The Alzheimer's disease metabolic brain pattern in mild cognitive impairment

被引:28
|
作者
Meles, Sanne K. [1 ]
Pagani, Marco [2 ,3 ]
Arnaldi, Dario [4 ,5 ]
De Carli, Fabrizio [6 ]
Dessi, Barbara [4 ,5 ]
Morbelli, Silvia [5 ,7 ]
Sambuceti, Gianmario [5 ,7 ]
Jonsson, Cathrine [8 ]
Leenders, Klaus L. [1 ]
Nobili, Flavio [4 ,5 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Neurol, Groningen, Netherlands
[2] CNR, Inst Cognit Sci & Technol, Rome, Italy
[3] Karolinska Hosp, Dept Nucl Med, Stockholm, Sweden
[4] Univ Genoa, Clin Neurol, Dept Neurosci DINOGMI, Genoa, Italy
[5] IRCCS AOU San Martino IST, Genoa, Italy
[6] AOU San Martino IST, Natl Res Council, Inst Mol Bioimaging & Physiol, Genoa Unit, Genoa, Italy
[7] Univ Genoa, Nucl Med, Dept Hlth Sci DISSAL, Genoa, Italy
[8] Karolinska Univ Hosp, Med Radiat Phys & Nucl Med, Imaging & Physiol, Stockholm, Sweden
来源
关键词
F-18-FDG-PET; principal component analysis; normal aging; mild cognitive impairment; Alzheimer's disease; NETWORK ACTIVITY; DIFFERENTIAL-DIAGNOSIS; PARKINSONS-DISEASE; PET DATA; DEMENTIA; VALIDATION; BIOMARKERS; RESERVE;
D O I
10.1177/0271678X17732508
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We investigated the expression of the Alzheimer's disease-related metabolic brain pattern (ADRP) in F-18-FDG-PET scans of 44 controls, 27 patients with mild cognitive impairment (MCI) who did not convert to Alzheimer's disease (AD) after five or more years of clinical follow-up, 95 MCI patients who did develop AD dementia on clinical follow-up, and 55 patients with mild-to-moderate AD. The ADRP showed good sensitivity (84%) and specificity (86%) for MCI-converters when compared to controls, but limited specificity when compared to MCI non-converters (66%). Assessment of F-18-FDG-PET scans on a case-by-case basis using the ADRP may be useful for quantifying disease progression.
引用
收藏
页码:3643 / 3648
页数:6
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