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Comparison Between 18F-Florapronol and 18F-Florbetaben Imaging in Patients With Cognitive Impairment.


ABSTRACT:

Background and purpose

To determine the imaging characteristics and cutoff value of 18F-florapronol (FC119S) quantitative analysis for detecting β-amyloid positivity and Alzheimer's disease (AD), we compared the findings of FC119S and 18F-florbetaben (FBB) positron-emission tomography (PET) in patients with cognitive impairment.

Methods

We prospectively enrolled 35 patients with cognitive impairment who underwent FBB-PET, FC119S-PET, and brain magnetic resonance imaging. We measured global and vertex-wise standardized uptake value ratios (SUVRs) using a surface-based method with the cerebellar gray matter as reference. Optimal global FC119S SUVR cutoffs were determined using receiver operating characteristic curves for β-amyloid positivity based on the global FBB SUVR of 1.478 and presence of AD, respectively. We evaluated the global and vertex-wise SUVR correlations between the two tracers. In addition, we performed correlation analysis for global or vertex-wise SUVR of each tracer with the vertex-wise cortical thicknesses.

Results

The optimal global FC119S SUVR cutoff value was 1.385 both for detecting β-amyloid positivity and for detecting AD. Based on the global SUVR cutoff value of each tracer, 32 (91.4%) patients had concordant β-amyloid positivity. The SUVRs of FC119S and FBB had strong global (r=0.72) and vertex-wise (r>0.7) correlations in the overall cortices, except for the parietal and temporal cortices (0.4<r<0.7). The FC119S SUVR had significant negative vertex-wise correlations with cortical thicknesses in the posterior cingulate, anterior cingulate, parietal, posterior temporal, and occipital cortices.

Conclusions

Quantitative FC119S-PET analysis provided reliable information for detecting β-amyloid deposition and the presence of AD.

SUBMITTER: Baik K 

PROVIDER: S-EPMC10169926 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Publications

Comparison Between <sup>18</sup>F-Florapronol and <sup>18</sup>F-Florbetaben Imaging in Patients With Cognitive Impairment.

Baik Kyoungwon K   Jeon Seun S   Park Mincheol M   Lee Young-Gun YG   Lee Phil Hyu PH   Sohn Young H YH   Ye Byoung Seok BS  

Journal of clinical neurology (Seoul, Korea) 20230203 3


<h4>Background and purpose</h4>To determine the imaging characteristics and cutoff value of <sup>18</sup>F-florapronol (FC119S) quantitative analysis for detecting β-amyloid positivity and Alzheimer's disease (AD), we compared the findings of FC119S and <sup>18</sup>F-florbetaben (FBB) positron-emission tomography (PET) in patients with cognitive impairment.<h4>Methods</h4>We prospectively enrolled 35 patients with cognitive impairment who underwent FBB-PET, FC119S-PET, and brain magnetic resona  ...[more]

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