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Multisite study of the relationships between antemortem [ 11 C]PIB‐PET Centiloid values and postmortem measures of Alzheimer's disease neuropathology
Open accessAbstract
Introduction: We sought to establish the relationships between standard postmortem measures of AD neuropathology and antemortem [ 11 C]PIB–positron emission tomography ([ 11 C]PIB‐PET) analyzed with the Centiloid (CL) method, a standardized scale for Aβ‐PET quantification. Methods: Four centers contributed 179 participants encompassing a broad range of clinical diagnoses, PET data, and autopsy findings. Results: CL values increased with each CERAD neuritic plaque score increment (median −3 CL for no plaques and 92 CL for frequent plaques) and nonlinearly with Thal Aβ phases (increases were detected starting at phase 2) with overlap between scores/phases. PET‐pathology associations were comparable across sites and unchanged when restricting the analyses to the 56 patients who died within 2 years of PET. A threshold of 12.2 CL detected CERAD moderate‐to‐frequent neuritic plaques (area under the curve = 0.910, sensitivity = 89.2%, specificity = 86.4%), whereas 24.4 CL identified intermediate‐to‐high AD neuropathological changes (area under the curve = 0.894, sensitivity = 84.1%, specificity = 87.9%). Discussion: Our study demonstrated the robustness of a multisite Centiloid [ 11 C]PIB‐PET study and established a range of pathology‐based CL thresholds.
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“PET scans were read as positive or negative, as previously described and validated against neuropathology.27”
From Plasma Tau and Neurofilament Light in Frontotemporal Lobar Degeneration and Alzheimer Disease (2021) · cites this paper as [27]
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“The 12-Centiloid threshold is the optimal cut-off validated in neuropathology to detect CERAD moderate-to-frequent, neuritic plaque scores19, early detection of Aβ abnormalities by PET22 and agreement against CSF AD biomarkers18.”
From Plasma p-tau231 and p-tau217 as state markers of amyloid-β pathology in preclinical Alzheimer’s disease (2022) · cites this paper as [19]
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“From this work, ≤20 CL is an accepted threshold for amyloid negativity.”
From The amyloid hypothesis in Alzheimer disease: new insights from new therapeutics (2022) · cites this paper as [85]
In the citing paper
“18 F-flutemetamol, 18 F-florbetaben and 18 F-florbetapir tracers display 85%-98% sensitivity and 87%-100% specificity for Aβ plaques when using the postmortem truth standards of the Consortium to Establish a Registry for AD (CERAD) or the National Institute on Aging-Alzheimer's Association 85,[136][137][138] .”
From The amyloid hypothesis in Alzheimer disease: new insights from new therapeutics (2022) · cites this paper as [85]
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Luckett, E. S., Abakkouy, Y., Reinartz, M., Adamczuk, K., Schaeverbeke, J. M., Verstockt, S., Meyer, S. D., Laere, K. V., Dupont, P. J., Cleynen, I., et al. (2022) · Alzheimer s Research & Therapy · doi:10.1186/s13195-022-01079-4 · Cited by 18
Amyloid PET detects the deposition of brain Aβ earlier than CSF fluid biomarkers
Lowe, V. J., Mester, C. T., Lundt, E. S., Lee, J., Ghatamaneni, S., Algeciras‐Schimnich, A., Campbell, M. R., Graff‐Radford, J., Nguyen, A. T., Min, H.-K. P., et al. (2024) · Alzheimer s & Dementia · doi:10.1002/alz.14317 · Cited by 20
Self-citationRecent Advances in Imaging of Preclinical, Sporadic, and Autosomal Dominant Alzheimer's Disease
Buckley, R. F. (2021) · Neurotherapeutics · doi:10.1007/s13311-021-01026-5 · Cited by 18
The Role of Amyloid- and Tau PET in the New Era of Alzheimer Disease Therapies
