title: Structural and functional neuroimaging methods in the diagnosis of dementias: a retrospective chart and brain imaging review.
abstract: OBJECTIVE
  Assess the contribution of structural and functional neuroimaging methods to the diagnosis of dementia.
  
  
  METHODS
  This was a retrospective chart and imaging review. Participants were 24 inpatient dementia cases from a general hospital-based, university medical psychiatry unit. Data from clinical charts and imaging results were reviewed.
  
  
  RESULTS
  Most common initial diagnoses were dementia NOS and vascular dementia (VD); most common discharge diagnoses were VD, Alzheimer's, Dementia NOS and dementia with Lewy bodies. Most diagnostic changes occurred following family meetings or SPECT/PET, with fewer changes after CT/MRI.
  
  
  CONCLUSIONS
  Diagnostic steps that contributed the most to the final diagnosis were the family meeting and the functional neuroimaging evaluation.
authors: Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Warren 1220/Blake 11, Boston, MA 02144, USA. ktanev@partners.org
authors: Kaloyan
authors: K
authors: Tanev
authors: Marylin
authors: M
authors: Sablosky
authors: John
authors: J
authors: Vento
authors: Donal
authors: D
authors: O'Hanlon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001931:Brain Mapping; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology; D003704:Dementia / Q000145:classification / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000209:etiology; D008875:Middle Aged; D009422:Nervous System Diseases / Q000175:diagnosis / Q000209:etiology; D059906:Neuroimaging / Q000145:classification / Q000379:methods*; D009460:Neurologic Examination; D012189:Retrospective Studies