The goal of this study is to evaluate the differences in functional physiopathology of the opioid and noradrenergic systems between Parkinson's patients with central pain and Parkinson's patients without central pain. Using PET-MRI data, investigators aim to observe opioids receptors availability using \[11C\]Carfentanil (µ opioid receptor agonist) and altered α2-AR density with \[11C\]Yohimbine (adrenergic α2 receptor antagonist).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
55
Recording of functional neuroimaging data will begin immediately after intravenous injection of \[11C\]Carfentanil and will last for 51 minutes in a resting state. The dose will be 250 MBq/kg +-10 %.
Recording of functional neuroimaging data will begin immediately after intravenous injection of \[11C\]Yohimbine and will last for 70 minutes in a resting state. The dose will be 370 MBq/kg +- 10 %.
Hôpital Neurologique Pierre Wertheimer
Bron, France
CHU de Clermont-Ferrand Hôpital Gabriel Montpied
Clermont-Ferrand, France
CHU de Toulouse - Hôpital Purpan
Toulouse, France
Difference between non-displaceable binding potential of radiotracer in brain region involved in pain
Differences between binding potential (BPND )of \[11C\]Carfentanil on the µ-opioid receptor and \[11C\]Yohimbine on α2-AR in PD-P and PD-NP patients
Time frame: At the time of PET-MRI scan at Day 75
Correlation between BPND of both tracer and pain intensity of parkinsonian patient
Correlation between BPND measured with the \[11C\]Carfentanil and the\[11C\]Yohimbine and the pain intensity of all PD patient measured with clinical scores
Time frame: At the time of PET-MRI scan at Day 75
Pain matrix area
Compare the resting functional connectivity in the pain matrix area (insula, pre frontal cortex, thalamus) between groups of patients with and without pain.
Time frame: At the time of PET-MRI scan at Day 75
ASL measure
Observation of the blood flow modification through ASL measure in the brain pain areas between PD-P and PD-NP patients
Time frame: At the time of PET-MRI scan at Day 75
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