IC‐02‐02: Distinct [18F]AV1451 retention patterns in clinical variants of Alzheimer's disease
Year: 2015
Type: article
Study design: Observational Study
Abstract: To describe preliminary findings applying the putative tau PET ligand [F]AV1451 (formerly named T807) in clinical variants of Alzheimer's disease (AD) and to compare the regional specificity of [F]AV1451 to that of [C]PIB (measure of amyloid pathology) and [F]FDG (glucose metabolism) PET. PET scans were performed in 5 posterior cortical atrophy (PCA), 4 logopenic variant primary progressive aphasia (lvPPA), 1 early-onset AD and 2 (memory-predominant) late-onset AD patients (all PIB+) and in 19 cognitively normal controls (Table 1). We created SUVr images for [F]AV1451 (80-100 minutes, gray matter cerebellum as reference region) and [F]FDG (30-60 minutes, pons-normalized), and DVR images for [C]PIB (0-90 minutes, gray matter cerebellum as reference region). We visually assessed [F]AV1451, [C]PIB and [F]FDG uptake patterns in 3 distinct AD variants, and performed voxel-wise contrasts (in SPM) between PCA patients and controls. Figure 1 shows asymmetric [F]AV1451 uptake in parietal, temporal and frontal regions (left>right) in a patient with lvPPA, a classical temporoparietal pattern in a patient with memory-predominant AD, and mainly occipitotemporal and occipitoparietal involvement in a PCA patient. [F]AV1451 and [F]FDG appeared strikingly as mirror images, with regions of high [F]AV1451 uptake corresponding to low [F]FDG uptake and vice versa, while [C]PIB binding was observed throughout the association neocortex. Voxelwise contrasts with [F]AV1451 and [F]FDG showed that PCA patients significantly differed from controls in clinically affected posterior brain regions, while [C]PIB binding was greater in both posterior regions and in clinically less affected anterior regions (Figure 2).
Source: Alzheimer s & Dementia
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2255989048
