Predicting diagnosis and cognition with 18F-AV-1451 tau PET and structural MRI in Alzheimer's disease

Research output: Contribution to journalArticle

Abstract

Introduction: The relative importance of structural magnetic resonance imaging (MRI) and tau positron emission tomography (PET) to predict diagnosis and cognition in Alzheimer's disease (AD) is unclear. Methods: We tested 56 cognitively unimpaired controls (including 27 preclinical AD), 32 patients with prodromal AD, and 39 patients with AD dementia. Optimal classifiers were constructed using the least absolute shrinkage and selection operator with 18F-AV-1451 (tau) PET and structural MRI data (regional cortical thickness and subcortical volumes). Results: 18F-AV-1451 in the amygdala, entorhinal cortex, parahippocampal gyrus, fusiform, and inferior parietal lobule had 93% diagnostic accuracy for AD (prodromal or dementia). The MRI classifier involved partly the same regions plus the hippocampus, with 83% accuracy, but did not improve upon the tau classifier. 18F-AV-1451 retention and MRI were independently associated with cognition. Discussion: Optimized tau PET classifiers may diagnose AD with high accuracy, but both tau PET and structural brain MRI capture partly unique information relevant for the clinical deterioration in AD.

Details

Authors
Organisations
External organisations
  • Skåne University Hospital
  • San Francisco Veterans Administration Medical Center
  • University of California, San Francisco
  • University of Southern California
  • Amsterdam UMC - Vrije Universiteit Amsterdam
  • University of Gothenburg
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Radiology, Nuclear Medicine and Medical Imaging
  • Neurology

Keywords

  • Alzheimer, Atrophy, MRI, PET, Tau
Original languageEnglish
Pages (from-to)570-580
JournalAlzheimer's and Dementia
Volume15
Issue number4
Early online date2019 Jan 25
Publication statusPublished - 2019
Publication categoryResearch
Peer-reviewedYes