用[18F]氟替美托对百日咳鳞片进行区域性脑淀粉样蛋白-β沉积的表达--一项多部位研究。

IF 2.4 3区 医学 Q2 CLINICAL NEUROLOGY Neuroradiology Pub Date : 2024-09-01 Epub Date: 2024-04-27 DOI:10.1007/s00234-024-03364-5
Yi-Wen Bao, Zuo-Jun Wang, Li-Li Guo, Gen-Ji Bai, Yun Feng, Guo-Dong Zhao
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引用次数: 0

摘要

目的:Centiloid 项目有助于将定量淀粉样蛋白-β (Aβ) 负荷校准为统一的 Centiloid (CL) 标度,以便对多站点数据进行比较。至于较小区域的淀粉样蛋白如何转化为CL,尚未有人尝试过。我们首先旨在使用[18F]氟替美托来表达CL中的区域性Aβ沉积,并评估CL中的区域性Aβ沉积与标准化摄取值比(SUVr)中的区域性Aβ沉积。其次,我们的目的是通过测量显示总体CL阴性的不确定病例的区域CL,确定是否存在局灶性Aβ沉积:方法:按照 Centiloid 项目流程,完成一级复制、二级校准和质量控制,以生成相应的 Centiloid 转换方程,将 SUVr 转换为区域水平的 Centiloid。在不确定的病例中,将区域CL与肉眼检查进行比较,以评估区域Aβ阳性率:结果:从[18F]氟替美托SUVr到Centiloid的16次区域转换中有14次成功通过了质量控制,显示出良好的可靠性和相对方差,尤其是楔前/扣带后和前额叶区域的Centiloid缩放具有良好的稳定性。通过测量区域CL可检测出无局灶性Aβ沉积,与目测结果的吻合率很高。双侧前扣带皮层的区域性 Aβ 阳性在不确定病例中最为普遍:结论:本研究尝试用[18F]氟替美托对CL进行区域性脑Aβ沉积表达。等位病例有局灶性 Aβ 沉积,可通过测量区域 CL 检测到。
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Expression of regional brain amyloid-β deposition with [18F]Flutemetamol in Centiloid scale -a multi-site study.

Purpose: The Centiloid project helps calibrate the quantitative amyloid-β (Aβ) load into a unified Centiloid (CL) scale that allows data comparison across multi-site. How the smaller regional amyloid converted into CL has not been attempted. We first aimed to express regional Aβ deposition in CL using [18F]Flutemetamol and evaluate regional Aβ deposition in CL with that in standardized uptake value ratio (SUVr). Second, we aimed to determine the presence or absence of focal Aβ deposition by measuring regional CL in equivocal cases showing negative global CL.

Methods: Following the Centiloid project pipeline, Level-1 replication, Level-2 calibration, and quality control were completed to generate corresponding Centiloid conversion equations to convert SUVr into Centiloid at regional levels. In equivocal cases, the regional CL was compared with visual inspection to evaluate regional Aβ positivity.

Results: 14 out of 16 regional conversions from [18F]Flutemetamol SUVr to Centiloid successfully passed the quality control, showing good reliability and relative variance, especially precuneus/posterior cingulate and prefrontal regions with good stability for Centiloid scaling. The absence of focal Aβ deposition could be detected by measuring regional CL, showing a high agreement rate with visual inspection. The regional Aβ positivity in the bilateral anterior cingulate cortex was most prevalent in equivocal cases.

Conclusion: The expression of regional brain Aβ deposition in CL with [18F]Flutemetamol has been attempted in this study. Equivocal cases had focal Aβ deposition that can be detected by measuring regional CL.

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来源期刊
Neuroradiology
Neuroradiology 医学-核医学
CiteScore
5.30
自引率
3.60%
发文量
214
审稿时长
4-8 weeks
期刊介绍: Neuroradiology aims to provide state-of-the-art medical and scientific information in the fields of Neuroradiology, Neurosciences, Neurology, Psychiatry, Neurosurgery, and related medical specialities. Neuroradiology as the official Journal of the European Society of Neuroradiology receives submissions from all parts of the world and publishes peer-reviewed original research, comprehensive reviews, educational papers, opinion papers, and short reports on exceptional clinical observations and new technical developments in the field of Neuroimaging and Neurointervention. The journal has subsections for Diagnostic and Interventional Neuroradiology, Advanced Neuroimaging, Paediatric Neuroradiology, Head-Neck-ENT Radiology, Spine Neuroradiology, and for submissions from Japan. Neuroradiology aims to provide new knowledge about and insights into the function and pathology of the human nervous system that may help to better diagnose and treat nervous system diseases. Neuroradiology is a member of the Committee on Publication Ethics (COPE) and follows the COPE core practices. Neuroradiology prefers articles that are free of bias, self-critical regarding limitations, transparent and clear in describing study participants, methods, and statistics, and short in presenting results. Before peer-review all submissions are automatically checked by iThenticate to assess for potential overlap in prior publication.
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