Cortical [18 F]PI-2620 Binding Differentiates Corticobasal Syndrome Subtypes

© 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society..

BACKGROUND: Corticobasal syndrome is associated with cerebral protein aggregates composed of 4-repeat (~50% of cases) or mixed 3-repeat/4-repeat tau isoforms (~25% of cases) or nontauopathies (~25% of cases).

OBJECTIVES: The aim of this single-center study was to investigate the diagnostic value of the tau PET-ligand [18 F]PI-2620 in patients with corticobasal syndrome.

METHODS: Forty-five patients (71.5 ± 7.6 years) with corticobasal syndrome and 14 age-matched healthy controls underwent [18 F]PI-2620-PET. Beta-amyloid status was determined by cerebral β-amyloid PET and/or CSF analysis. Subcortical and cortical [18 F]PI-2620 binding was quantitatively and visually compared between β-amyloid-positive and -negative patients and controls. Regional [18 F]PI-2620 binding was correlated with clinical and demographic data.

RESULTS: Twenty-four percent (11 of 45) were β-amyloid-positive. Significantly elevated [18 F]PI-2620 distribution volume ratios were observed in both β-amyloid-positive and β-amyloid-negative patients versus controls in the dorsolateral prefrontal cortex and basal ganglia. Cortical [18 F]PI-2620 PET positivity was distinctly higher in β-amyloid-positive compared with β-amyloid-negative patients with pronounced involvement of the dorsolateral prefrontal cortex. Semiquantitative analysis of [18 F]PI-2620 PET revealed a sensitivity of 91% for β-amyloid-positive and of 65% for β-amyloid-negative cases, which is in excellent agreement with prior clinicopathological data. Regardless of β-amyloid status, hemispheric lateralization of [18 F]PI-2620 signal reflected contralateral predominance of clinical disease severity.

CONCLUSIONS: Our data indicate a value of [18 F]PI-2620 for evaluating corticobasal syndrome, providing quantitatively and regionally distinct signals in β-amyloid-positive as well as β-amyloid-negative corticobasal syndrome. In corticobasal syndrome, [18 F]PI-2620 may potentially serve for a differential diagnosis and for monitoring disease progression. © 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Movement disorders : official journal of the Movement Disorder Society - 36(2021), 9 vom: 02. Sept., Seite 2104-2115

Sprache:

Englisch

Beteiligte Personen:

Palleis, Carla [VerfasserIn]
Brendel, Matthias [VerfasserIn]
Finze, Anika [VerfasserIn]
Weidinger, Endy [VerfasserIn]
Bötzel, Kai [VerfasserIn]
Danek, Adrian [VerfasserIn]
Beyer, Leonie [VerfasserIn]
Nitschmann, Alexander [VerfasserIn]
Kern, Maike [VerfasserIn]
Biechele, Gloria [VerfasserIn]
Rauchmann, Boris-Stephan [VerfasserIn]
Häckert, Jan [VerfasserIn]
Höllerhage, Matthias [VerfasserIn]
Stephens, Andrew W [VerfasserIn]
Drzezga, Alexander [VerfasserIn]
van Eimeren, Thilo [VerfasserIn]
Villemagne, Victor L [VerfasserIn]
Schildan, Andreas [VerfasserIn]
Barthel, Henryk [VerfasserIn]
Patt, Marianne [VerfasserIn]
Sabri, Osama [VerfasserIn]
German Imaging Initiative for Tauopathies (GII4T) [VerfasserIn]
Bartenstein, Peter [VerfasserIn]
Perneczky, Robert [VerfasserIn]
Haass, Christian [VerfasserIn]
Levin, Johannes [VerfasserIn]
Höglinger, Günter U [VerfasserIn]

Links:

Volltext

Themen:

Alzheimer's disease
Amyloid beta-Peptides
Corticobasal syndrome
Four-repeat tauopathies
Journal Article
PET
Research Support, Non-U.S. Gov't
Tau

Anmerkungen:

Date Completed 13.10.2021

Date Revised 13.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/mds.28624

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325040443