The Evaluation of Tau Deposition with [18F]PI-2620 by Using a Semiquantitative Method in Cognitively Normal Subjects and Patients with Mild Cognitive Impairment and Alzheimer’s Disease

Background. Some studies have reported the effectiveness of [18F]PI-2620 as an effective tau-binding radiotracer; however, few reports have applied semiquantitative analysis to the tracer. Therefore, this study’s aim was to perform a semiquantitative analysis of [18F]PI-2620 in individuals with norm...

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Main Authors: Attapon Jantarato, Sira Vachatimanont, Natphimol Boonkawin, Sukanya Yaset, Anchisa Kunawudhi, Chetsadaporn Promteangtrong, Jintana Assanasen, Nithi Mahanonda, Chanisa Chotipanich
Format: Article
Language:English
Published: SAGE Publishing 2021-01-01
Series:Molecular Imaging
Online Access:http://dx.doi.org/10.1155/2021/6640054
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author Attapon Jantarato
Sira Vachatimanont
Natphimol Boonkawin
Sukanya Yaset
Anchisa Kunawudhi
Chetsadaporn Promteangtrong
Jintana Assanasen
Nithi Mahanonda
Chanisa Chotipanich
author_facet Attapon Jantarato
Sira Vachatimanont
Natphimol Boonkawin
Sukanya Yaset
Anchisa Kunawudhi
Chetsadaporn Promteangtrong
Jintana Assanasen
Nithi Mahanonda
Chanisa Chotipanich
author_sort Attapon Jantarato
collection DOAJ
description Background. Some studies have reported the effectiveness of [18F]PI-2620 as an effective tau-binding radiotracer; however, few reports have applied semiquantitative analysis to the tracer. Therefore, this study’s aim was to perform a semiquantitative analysis of [18F]PI-2620 in individuals with normal cognition and patients with mild cognitive impairment (MCI) and Alzheimer’s disease (AD). Methods. Twenty-six cognitively normal (CN) subjects, 7 patients with AD, and 36 patients with MCI were enrolled. A dynamic positron emission tomography (PET) scan was performed 30–75 min postinjection. PET and T1-weighted magnetic resonance imaging scans were coregistered. The standardized uptake value ratio (SUVr) was used for semiquantitative analysis. The P-Mod software was applied to create volumes of interest. The ANOVA and post hoc Tukey HSD were used for statistical analysis. Results. In the AD group, the occipital lobe had a significantly higher mean SUVr (1.46±0.57) than in the CN and MCI groups. Compared with the CN group, the AD group showed significantly higher mean SUVr in the fusiform gyrus (1.06±0.09 vs. 1.49±0.86), inferior temporal (1.07±0.07 vs. 1.46±0.08), parietal lobe, lingual gyrus, and precuneus regions. Similarly, the AD group demonstrated a higher mean SUVr than the MCI group in the precuneus, lingual, inferior temporal, fusiform, supramarginal, orbitofrontal, and superior temporal regions. The remaining observed regions, including the striatum, basal ganglia, thalamus, and white matter, showed a low SUVr across all groups with no statistically significant differences. Conclusion. A significantly higher mean SUVr of [18F]PI-2620 was observed in the AD group; a significant area of the brain in the AD group demonstrated tau protein deposit in concordance with Braak Stages III–V, providing useful information to differentiate AD from CN and MCI. Moreover, the low SUVr in the deep striatum and thalamus could be useful for excluding primary tauopathies.
