Imaging β-amyloid burden in aging and dementia
Abstract
OBJECTIVE: To compare brain beta-amyloid (Abeta) burden measured with [(11)C]Pittsburgh Compound B (PIB) PET in normal aging, Alzheimer disease (AD), and other dementias. METHODS: Thirty-three subjects with dementia (17 AD, 10 dementia with Lewy bodies [DLB], 6 frontotemporal dementia [FTD]), 9 subjects with mild cognitive impairment (MCI), and 27 age-matched healthy control subjects (HCs) were studied. Abeta burden was quantified using PIB distribution volume ratio. RESULTS: Cortical PIB binding was markedly elevated in every AD subject regardless of disease severity, generally lower and more variable in DLB, and absent in FTD, whereas subjects with MCI presented either an "AD-like" (60%) or normal pattern. Binding was greatest in the precuneus/posterior cingulate, frontal cortex, and caudate nuclei, followed by lateral temporal and parietal cortex. Six HCs (22%) showed cortical uptake despite normal neuropsychological scores. PIB binding did not correlate with dementia severity in AD or DLB but was higher in subjects with an APOE-epsilon4 allele. In DLB, binding correlated inversely with the interval from onset of cognitive impairment to diagnosis. CONCLUSIONS: Pittsburgh Compound B PET findings match histopathologic reports of beta-amyloid (Abeta) distribution in aging and dementia. Noninvasive longitudinal studies to better understand the role of amyloid deposition in the course of neurodegeneration and to determine if Abeta deposition in nondemented subjects is preclinical AD are now feasible. Our findings also suggest that Abeta may influence the development of dementia with Lewy bodies, and therefore strategies to reduce Abeta may benefit this condition.
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A similar proportion of individuals clinically diagnosed as AD dementia have normal amyloid PET or CSF Aβ42 studies.
“and a similar proportion has normal amyloid PET or CSF Aβ42 studies [53–62].”
From NIA‐AA Research Framework: Toward a biological definition of Alzheimer's disease (2018) · cites this paper as [54]
A similar proportion of cognitively unimpaired elderly persons has abnormal amyloid biomarkers.
“and a similar proportion has abnormal amyloid biomarkers [33,53–55,60,70–73].”
From NIA‐AA Research Framework: Toward a biological definition of Alzheimer's disease (2018) · cites this paper as [54]
PIB uptake and CSF Aβ42 are reliable surrogate markers of amyloid plaque pathology in living subjects.
“A preponderance of evidence supports the interpretation that PIB uptake and CSF Aβ42 are reliable surrogate markers of amyloid plaque pathology in living subjects (15-19).”
From Human ApoE isoforms differentially regulate brain amyloid-β peptide clearance (2011) · cites this paper as [15]
Studies of non-demented elderly cohorts overall report approximately 20-40% are PIB-positive.
“Studies of non-demented elderly cohorts overall report approximately 20–40% are PIB-positive [67, 68, 71–78].”
From Brain aging, Alzheimer's disease, and mitochondria (2011) · cites this paper as [73]
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- Authors
- Rowe, C. C., Ng, S., Ackermann, U., Gong, S. J., Pike, K., Savage, G., Cowie, T. F., Dickinson, K. L., Maruff, P., Darby, D., Smith, C., Woodward, M., Merory, J., Tochon-Danguy, H., O'Keefe, G., Klunk, W. E., Mathis, C. A., Price, J. C., Masters, C. L., & Villemagne, V. L.
- Affiliations
- The University of Melbourne (AU)
- From the Department of Nuclear Medicine (C.C.R., S.N., U.A., S.J.G., K.L.D., C.S., H.T.-D., G.O.,V.L.V.), Centre for PET, Austin Health, Heidelberg, Departments of Medicine and Aged Care (C.C.R, M.W., J.M.), Austin Health, University of Melbourne, School of Psychology (K.P., G.S.), Psychiatry and Psychological Medicine, Monash University, Melbourne, Department of Pathology (T.F.C., C.L.M., V.L.V.), University of Melbourne, Cogstate Pty Ltd.(P.M., D.D.), Melbourne, and Mental Health Research...
- Corresponding author
- Ng, S.
- ORCID
- Venue
- Neurology
- Published
- 2007-05-15
- Volume
- 68
- Issue
- 20
- Pages
- 1718-1725
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2040434160
- Cited by
- 1,104
- References
- 58
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 10 · 2023: 22 · 2022: 30 · 2021: 28 · 2020: 42 · 2019: 38 · 2018: 48 · 2017: 42 · 2016: 70 · 2015: 66 · 2014: 85 · 2013: 86 · 2012: 69
- FWCI
- 67.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- 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, Pittsburgh compound B, amyloid PET, Alzheimer's disease, dementia with Lewy bodies, frontotemporal dementia, mild cognitive impairment, normal aging, APOE ε4, preclinical Alzheimer's disease, amyloid deposition, neurodegeneration
- MeSH terms
- Aged, Aged, 80 and over, Aging, Alzheimer Disease, Aniline Compounds, Apolipoproteins E, Brain Chemistry, Carbon Radioisotopes, Cognition Disorders, Dementia, Female, Gyrus Cinguli, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Radionuclide Imaging, Thiazoles, Amyloid beta-Peptides, Radiopharmaceuticals, Neocortex, Lewy Body Disease
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