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Utility of perfusion PET measures to assess neuronal injury in Alzheimer's disease

Joseph-Mathurin, N; Su, Y; Blazey, TM; Jasielec, M; Vlassenko, A; Friedrichsen, K; Gordon, BA; ... Benzinger, TLS; + view all (2018) Utility of perfusion PET measures to assess neuronal injury in Alzheimer's disease. Alzheimer's & Dementia : Diagnosis, Assessment & Disease Monitoring , 10 pp. 669-677. 10.1016/j.dadm.2018.08.012. Green open access

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Abstract

INTRODUCTION: 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) is commonly used to estimate neuronal injury in Alzheimer's disease (AD). Here, we evaluate the utility of dynamic PET measures of perfusion using 11C-Pittsburgh compound B (PiB) to estimate neuronal injury in comparison to FDG PET. METHODS: FDG, early frames of PiB images, and relative PiB delivery rate constants (PiB-R1) were obtained from 110 participants from the Dominantly Inherited Alzheimer Network. Voxelwise, regional cross-sectional, and longitudinal analyses were done to evaluate the correlation between images and estimate the relationship of the imaging biomarkers with estimated time to disease progression based on family history. RESULTS: Metabolism and perfusion images were spatially correlated. Regional PiB-R1 values and FDG, but not early frames of PiB images, significantly decreased in the mutation carriers with estimated year to onset and with increasing dementia severity. DISCUSSION: Hypometabolism estimated by PiB-R1 may provide a measure of brain perfusion without increasing radiation exposure.

Type: Article
Title: Utility of perfusion PET measures to assess neuronal injury in Alzheimer's disease
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.dadm.2018.08.012
Language: English
Additional information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Alzheimer's disease, Neuronal injury, Perfusion, FDG, PiB
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10061480
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