[18F]-D3FSP β-amyloid PET imaging in older adults and alzheimer's disease.

Purpose: [18F]-D3FSP is a new β-amyloid (Aβ) PET imaging tracer designed to decrease nonspecific signals in the brain by reducing the formation of the N-demethylated product. However, its optimal reference region for calculating the standardized uptake value ratio (SUVR) and its relation to the well...

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Publicado en:European Journal of Nuclear Medicine & Molecular Imaging Vol. 51; no. 13; pp. 3990 - 4001
Autores principales: Li, Anqi, Zhao, Ruiyue, Zhang, Mingkai, Sun, Pan, Cai, Yue, Zhu, Lin, Kung, Hank, Han, Ying, Wang, Xinlu, Guo, Tengfei
Formato: Journal Article
Publicado: Springer Nature Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
      vid: 51
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      pub: Springer Nature
      place: New York, New York
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        178311933
        10.1007/s00259-024-06835-2
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        atl: [18F]-D3FSP β-amyloid PET imaging in older adults and alzheimer's disease.
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        au:
          Li, Anqi
          Zhao, Ruiyue
          Zhang, Mingkai
          Sun, Pan
          Cai, Yue
          Zhu, Lin
          Kung, Hank
          Han, Ying
          Wang, Xinlu
          Guo, Tengfei
        affil: https://ror.org/00sdcjz77 Institute of Biomedical Engineering, Shenzhen Bay Laboratory, No.5 Kelian Road, 518132, Shenzhen, China
      sug:
      ab: Purpose: [18F]-D3FSP is a new β-amyloid (Aβ) PET imaging tracer designed to decrease nonspecific signals in the brain by reducing the formation of the N-demethylated product. However, its optimal reference region for calculating the standardized uptake value ratio (SUVR) and its relation to the well-established biomarkers of Alzheimer's disease (AD) are still unclear. Methods: We recruited 203 participants from the Greater Bay Area Healthy Aging Brain Study (GHABS) to undergo [18F]-D3FSP Aβ PET imaging. We analyzed plasma Aβ42/Aβ40, p-Tau181, glial fibrillary acidic protein (GFAP), and neurofilament light (NfL) using the Simoa platform. We compared the standardized uptake value (SUV) of five reference regions (cerebellum, cerebellum cortex, brainstem/PONs, white matter, composite of the four regions above) and AD typical cortical region (COMPOSITE) SUVR among different clinical groups. The association of D3FSP SUVR with plasma biomarkers, imaging biomarkers, and cognition was also investigated. Results: Brainstem/PONs SUV showed the lowest fluctuation across diagnostic groups, and COMPOSITE D3FSP SUVR had an enormous effect distinguishing cognitively impaired (CI) individuals from cognitively unimpaired (CU) individuals. COMPOSITE SUVR (Referred to brainstem/PONs) was positively correlated with p-Tau181 (p < 0.001), GFAP (p < 0.001), NfL (p = 0.014) in plasma and temporal-metaROI tau deposition (p < 0.001), and negatively related to plasma Aβ42/Aβ40 (p < 0.001), temporal-metaROI cortical thickness (p < 0.01), residual hippocampal volume (p < 0.001) and cognition (p < 0.001). The voxel-wise analysis replicated these findings. Conclusion: This study suggests brainstem/PONs as an optimal reference region for calculating D3FSP SUVR to quantify cortical Aβ plaques in the brain. [18F]-D3FSP could distinguish CI from CU and strongly correlates with well-established plasma biomarkers, tau PET, neurodegeneration, and cognitive decline. However, future head-to-head comparisons of [18F]-D3FSP PET images with other validated Aβ PET tracers or postmortem results are crucial.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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