Table 2. Comparison of the diagnostic sensitivity of the vacuolation profile, IHC, and sandwich CDI for the detection of PrPSc in different anatomical areas of fCJD brains.
| Vacuoles
|
IHC
|
CDI
|
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Positive*
|
Score†
|
Positive*
|
Score
|
Positive*
|
D–N, cpm × 10-5
|
|||||||
| Anatomical Area | n+ | % | Mean | S.D. | n+ | % | Mean | S.D. | n+ | % | Mean | S.D. |
| Frontal cortex | 2 | 100 | 20.0 | 14.1 | 2 | 100 | 1.0 | 0.7 | 2 | 100 | 37.0 | 8.7 |
| Entorhinal area | 1 | 50 | 2.5 | 3.5 | 2 | 100 | 1.5 | 0.7 | 2 | 100 | 16.0 | 4.5 |
| Parietal cortex | 2 | 100 | 10.0 | 0.0 | 2 | 100 | 1.5 | 0.7 | 2 | 100 | 35.0 | 17.0 |
| Temporal cortex | 2 | 100 | 10.0 | 2.8 | 2 | 100 | 2.0 | 0.0 | 2 | 100 | 16.0 | 6.3 |
| Hippocampus | 0 | 0 | 0.0 | 0.0 | 2 | 100 | 1.5 | 0.7 | 2 | 100 | 41.0 | 11.0 |
| Amygdala | 0 | 0 | 0.0 | 0.0 | 1 | 50 | 1.0 | 1.4 | 2 | 100 | 25.0 | 23.0 |
| Occipital cortex | 2 | 100 | 13.0 | 9.9 | 2 | 100 | 2.5 | 0.7 | 2 | 100 | 27.0 | 14.0 |
| Sulcus cingulate | 2 | 100 | 25.0 | 7.1 | 2 | 100 | 1.0 | 0.0 | 2 | 100 | 28.0 | 14.0 |
| Gyrus dentate | 0 | 0 | 0.0 | 0.0 | 0 | 0 | 0.0 | 0.0 | 2 | 100 | 5.0 | 3.8 |
| Insula | 0 | 0 | 0.0 | 0.0 | 1 | 50 | 0.5 | 0.7 | 2 | 100 | 35.0 | 7.2 |
| Thalamus | 2 | 100 | 25.0 | 7.1 | 2 | 100 | 2.5 | 0.7 | 2 | 100 | 23.0 | 16.0 |
| Nucleus caudate | 2 | 100 | 60.0 | 28.3 | 1 | 50 | 1.0 | 0.0 | 2 | 100 | 48.0 | 7.8 |
| Globus pallidus | 2 | 100 | 7.5 | 10.6 | 2 | 100 | 1.0 | 0.7 | 2 | 100 | 19.0 | 0.4 |
| Putamen | 2 | 100 | 35.0 | 7.1 | 1 | 50 | 0.5 | 0.7 | 2 | 100 | 37.0 | 1.6 |
| Midbrain | 1 | 50 | 3.5 | 5.0 | 1 | 50 | 0.5 | 0.7 | 2 | 100 | 37.0 | 15.0 |
| Pons | 0 | 0 | 0.0 | 0.0 | 1 | 50 | 0.5 | 0.7 | 2 | 100 | 3.2 | 1.7 |
| Medulla | 1 | 50 | 4.0 | 7.5 | 1 | 50 | 0.5 | 0.7 | 2 | 100 | 8.8 | 2.4 |
| Cerebellum | 1 | 50 | 5.0 | 7.1 | 1 | 50 | 1.5 | 2.2 | 2 | 100 | 25.0 | 21.0 |
Adjacent sections from two fCJD(E200K) patients were analyzed in parallel by all three methods.
n+, number of samples with positive diagnosis of two samples examined. Percentages are based on two samples
Vacuolation scores are the percentage area of gray matter occupied by vacuoles, determined by the visual estimation of a single rater (S.J.D.)