District, Shanghai, China. wupingpet@fudan.edu.cn.
Jianjun Wu *National Center for Neurological Disorders & National Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Matthias BrendelDepartment of Nuclear Medicine, University of Munich, Munich, Germany.
Jiaying LuPET Center, Huashan Hospital, Fudan University, No 518, East Wuzhong Road, Xuhui District, Shanghai, China.
Jingjie GePET Center, Huashan Hospital, Fudan University, No 518, East Wuzhong Road, Xuhui District, Shanghai, China.
Chunmeng TangDepartment of Informatics, Technische Universität München, Munich, Germany.
Jimin HongDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern , Bern, Switzerland.
Qian XuPET Center, Huashan Hospital, Fudan University, No 518, East Wuzhong Road, Xuhui District, Shanghai, China.
Fengtao LiuDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Yimin SunDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Zizhao JuPET Center, Huashan Hospital, Fudan University, No 518, East Wuzhong Road, Xuhui District, Shanghai, China.
Huamei LinPET Center, Huashan Hospital, Fudan University, No 518, East Wuzhong Road, Xuhui District, Shanghai, China.
Yihui GuanPET Center, Huashan Hospital, Fudan University, No 518, East Wuzhong Road, Xuhui District, Shanghai, China.
Claudio BassettiDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Markus SchwaigerKlinikum R. d. Isar, Technische Universität München, Munich, Germany.
Sung-Cheng HuangDepartment of Molecular & Medical Pharmacology, University of California, Los Angeles, CA, USA.
Axel RomingerDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern , Bern, Switzerland.
Jian WangNational Center for Neurological Disorders & National Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Chuantao ZuoPET Center, Huashan Hospital, Fudan University, No 518, East Wuzhong Road, Xuhui District, Shanghai, China. zuochuantao@fudan.edu.cn.
Kuangyu ShiDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern , Bern, Switzerland.
Fudan University · CNHuashan Hospital · CNTechnical University of Munich · DEUniversity of Bern · CHKlinikum rechts der Isar · DELudwig-Maximilians-Universität München · DETencent (China) · CNUniversity Hospital of Bern · CHUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis work attempts to decode the discriminative information in dopamine transporter (DAT) imaging using deep learning for the differential diagnosis of parkinsonism.

methodsThis study involved 1017 subjects who underwent DAT PET imaging ([

resultsThe proposed network achieved area under the curve of 0.953 (sensitivity 87.7%, specificity 93.2%), 0.948 (sensitivity 93.7%, specificity 97.5%), and 0.900 (sensitivity 81.5%, specificity 93.7%) in the cross-validation, together with sensitivity of 90.7%, 84.1%, 78.6% and specificity of 88.4%, 97.5% 93.3% in the blind test for the differential diagnosis of IPD, MSA and PSP, respectively. The saliency map demonstrated the most contributed areas determining the diagnosis located at parkinsonism-related regions, e.g., putamen, caudate and midbrain. The deep-learning-guided binding ratios showed significant differences among IPD, MSA and PSP groups (P < 0.001), while the conventional putamen and caudate binding ratios had no significant difference between IPD and MSA (P = 0.24 and P = 0.30). Furthermore, compared to conventional radiomics features, there existed average above 78.1% more deep-learning-guided radiomics features that had significant differences among IPD, MSA and PSP.

conclusionThis study suggested the developed deep neural network can decode in-depth information from DAT and showed potential to assist the differential diagnosis of parkinsonism. The functional regions supporting the diagnosis decision were generally consistent with known parkinsonian pathology but provided more specific guidance for feature selection and quantitative analysis.

Indexed as

Deep LearningMultiple System AtrophyParkinson DiseaseParkinsonian DisordersBrainDiagnosis, DifferentialDopamine Plasma Membrane Transport ProteinsHumansPositron-Emission TomographyDopamine Plasma Membrane Transport ProteinsAtypical parkinsonian syndromeDeep neural networkDifferential diagnosisDopamine transporter imagingParkinson’s disease

Identifiers

PMID35588012
PMCPMC9206631
OpenAlexW4280580630

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.