Table 3.
Identifying 100 at risk individuals: Impact of targeting high-risk groups for a two-stage screening approach using olfactory testing followed by dopamine transporter imaging. The table shows the number of individuals that would need to be screened based on 4 possible target populations to identify 100 subjects with abnormal imaging. The incidence rates are drawn from the literature for the general population,92 1st degree relatives of PD patients,93 1st degree relatives of known LRRK2 carriers47 and patients diagnosed with RBD.11 The primary screen (olfactory testing) is assumed to be 80% sensitive and 90% specific when applied within three years of disease onset.
Population | PD incidence (cases/100,000 person-yrs) | Subjects to screen to identify 100 at risk | Number of PET/SPECT scans required | Percent of positive scans |
---|---|---|---|---|
general population | 40 | 104,156 | 10,503 | 1% |
1st degree relatives of PD patients | 120 | 34,719 | 3,559 | 3% |
1st degree relatives of LRRK2 carriers | 1,000 | 4,166 | 504 | 20% |
Diagnosed with RBD | 4,000 | 1,042 | 192 | 52% |