Dementia and Movement Disorders

American Journal of Neuroradiology

Table 1:

Clinical condition: dementia and movement disorders

	MRI, Brain		CT, Head		PET, Brain	SPECT, Brain	MRS, Head	fMRI, Head
	Without Contrast	Without and With Contrast	Without Contrast	Without and With Contrast	PET, Brain	SPECT, Brain	MRS, Head	fMRI, Head
Probable AD	8	7	6	4	6^a	5^a	4	2^b
Possible AD	8	8	6	5	7^a	6^a	4	2
Suspected VaD or mixed VaD and AD^c	8	8	6	5	6^a	5^a	2	2
FTD	8	8	6	4	7^a	6^a	4	2
DLB	8	8	6	5	7^a	7^a	3	2
Suspected prion disease (CJD, iatrogenic CJD or vCJD)	8^d	8^d	6	5	5^a	5^a	5	2
Suspected NPH^e	8	8	6	5	N/A	N/A	3	N/A

Note:—MRI indicates MR imaging; MRS, MR spectroscopy; fMRI, functional MRI; NA, not applicable. Appropriateness criteria scale from 1 to 9; 1, least appropriate; 9, most appropriate.
^a For problem solving.
^b For research purposes.
^c MRA, head and/or neck; CT angiography, head and/or neck; and ultrasound, carotid, duplex = ratings of 6.
^d Includes DWI.
^e Cisternography = rating of 6.

Table 2:

Clinical condition: dementia and movement disorders (degenerative diseases of the extrapyramidal system)

	MRI, Brain		CT, Head		PET, Brain	SPECT, Brain	MRS, Head	fMRI, Head
	Without Contrast	Without and With Contrast	Without Contrast	Without and With Contrast	PET, Brain	SPECT, Brain	MRS, Head	fMRI, Head
Suspected HD	8	7	5	3	5^a	5^a	3	2
Clinical features suggestive of NBIA	8	7	5	4	3^a	3^a	3	3
Parkinson's disease: typical clinical features and responds to levodopa	7^a	7^a	6	5	6^a^,^b	6^a^,^c	3	2
PD syndrome: atypical clinical features not responsive to levodopa	8	7	5	4	6^a	6^a	3	2

Note:—MRI indicates MR imaging; MRS, MR spectroscopy; fMRI, functional MRI. Appropriateness criteria scale from 1 to 9; 1, least appropriate; 9, most appropriate.
^a For problem solving.
^b Dopa PET.
^c Specific ligand.

Table 3:

Clinical condition: dementia and movement disorders (degenerative diseases of the motor system)

	MRI, Brain		MRI, Spine		CT, Head		PET, Brain	SPECT, Brain
	Without Contrast	Without and With Contrast	Without Contrast	Without and With Contrast	Without Contrast	Without and With Contrast	PET, Brain	SPECT, Brain
Motor neuron disease^a	8	7	8^b	7^b	5	4	3^c	3^c

Note:—MRI indicates MR imaging. Appropriateness criteria scale from 1 to 9; 1, least appropriate; 9, most appropriate.
^a MR spectroscopy, head = rating of 3; functional MRI, head = rating of 2.
^b May need multilevel imaging.
^c For problem solving.