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Hypometabolism of the posterior cingulate cortex is not restricted to Alzheimer's disease

Authors: Nienke M.E. Scheltens; Kars van der Weijden; Sofie M. Adriaanse; Danielle van Assema; Priscilla P. Oomen; Welmoed A. Krudop; Adriaan A. Lammertsma; +9 Authors

Hypometabolism of the posterior cingulate cortex is not restricted to Alzheimer's disease

Abstract

When differential diagnosis of dementia includes both Alzheimer's disease (AD) and the behavioural variant of frontotemporal dementia (bvFTD), distribution of cerebral glucose metabolism as measured using [18F]‑2‑fluoro‑2‑deoxy‑d‑glucose positron emission tomography ([18F]FDG-PET) may be helpful. One important clue for differentiation is the presence of hypometabolism in the posterior cingulate cortex (PCC), usually associated with AD. PCC hypometabolism however, could also be present in bvFTD. Therefore, the specificity of PCC hypometabolism was examined. Based on visual reading PCC hypometabolism was present in 69-73/81 probable AD patients, in 10-16/33 probable bvFTD patients, and in 0-1/22 cognitive normal (CN) subjects. Findings were validated using a PCC to reference tissue [18F]FDG standard uptake value ratio (SUVr) cut-off, which was derived from the receiver operating characteristic (ROC) separating probable AD from CN, resulting in 9-14/33 bvFTD patients having PCC hypometabolism, depending on the reference tissue used. In conclusion, PCC hypometabolism is not restricted to AD.

Countries
United Kingdom, Netherlands
Related Organizations
Keywords

Male, Posterior cingulate cortex, [18F]FDG-PET, Computer applications to medicine. Medical informatics, R858-859.7, Neuropsychological Tests, Gyrus Cinguli, Diagnosis, Differential, Alzheimer Disease, Fluorodeoxyglucose F18, Humans, RC346-429, Aged, Regular Article, Alzheimer's disease, Middle Aged, Magnetic Resonance Imaging, Hypometabolism, Frontotemporal Dementia, Positron-Emission Tomography, Female, Neurology. Diseases of the nervous system, Frontotemporal dementia

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
26
Top 10%
Average
Top 10%
Green
gold