Cited by 427Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsMedical Imaging Techniques and Applications

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Neuroimaging and Early Diagnosis of Alzheimer Disease: A Look to the Future

Petrella, Jeffrey R., Coleman, R. Edward, Doraiswamy, P. Murali·2003·Radiology

DOI 10.1148/radiol.2262011600

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Abstract

Alzheimer disease (AD), a progressive neurodegenerative disorder, is the most common cause of dementia in the elderly. Current consensus statements have emphasized the need for early recognition and the fact that a diagnosis of AD can be made with high accuracy by using clinical, neuropsychologic, and imaging assessments. Magnetic resonance (MR) or computed tomographic (CT) imaging is recommended for the routine evaluation of AD. Coronal MR images can be useful to document or quantify atrophy of the hippocampus and entorhinal cortex, both of which occur early in the disease process. Both volumetric and subtraction MR techniques can be used to quantify and monitor dementia progression and rates of regional atrophy. MR measures are also increasingly being used to monitor treatment effects in clinical trials of cognitive enhancers and antidementia agents. Positron emission tomography (PET) and single photon emission CT offer value in the differential diagnosis of AD from other cortical and subcortical dementias and may also offer prognostic value. In addition, PET studies have demonstrated that subtle abnormalities may be apparent in the prodromal stages of AD and in subjects who carry susceptibility genes. PET ligands are in late-stage development for demonstration of amyloid plaques, and human studies have already begun. Functional MR-based memory challenge tests are in development as well.

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Authors: Petrella, J. R., Coleman, R. E., & Doraiswamy, P. M.
Affiliations: Duke Medical Center (US)
ORCID: Petrella, Jeffrey R.
Doraiswamy, P. Murali
Venue: Radiology
Publisher: Radiological Society of North America (RSNA)
Published: 2003-02
Volume: 226
Issue: 2
Pages: 315-336
ISSN: 0033-8419 (ISSN-L)
1527-1315
DOI: 10.1148/radiol.2262011600
OpenAlex: W2144803285
Cited by: 427
References: 145
Citations by year: 2026: 1 · 2025: 10 · 2024: 11 · 2023: 13 · 2022: 12 · 2021: 12 · 2020: 46 · 2019: 13 · 2018: 24 · 2017: 9 · 2016: 13 · 2015: 16 · 2014: 18 · 2013: 23 · 2012: 27
FWCI: 3.16
Type: journal article
Language: en
Open access: closed
Locations: Radiology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (R01AG019728)
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, early diagnosis, neuroimaging, hippocampal atrophy, entorhinal cortex atrophy, volumetric MRI, positron emission tomography, single-photon emission CT, differential diagnosis of dementia, prodromal Alzheimer's disease, treatment monitoring, dementia progression
MeSH terms: Alzheimer Disease, Diagnosis, Differential, Diagnostic Imaging, Humans, Magnetic Resonance Imaging, Predictive Value of Tests, Tomography, Emission-Computed, Tomography, X-Ray Computed, Tomography, Emission-Computed, Single-Photon

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Neuroimaging and Early Diagnosis of Alzheimer Disease: A Look to the Future

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