Chiotis, K., Wang, Y., Joie, R. L., & Rabinovici, G. D. (2025) · Journal of Nuclear Medicine · doi:10.2967/jnumed.124.268339 · Cited by 18
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Self-citationMüller, E. G., Stokke, C., Stokmo, H. L., Edwin, T. H., Knapskog, A., & Revheim, M.-E. R. (2021) · Quantitative Imaging in Medicine and Surgery · doi:10.21037/qims-21-188 · Cited by 17
Luckett, E. S., Zielonka, M., Kordjani, A., Schaeverbeke, J. M., Adamczuk, K., Meyer, S. D., Laere, K. V., Dupont, P. J., Cleynen, I., & Vandenberghe, R. R. (2023) · Alzheimer s Research & Therapy · doi:10.1186/s13195-023-01242-5 · Cited by 18
Meyer, P., McSweeney, M., Gonneaud, J., & Villeneuve, S. (2019) · Progress in molecular biology and translational science · doi:10.1016/bs.pmbts.2019.05.001 · Cited by 20
Engels, N., Riphagen, J. M., Egroo, M. V., Koops, E. A., Smegal, L. F., Becker, J. A., Prokopiou, P. C., Bueichekú, E., Kwong, K. K., Rentz, D. M., et al. (2024) · Annals of Neurology · doi:10.1002/ana.27022 · Cited by 19
Agreement of cerebrospinal fluid biomarkers and amyloid-PET in a multicenter study
Guillén, N., Contador, J., Buongiorno, M., Álvarez, I., Cullell, N., Alcolea, D. A., Lleó, A., Fortea, J., Piñol‐Ripoll, G., Carnes, A., et al. (2023) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-023-01701-y · Cited by 17
APOE Genotype in the Era of Disease-Modifying Treatment With Monoclonal Antibodies Against Amyloid-β
Ossenkoppele, R., & van der Flier, W. M. (2023) · JAMA Neurology · doi:10.1001/jamaneurol.2023.4046 · Cited by 15
Khalafi, M., Hojjati, S. H., Wang, X. H., Zhou, L., Nordvig, A. S., Li, Y., Butler, T., Razlighi, Q. R., Tanzi, E. B., Pahlajani, S. S., et al. (2025) · American Journal of Neuroradiology · doi:10.3174/ajnr.a8743 · Cited by 15
Amyloid PET quantification using low-dose CT-guided anatomic standardization
Matsuda, H., Yamao, T., Shakado, M., Shigemoto, Y., Okita, K., & Sato, N. (2021) · EJNMMI Research · doi:10.1186/s13550-021-00867-7 · Cited by 14
Quantitative comparative analysis of amyloid PET images using three radiopharmaceuticals
Jeong, Y. J., Yoon, H. J., Kang, D., & Park, K. W. (2023) · Annals of Nuclear Medicine · doi:10.1007/s12149-023-01824-1 · Cited by 14
Amyloid-PET imaging predicts functional decline in clinically normal individuals
Quenon, L., Collij, L. E., García, D. V., Alves, I. L., Gérard, T., Malotaux, V., Huyghe, L., Gispert, J. D., Jessen, F., Visser, P. J., et al. (2024) · Alzheimer s Research & Therapy · doi:10.1186/s13195-024-01494-9 · Cited by 15
Plasma GFAP for populational enrichment of clinical trials in preclinical Alzheimer's disease
Bellaver, B., Povala, G., Ferreira, P. C. L., Bauer‐Negrini, G., Lussier, F. Z., Leffa, D. T., Ferrari‐Souza, J. P., Rodrigues, M. S., Amaral, L., Oliveira, M. S., et al. (2025) · Alzheimer s & Dementia · doi:10.1002/alz.70209 · Cited by 15
The Rapid Naming Test: Development and initial validation in typically aging adults
Stiver, J., Staffaroni, A. M., Walters, S. M., You, M. Y., Casaletto, K. B., Erlhoff, S. J., Possin, K. L., Lukic, S., Joie, R. L., Rabinovici, G. D., et al. (2021) · The Clinical Neuropsychologist · doi:10.1080/13854046.2021.1900399 · Cited by 14
Self-citationAmyloid-β PET Classification on Cognitive Aging Stages Using the Centiloid Scale
de Souza, G. S., Andrade, M. A., Borelli, W. V., Schilling, L. P., Matushita, C. S., Portuguez, M. W., da Costa, J. C., & da Silva, A. M. M. (2021) · Molecular Imaging and Biology · doi:10.1007/s11307-021-01660-7 · Cited by 16
Florbetaben amyloid PET acquisition time: Influence on Centiloids and interpretation
Johns, E., Vossler, H. A., Young, C. B., Carlson, M. L., Winer, J. R., Younes, K., Park, J., Rathmann-Bloch, J. E., Smith, V., Harrison, T. M., et al. (2024) · Alzheimer s & Dementia · doi:10.1002/alz.13893 · Cited by 13
Spatial extent as a sensitive amyloid‐PET metric in preclinical Alzheimer's disease
