Patients with Parkinson's disease (PD) often display symptoms, such as constipation, due to denervation of the cholinergic nerves in the gut. It has been hypothesized that PD initiates in the gut years prior to diagnosis. To gain a detailed understanding of the early stages of PD, techniques for quantification of cholinergic nerves are needed. The PET tracer 18F-FEOBV binds specifically to the vesicular acetylcholine transporter, situated in presynaptic cholinergic nerve terminals. The investigators will investigate 18F-FEOBV uptake in the brain and internal organs of 15 patients with moderate-stage PD and compare to 15 healthy controls. Furthermore, findings are correlated to validated clinical tests of the autonomic nervous system. The aim is to validate 18F-FEOBV PET/CT as a clinical imaging modality to diagnose parasympathetic denervation in PD.
Study Type
OBSERVATIONAL
Enrollment
30
Aarhus University Hospital
Aarhus, Region Midt, Denmark
Density of vesicular acetylcholine transporter
Average density will be determined in each group for intestine, pancreas, suprarenal gland, heart and relevant areas of the brain. Group differences will be calculated
Time frame: Day 1
Correlation to measurements of gastrointestinal denervation
Density of vesicular acetylcholine transporter will be correlated to symptoms of gastrointestinal autonomic denervation (constipation, gastroparesis).
Time frame: Day 1
Correlation to measurements of dysautonomia
Density of vesicular acetylcholine transporter will be correlated to measurements of dysautonomia (orthostatic hypotension, colon transit time)
Time frame: Day 1
Correlation to measurements of neuropsychological tests
Cerebral density of vesicular acetylcholine transporter is correlated with neuropsychological test scores.
Time frame: Day 1
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