Tau-positron emission tomography correlates with neuropathology findings

Comparison of tau (flortaucipir) positron emission tomography (FTP-PET) to autopsy is important to demonstrate the relationship of FTP-PET to neuropathologic findings. Autopsies were performed on 26 participants who had antemortem FTP-PET. FTP-PET standardized uptake value ratios (SUVRs) were compar...

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Veröffentlicht in:Alzheimer's & dementia 2020-03, Vol.16 (3), p.561-571
Hauptverfasser: Lowe, Val J., Lundt, Emily S., Albertson, Sabrina M., Min, Hoon-Ki, Fang, Ping, Przybelski, Scott A., Senjem, Matthew L., Schwarz, Christopher G., Kantarci, Kejal, Boeve, Bradley, Jones, David T., Reichard, R. Ross, Tranovich, Jessica F., Hanna Al-Shaikh, Fadi S., Knopman, David S., Jack, Clifford R., Dickson, Dennis W., Petersen, Ronald C., Murray, Melissa E.
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container_end_page 571
container_issue 3
container_start_page 561
container_title Alzheimer's & dementia
container_volume 16
creator Lowe, Val J.
Lundt, Emily S.
Albertson, Sabrina M.
Min, Hoon-Ki
Fang, Ping
Przybelski, Scott A.
Senjem, Matthew L.
Schwarz, Christopher G.
Kantarci, Kejal
Boeve, Bradley
Jones, David T.
Reichard, R. Ross
Tranovich, Jessica F.
Hanna Al-Shaikh, Fadi S.
Knopman, David S.
Jack, Clifford R.
Dickson, Dennis W.
Petersen, Ronald C.
Murray, Melissa E.
description Comparison of tau (flortaucipir) positron emission tomography (FTP-PET) to autopsy is important to demonstrate the relationship of FTP-PET to neuropathologic findings. Autopsies were performed on 26 participants who had antemortem FTP-PET. FTP-PET standardized uptake value ratios (SUVRs) were compared to autopsy diagnoses and Braak tangle stage. Quantitative tau burden was compared to regional FTP-PET signal. Participants with Braak stages of IV or greater had elevated FTP-PET signal. FTP-PET was elevated in participants with Alzheimer's disease. An FTP-PET SUVR cut point of 1.29 was determined to be optimal. Quantitative measurements of hippocampal and temporal lobe tau burden were highly correlated to FTP-PET signal (rho's from 0.61 to 0.70, P ≤ .02). Elevated FTP-PET reflects Braak IV or greater neuropathology. Participants with primary age-related tauopathy and hippocampal sclerosis did not show elevated FTP-PET signal. Secondary neuropathologic diagnoses of Alzheimer's disease neuropathologic change can lead to borderline elevated FTP-PET signal.
doi_str_mv 10.1016/j.jalz.2019.09.079
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subjects Aged
Aged, 80 and over
Alzheimer Disease - diagnostic imaging
Alzheimer Disease - metabolism
Alzheimer Disease - pathology
Alzheimer's disease
Autopsy
Braak tangle stage
Brain - pathology
Female
flortaucipir
Humans
Male
PET
Positron-Emission Tomography
Tau
tau Proteins - metabolism
title Tau-positron emission tomography correlates with neuropathology findings
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