Combined 18F-FDG PET-CT markers in dementia with Lewy bodies

© 2023 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals LLC on behalf of Alzheimer's Association..

INTRODUCTION: 18F-Fluoro-deoxyglucose-positron emission tomography (FDG-PET) is a supportive biomarker in dementia with Lewy bodies (DLB) diagnosis and its advanced analysis methods, including radiomics and machine learning (ML), were developed recently. The aim of this study was to evaluate the FDG-PET diagnostic performance in predicting a DLB versus Alzheimer's disease (AD) diagnosis.

METHODS: FDG-PET scans were visually and semi-quantitatively analyzed in 61 patients. Radiomics and ML analyses were performed, building five ML models: (1) clinical features; (2) visual and semi-quantitative PET features; (3) radiomic features; (4) all PET features; and (5) overall features.

RESULTS: At follow-up, 34 patients had DLB and 27 had AD. At visual analysis, DLB PET signs were significantly more frequent in DLB, having the highest diagnostic accuracy (86.9%). At semi-quantitative analysis, the right precuneus, superior parietal, lateral occipital, and primary visual cortices showed significantly reduced uptake in DLB. The ML model 2 had the highest diagnostic accuracy (84.3%).

DISCUSSION: FDG-PET is a valuable tool in DLB diagnosis, having visual and semi-quantitative analyses with the highest diagnostic accuracy at ML analyses.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Alzheimer's & dementia (Amsterdam, Netherlands) - 15(2023), 4 vom: 20. Okt., Seite e12515

Sprache:

Englisch

Beteiligte Personen:

Mattoli, Maria Vittoria [VerfasserIn]
Cocciolillo, Fabrizio [VerfasserIn]
Chiacchiaretta, Piero [VerfasserIn]
Dotta, Francesco [VerfasserIn]
Trevisi, Gianluca [VerfasserIn]
Carrarini, Claudia [VerfasserIn]
Thomas, Astrid [VerfasserIn]
Sensi, Stefano [VerfasserIn]
Pizzi, Andrea Delli [VerfasserIn]
Nicola, Angelo Domenico Di [VerfasserIn]
Crosta, Adolfo Di [VerfasserIn]
Mammarella, Nicola [VerfasserIn]
Padovani, Alessandro [VerfasserIn]
Pilotto, Andrea [VerfasserIn]
Moda, Fabio [VerfasserIn]
Tiraboschi, Pietro [VerfasserIn]
Martino, Gianluigi [VerfasserIn]
Bonanni, Laura [VerfasserIn]

Links:

Volltext

Themen:

18F‐FDG
Artificial intelligence
Biomarkers
Dementia
Journal Article
Lewy body dementia
Machine learning
PET‐CT
Radiomics

Anmerkungen:

Date Revised 25.12.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1002/dad2.12515

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366358545