Dual-phase F-18-florbetaben PET provides cerebral perfusion proxy along with beta-amyloid burden in Alzheimer's disease
- 주제(키워드) F-18-florbetaben , Positron emission tomography , Dual-phase , R1 , Alzheimer's disease
- 주제(기타) Neuroimaging
- 설명문(일반) [Yoon, Hai-Jeon; Kim, Bom Sahn] Ewha Womans Univ, Sch Med, Dept Nucl Med, 911-1 Mok Dong, Seoul 158710, South Korea; [Jeong, Jee Hyang; Kim, Geon Ha; Park, Hee Kyung; Chun, Min Young] Ewha Womans Univ, Dept Neurol, Sch Med, Seoul, South Korea; [Park, Hee Kyung] UCL, Dept Mental Hlth Care Older People, Div Psychiat, London, England; [Ha, Seunggyun] Catholic Univ Korea, Coll Med, Dept Radiol, Div Nucl Med,Seoul St Marys Hosp, Seoul, South Korea
- 관리정보기술 faculty
- 등재 SCIE, SCOPUS
- 발행기관 ELSEVIER SCI LTD
- 발행년도 2021
- URI http://www.dcollection.net/handler/ewha/000000183483
- 본문언어 영어
- Published As http://dx.doi.org/10.1016/j.nicl.2021.102773
초록/요약
Background: This study investigated changes in brain perfusion and A beta burden according to the progression of Alzheimer's disease (AD) by using a dual-phase 18F-florbetaben (FBB) PET protocol. Methods: Sixty subjects, including 12 with A beta-negative normal cognition (A beta-NC), 32 with A beta-positive mild cognitive impairment (A beta+MCI), and 16 with A beta-positive AD (A beta+AD), were enrolled. A dynamic PET scan was obtained in the early phase (0-10 min, eFBB) and delayed phase (90-110 min, dFBB), which were then averaged into a single frame, respectively. In addition to the averaged eFBB, an R1 parametric map was calculated from the eFBB scan based on a simplified reference tissue model (SRTM). Between-group regional and voxel-wise analyses of the images were performed. The associations between cognitive profiles and PET-derived parameters were investigated. Results: Both the R1 and eFBB perfusion reductions in the cortical regions were not significantly different between the A beta-NC and A beta+MCI groups, while they were significantly reduced from the A beta+MCI to A beta+AD groups in regional and voxel-wise analyses. However, cortical A beta depositions on dFBB were not significantly different between the A beta+MCI and A beta+AD groups. There were strong positive correlations between the R1 and eFBB images in regional and voxel-wise analyses. Both perfusion components showed significant correlations with general and specific cognitive profiles. Conclusion: The results of this study demonstrated the feasibility of dual-phase 18F-FBB PET to evaluate different trajectories of dual biomarkers for neurodegeneration and A beta burden over the course of AD. In addition, both eFBB and SRTM-based R1 can provide robust indices of brain perfusion.
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