Patterns of Early Neocortical Amyloid-β Accumulation: A PET Population-Based Study

The widespread deposition of amyloid-β (Aβ) plaques in late-stage Alzheimer disease is well defined and confirmed by in vivo PET. However, there are discrepancies between which regions contribute to the earliest topographic Aβ deposition within the neocortex. This study investigated Aβ signals in th...

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Veröffentlicht in:Journal of Nuclear Medicine 2024-07, Vol.65 (7), p.1122-1128
Hauptverfasser: Lecy, Emily E, Min, Hoon-Ki, Apgar, Christopher J, Maltais, Daniela D, Lundt, Emily S, Albertson, Sabrina M, Senjem, Matthew L, Schwarz, Christopher G, Botha, Hugo, Graff-Radford, Jonathan, Jones, David T, Vemuri, Prashanthi, Kantarci, Kejal, Knopman, David S, Petersen, Ronald C, Jack, Jr, Clifford R, Lee, Jeyeon, Lowe, Val J
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container_end_page 1128
container_issue 7
container_start_page 1122
container_title Journal of Nuclear Medicine
container_volume 65
creator Lecy, Emily E
Min, Hoon-Ki
Apgar, Christopher J
Maltais, Daniela D
Lundt, Emily S
Albertson, Sabrina M
Senjem, Matthew L
Schwarz, Christopher G
Botha, Hugo
Graff-Radford, Jonathan
Jones, David T
Vemuri, Prashanthi
Kantarci, Kejal
Knopman, David S
Petersen, Ronald C
Jack, Jr, Clifford R
Lee, Jeyeon
Lowe, Val J
description The widespread deposition of amyloid-β (Aβ) plaques in late-stage Alzheimer disease is well defined and confirmed by in vivo PET. However, there are discrepancies between which regions contribute to the earliest topographic Aβ deposition within the neocortex. This study investigated Aβ signals in the perithreshold SUV ratio range using Pittsburgh compound B (PiB) PET in a population-based study cross-sectionally and longitudinally. PiB PET scans from 1,088 participants determined the early patterns of PiB loading in the neocortex. Early-stage Aβ loading is seen first in the temporal, cingulate, and occipital regions. Regional early deposition patterns are similar in both apolipoprotein ε4 carriers and noncarriers. Clustering analysis shows groups with different patterns of early amyloid deposition. These findings of initial Aβ deposition patterns may be of significance for diagnostics and understanding the development of Alzheimer disease phenotypes.
doi_str_mv 10.2967/jnumed.123.267150
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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Alzheimer's disease
Apolipoproteins
Cerebral cortex
Cluster analysis
Clustering
Deposition
In vivo methods and tests
Neocortex
Neurodegenerative diseases
Phenotypes
Population studies
Positron emission
Regional development
β-Amyloid
title Patterns of Early Neocortical Amyloid-β Accumulation: A PET Population-Based Study
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