MRAβ : A multimodal MRI ‐derived amyloid‐β biomarker for Alzheimer's disease
Open accessAbstract
F (AV45), a highly sensitive and specific positron emission tomographic (PET) molecular biomarker binding to the amyloid-β of Alzheimer's disease (AD), is constrained by radiation and cost. We sought to combat it by combining multimodal magnetic resonance imaging (MRI) images and a collaborative generative adversarial networks model (CollaGAN) to develop a multimodal MRI-derived Amyloid-β (MRAβ) biomarker. We collected multimodal MRI and PET AV45 data of 380 qualified participants from the ADNI dataset and 64 subjects from OASIS3 dataset. A five-fold cross-validation CollaGAN were applied to generate MRAβ. In the ADNI dataset, we found MRAβ could characterize the subject-level AV45 spatial variations in both AD and mild cognitive impairment (MCI). Voxel-wise two-sample t-tests demonstrated amyloid-β depositions identified by MRAβ in AD and MCI were significantly higher than healthy controls (HCs) in widespread cortices (p < .05, corrected) and were much similar to those by AV45 (r > .92, p < .001). Moreover, a 3D ResNet classifier demonstrated that MRAβ was comparable to AV45 in discriminating AD from HC in both the ADNI and OASIS3 datasets, and in discriminate MCI from HC in ADNI. Finally, we found MRAβ could mimic cortical hyper-AV45 in HCs who later converted to MCI (r = .79, p < .001) and was comparable to AV45 in discriminating them from stable HC (p > .05). In summary, our work illustrates that MRAβ synthesized by multimodal MRI could mimic the cerebral amyloid-β depositions like AV45 and lends credence to the feasibility of advancing MRI toward molecular-explainable biomarkers.
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Alzheimer's disease is characterized by neuritic plaques and neurofibrillary tangles resulting from amyloid-beta accumulation, aggregation of fibrillar plaques, and hyperphosphorylation of tau protein.
“Previous studies of AD pathology have demonstrated that the disease is characterized by the presence of neuritic plaques and neurofibrillary tangles resulting from amyloid-beta (Aβ) accumulation, aggregation of fibrillar plaques, and hyperphosphorylation of tau protein (Depp et al., 2023; Zhang et al., 2023; Kovacs et al., 2024; Wang et al., 2024; Zhang et al., 2025).”
From Multimodal MRI combined with RNA sequencing reveals pathological signatures in the 9-month-old 3×Tg-AD mouse brain (2026) · cites this paper as Zhang et al., 2023
The Introduction describes extracellular amyloid-β plaques and intracellular tau tangles as hallmark pathologies of Alzheimer’s disease. It does not specify that the plaques are neuritic or fibrillar, or explain the tangles through tau hyperphosphorylation. (LLM, conf=0.86)
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Li, Y., Tang, Z., Yao, M., Ran, Y., & Qiu, Z. (2026) · Neural Regeneration Research · doi:10.4103/nrr.nrr-d-25-00006
- Authors
- Zhang, Y., Li, X., Ji, Y., Ding, H., Suo, X., He, X., Xie, Y., Liang, M., Zhang, S., Yu, C., & Qin, W.
- Affiliations
- Tianjin Medical University General Hospital (CN)
- Shanxi Medical University (CN)
- Tianjin Medical University (CN)
- Corresponding author
- Qin, Wen
- Venue
- Human Brain Mapping
- Publisher
- Wiley
- Published
- 2023-08-14
- Volume
- 44
- Issue
- 15
- Pages
- 5139-5152
- ISSN
- 1065-9471 (ISSN-L)
- 1097-0193
- PMC
- PMC10502620
- OpenAlex
- W4385798440
- Cited by
- 6
- References
- 6
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2023: 1
- FWCI
- 1.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Human Brain Mapping (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (81601473, 81771818, 81971599, 81971694, 82030053)
- Natural Science Foundation of Tianjin City (19JCYBJC25100)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
- Keywords
- amyloid-beta, Alzheimer's disease, multimodal MRI, generative adversarial networks, image generation, mild cognitive impairment, amyloid deposition, disease transformation, ADNI
- MeSH terms
- Alzheimer Disease, Humans, Magnetic Resonance Imaging, Biomarkers, Amyloid beta-Peptides, Positron-Emission Tomography, Cognitive Dysfunction
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