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- W2897066629 abstract "Accumulation of amyloid beta (Aβ) is one of the pathological hallmarks of Alzheimer's disease (AD), which can be visualized using [18F]florbetapir positron emission tomography (PET). Accurate quantification of Aβ is important for monitoring both disease progression and response to disease modifying therapies. The aim of this study was to evaluate various parametric methods for voxel-by-voxel quantification of [18F]florbetapir binding and to assess their test-retest (TRT) reliability. Eight AD patients (age: 67±6) and eight controls (age: 63±4) were included. Two 90 minutes dynamic PET scans (Philips Ingenuity PET/CT), including arterial sampling, were acquired (∼4 weeks apart) after a bolus injection of 293±15 MBq [18F]florbetapir (specific activity: 4 μg/mL). Parametric images were generated using several linearization and basis function approaches (reference region: cerebellum grey matter). Logan and Spectral Analysis (SA) were used to generate volume of distribution (VT) images. Receptor parametric mapping (RPM), simplified reference tissue model with fixed k2’ (SRTM2), reference Logan (RLogan) and standardized uptake value ratios (SUVr(50-70)) were used to obtain binding potential (BPND) and SUVr(50-70) images. Regional BPND+1 and VT values were compared with corresponding DVR estimates derived from non-linear regression analysis using the plasma input two-tissue compartment (2T4k_VB) model (n=68 ROIs). TRT values (%) were obtained for both optimal parametric and SUVr(50-70) images. RPM (BPND+1) showed the least bias (r2=0.92; slope=0.91) compared to 2T4k_VB derived values. In addition, Logan (r2=0.94; slope=0.85) and RLogan (r2=0.92; slope=0.88), and SRTM2 (r2=0.92; slope=0.88) correlated well with their 2T4k_VB counterparts. Lower correlations were obtained for SUVr (r2=0.74; slope=0.90) and SA (r2=0.60; slope=0.81) with 2T4k_VB DVR and VT values. RPM (BPND+1) and SUVr(50-70) showed a TRT variation of 4.2% (controls: 2.6%, AD: 5.4%) and 8.8% (controls: 8.8%, AD: 8.9%), respectively. RPM was the parametric method of choice for [18F]florbetapir, combining the highest accuracy (lowest bias) with the best TRT reliability. Performance of the semi-quantitative SUVr approach was substantially poorer, especially with regards to TRT variability." @default.
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- W2897066629 date "2018-07-01" @default.
- W2897066629 modified "2023-10-16" @default.
- W2897066629 title "P3‐438: PARAMETRIC IMAGING OF [ <sup>18</sup> F]FLORBETAPIR: A TEST‐RETEST STUDY IN HEALTHY SUBJECTS AND PATIENTS WITH ALZHEIMER'S DISEASE" @default.
- W2897066629 doi "https://doi.org/10.1016/j.jalz.2018.06.1801" @default.
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