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spelling doaj-art-f5015eb0ebb846bb8f00d514ba4b9c1e2025-02-03T10:07:23ZengSAGE PublishingMolecular Imaging1536-01212021-01-01202110.1155/2021/66400546640054The Evaluation of Tau Deposition with [18F]PI-2620 by Using a Semiquantitative Method in Cognitively Normal Subjects and Patients with Mild Cognitive Impairment and Alzheimer’s DiseaseAttapon Jantarato0Sira Vachatimanont1Natphimol Boonkawin2Sukanya Yaset3Anchisa Kunawudhi4Chetsadaporn Promteangtrong5Jintana Assanasen6Nithi Mahanonda7Chanisa Chotipanich8National Cyclotron and PET Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, ThailandNational Cyclotron and PET Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, ThailandNational Cyclotron and PET Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, ThailandNational Cyclotron and PET Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, ThailandNational Cyclotron and PET Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, ThailandNational Cyclotron and PET Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, ThailandNational Cyclotron and PET Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, ThailandChulabhorn Hospital, Chulabhorn Royal Academy, ThailandNational Cyclotron and PET Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, ThailandBackground. Some studies have reported the effectiveness of [18F]PI-2620 as an effective tau-binding radiotracer; however, few reports have applied semiquantitative analysis to the tracer. Therefore, this study’s aim was to perform a semiquantitative analysis of [18F]PI-2620 in individuals with normal cognition and patients with mild cognitive impairment (MCI) and Alzheimer’s disease (AD). Methods. Twenty-six cognitively normal (CN) subjects, 7 patients with AD, and 36 patients with MCI were enrolled. A dynamic positron emission tomography (PET) scan was performed 30–75 min postinjection. PET and T1-weighted magnetic resonance imaging scans were coregistered. The standardized uptake value ratio (SUVr) was used for semiquantitative analysis. The P-Mod software was applied to create volumes of interest. The ANOVA and post hoc Tukey HSD were used for statistical analysis. Results. In the AD group, the occipital lobe had a significantly higher mean SUVr (1.46±0.57) than in the CN and MCI groups. Compared with the CN group, the AD group showed significantly higher mean SUVr in the fusiform gyrus (1.06±0.09 vs. 1.49±0.86), inferior temporal (1.07±0.07 vs. 1.46±0.08), parietal lobe, lingual gyrus, and precuneus regions. Similarly, the AD group demonstrated a higher mean SUVr than the MCI group in the precuneus, lingual, inferior temporal, fusiform, supramarginal, orbitofrontal, and superior temporal regions. The remaining observed regions, including the striatum, basal ganglia, thalamus, and white matter, showed a low SUVr across all groups with no statistically significant differences. Conclusion. A significantly higher mean SUVr of [18F]PI-2620 was observed in the AD group; a significant area of the brain in the AD group demonstrated tau protein deposit in concordance with Braak Stages III–V, providing useful information to differentiate AD from CN and MCI. Moreover, the low SUVr in the deep striatum and thalamus could be useful for excluding primary tauopathies.http://dx.doi.org/10.1155/2021/6640054
spellingShingle Attapon Jantarato
Sira Vachatimanont
Natphimol Boonkawin
Sukanya Yaset
Anchisa Kunawudhi
Chetsadaporn Promteangtrong
Jintana Assanasen
Nithi Mahanonda
Chanisa Chotipanich
The Evaluation of Tau Deposition with [18F]PI-2620 by Using a Semiquantitative Method in Cognitively Normal Subjects and Patients with Mild Cognitive Impairment and Alzheimer’s Disease
Molecular Imaging
title The Evaluation of Tau Deposition with [18F]PI-2620 by Using a Semiquantitative Method in Cognitively Normal Subjects and Patients with Mild Cognitive Impairment and Alzheimer’s Disease
title_full The Evaluation of Tau Deposition with [18F]PI-2620 by Using a Semiquantitative Method in Cognitively Normal Subjects and Patients with Mild Cognitive Impairment and Alzheimer’s Disease
title_fullStr The Evaluation of Tau Deposition with [18F]PI-2620 by Using a Semiquantitative Method in Cognitively Normal Subjects and Patients with Mild Cognitive Impairment and Alzheimer’s Disease
title_full_unstemmed The Evaluation of Tau Deposition with [18F]PI-2620 by Using a Semiquantitative Method in Cognitively Normal Subjects and Patients with Mild Cognitive Impairment and Alzheimer’s Disease
title_short The Evaluation of Tau Deposition with [18F]PI-2620 by Using a Semiquantitative Method in Cognitively Normal Subjects and Patients with Mild Cognitive Impairment and Alzheimer’s Disease
title_sort evaluation of tau deposition with 18f pi 2620 by using a semiquantitative method in cognitively normal subjects and patients with mild cognitive impairment and alzheimer s disease
url http://dx.doi.org/10.1155/2021/6640054
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