18F-FDG and 18F-Florbetapir PET in Clinical Practice: Regional Analysis in Mild Cognitive Impairment and Alzheimer Disease. Bailly, M., Ribeiro, M. J. S., Vercouillie, J., Hommet, C., Gissot, V., Camus, V., & Guilloteau, D. Clinical Nuclear Medicine, 40(2):e111--116, February, 2015.
doi  abstract   bibtex   
OBJECTIVE: The aim of this study is to compare regional cerebral metabolic rate of glucose metabolism and amyloid-β density in patients with Alzheimer disease (AD), mild cognitive impairment (MCI), and healthy elderly subjects. METHODS: Eighteen patients (including 6 AD, 5 amnestic MCI, and 7 controls) were enrolled at the University Hospital of Tours, France, and submitted to clinical, neuropsychological, and MRI examinations. PET images using F-florbetapir (266 MBq) and F-FDG (185 MBq) were acquired. SUV ratios in specific regions were defined using PMOD3.2 software. RESULTS: The mean values of F-FDG SUV ratio were significantly lower in frontal, anterior cingulate, and temporal regions in MCI patients than in normal elderly (-15%, -22%, and -11%, respectively). Alzheimer disease patients showed global cerebral metabolic rate of glucose metabolism decrease, especially in parietal and precuneus regions (-15% and -13% compared with healthy control subjects). Only precuneus cortex showed an increased F-florbetapir uptake in AD. There was no other significant regional difference in the amyloid-β density. CONCLUSIONS: In this study, we observed regional brain metabolic changes between MCI, AD, and controls, whereas only precuneus showed an increased amyloid-β density in AD. F-florbetapir PET analysis needs to be visual and global, whereas F-FDG analysis can be regional.
@article{bailly_18f-fdg_2015,
	title = {18F-{FDG} and 18F-{Florbetapir} {PET} in {Clinical} {Practice}: {Regional} {Analysis} in {Mild} {Cognitive} {Impairment} and {Alzheimer} {Disease}},
	volume = {40},
	issn = {1536-0229},
	shorttitle = {18F-{FDG} and 18F-{Florbetapir} {PET} in {Clinical} {Practice}},
	doi = {10.1097/RLU.0000000000000666},
	abstract = {OBJECTIVE: The aim of this study is to compare regional cerebral metabolic rate of glucose metabolism and amyloid-β density in patients with Alzheimer disease (AD), mild cognitive impairment (MCI), and healthy elderly subjects.
METHODS: Eighteen patients (including 6 AD, 5 amnestic MCI, and 7 controls) were enrolled at the University Hospital of Tours, France, and submitted to clinical, neuropsychological, and MRI examinations. PET images using F-florbetapir (266 MBq) and F-FDG (185 MBq) were acquired. SUV ratios in specific regions were defined using PMOD3.2 software.
RESULTS: The mean values of F-FDG SUV ratio were significantly lower in frontal, anterior cingulate, and temporal regions in MCI patients than in normal elderly (-15\%, -22\%, and -11\%, respectively). Alzheimer disease patients showed global cerebral metabolic rate of glucose metabolism decrease, especially in parietal and precuneus regions (-15\% and -13\% compared with healthy control subjects). Only precuneus cortex showed an increased F-florbetapir uptake in AD. There was no other significant regional difference in the amyloid-β density.
CONCLUSIONS: In this study, we observed regional brain metabolic changes between MCI, AD, and controls, whereas only precuneus showed an increased amyloid-β density in AD. F-florbetapir PET analysis needs to be visual and global, whereas F-FDG analysis can be regional.},
	language = {eng},
	number = {2},
	journal = {Clinical Nuclear Medicine},
	author = {Bailly, Matthieu and Ribeiro, Maria Joao Santiago and Vercouillie, Johny and Hommet, Caroline and Gissot, Valérie and Camus, Vincent and Guilloteau, Denis},
	month = feb,
	year = {2015},
	pmid = {25549345},
	pages = {e111--116}
}

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