Farrell, M. E., Thibault, E. G., Becker, J. A., Price, J. C., Healy, B. C., Hanseeuw, B. J., Buckley, R. F., Jacobs, H. I. L., Schultz, A. P., Chen, C. D., et al. (2024) · Alzheimer s & Dementia · doi:10.1002/alz.14036 · Cited by 13
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Self-citationStaging Alzheimer’s disease through amyloid and tau PET
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Self-citationEvaluation of in vivo staging of amyloid deposition in cognitively unimpaired elderly aged 78–94
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Higher Educational Attainment and Accelerated Tau Accumulation in Alzheimer Disease
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Plasma p‐tau217 and Aβ42/40 as markers of Aβ pathology in the Lewy body continuum
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Preclinical Evaluation of Novel PET Probes for Dementia
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Amyloid PET Quantitation and Centiloid Thresholds in the Diagnosis of Alzheimer Disease
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Self-citationComparison and cutoff values of two amyloid PET scaling methods: centiloid scale and amyloid-β load
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Metadata
- Authors
- La Joie, R., Ayakta, N., Seeley, W. W., Borys, E., Boxer, A. L., DeCarli, C., Doré, V., Grinberg, L. T., Huang, E., Hwang, J., Ikonomovic, M. D., Jack, C., Jagust, W. J., Jin, L., Klunk, W. E., Kofler, J., Lesman‐Segev, O. H., Lockhart, S. N., Lowe, V. J., Masters, C. L., Mathis, C. A., McLean, C. L., Miller, B. L., Mungas, D., O'Neil, J. P., Olichney, J. M., Parisi, J. E., Petersen, R. C., Rosen, H. J., Rowe, C. C., Spina, S., Vemuri, P., Villemagne, V. L., Murray, M. E., & Rabinovici, G. D.
- Affiliations
- Memory & Aging Center Department of Neurology University of California San Francisco CA USA
- University of California, San Francisco (US)
- Loyola University Chicago (US)
- University of California, Davis (US)
- Austin Health (AU)
- Department of Neurology University of Pittsburgh PA USA
- Mayo Clinic (US)
- University of California, Berkeley (US)
- University of Pittsburgh (US)
- Wake Forest University Health Sciences (US)
- The University of Melbourne (AU)
- The Alfred Hospital (AU)
- Helen Wills Neuroscience Institute University of California Berkeley CA USA
- ORCID
- Ayakta, Nagehan
- Seeley, William W.
- Boxer, Adam L.
- DeCarli, Charles
- Doré, Vincent
- Grinberg, Lea T.
- Huang, Eric
- Hwang, Ji‐Hye
- Jack, Clifford
- Jagust, William J.
- Klunk, William E.
- Kofler, Julia
- Lesman‐Segev, Orit H.
- Lockhart, Samuel N.
- Lowe, Val J.
- Masters, Colin L.
- Mathis, Chester A.
- McLean, Catriona L.
- Miller, Bruce L.
- Olichney, John M.
- Petersen, Ronald C.
- Rosen, Howard J.
- Rowe, Christopher C.
- Spina, Salvatore
- Vemuri, Prashanthi
- Villemagne, Victor L.
- Murray, Melissa E.
- Rabinovici, Gil D.
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2018-10-19
- Volume
- 15
- Issue
- 2
- Pages
- 205-216
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- PMC
- PMC6368897
- OpenAlex
- W2897964327
- Cited by
- 317
- References
- 47
- Citations by year
- 2026: 49 · 2025: 72 · 2024: 51 · 2023: 31 · 2022: 40 · 2021: 42 · 2020: 22 · 2019: 10
- FWCI
- 14.46
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Alzheimer s & Dementia (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Biogen
- Genentech
- GE Healthcare
- National Institutes of Health
- National Institute on Aging
- National Cancer Institute
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
- Keywords
- Alzheimer's disease, 11C-PiB PET
- MeSH terms
- Neuropathology, Aged, Alzheimer Disease, Aniline Compounds, Autopsy, Female, Humans, Male, Retrospective Studies, Thiazoles, Positron-Emission Tomography, Plaque, Amyloid
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