Topography of 11C-Pittsburgh compound B uptake in Alzheimer's disease: a voxel-based investigation of cortical and white matter regions

阿尔茨海默病中 11C-匹兹堡化合物 B 的摄取拓扑结构:基于体素的皮质和白质区域研究

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作者:Daniele de P Faria, Fabio L Duran, Paula Squarzoni, Artur M Coutinho, Alexandre T Garcez, Pedro P Santos, Sonia M Brucki, Maira O de Oliveira, Eduardo S Trés, Orestes V Forlenza, Ricardo Nitrini, Carlos A Buchpiguel, Geraldo Busatto Filho

Conclusion

The present case-control voxelwise 11C-PIB PET comparison highlighted the regional distribution of amyloid deposition in the cerebral cortex of mildly demented AD patients. Tracer uptake was highest in the orbitofrontal cortex. Decreased 11C-PIB uptake in white-matter regions in this patient population may be a marker of white-matter damage in AD.

Methods

11C-PIB PET scans were acquired from subjects with AD (n=17) and healthy elderly controls (n=19). Voxel-based analysis was performed with statistical parametric mapping (SPM).

Objective

To compare

Results

Cerebellar normalization showed higher 11C-PIB uptake in the AD group relative to controls throughout the cerebral cortex, involving the lateral temporal, orbitofrontal, and superior parietal cortices. With global uptake normalization, greatest cortical binding was detected in the orbitofrontal cortex; decreased 11C-PIB uptake in white matter was found in the posterior hippocampal region, corpus callosum, pons, and internal capsule.

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