PET approaches for diagnosis of dementia

K Ishii - American Journal of Neuroradiology, 2014 - Am Soc Neuroradiology
American Journal of Neuroradiology, 2014Am Soc Neuroradiology
There is increasing use of neuroimaging modalities, including PET, for diagnosing
dementia. For example, FDG-PET demonstrates hypometabolic regions in the posterior
cingulate gyri, precuneus, and parietotemporal association cortices, while amyloid PET
indicates amyloid deposition in Alzheimer disease and mild cognitive impairment due to
Alzheimer disease. Furthermore, the use of combination PET with structural MR imaging can
improve the diagnostic accuracy of dementia. In other neurodegenerative dementias, each …
SUMMARY
There is increasing use of neuroimaging modalities, including PET, for diagnosing dementia. For example, FDG-PET demonstrates hypometabolic regions in the posterior cingulate gyri, precuneus, and parietotemporal association cortices, while amyloid PET indicates amyloid deposition in Alzheimer disease and mild cognitive impairment due to Alzheimer disease. Furthermore, the use of combination PET with structural MR imaging can improve the diagnostic accuracy of dementia. In other neurodegenerative dementias, each disease exhibits a specific metabolic reduction pattern. In dementia with Lewy bodies, occipital glucose metabolism is decreased, while in frontotemporal dementia, frontal and anterior temporal metabolism is predominantly decreased. These FDG-PET findings and positive or negative amyloid deposits are important biomarkers for various neurodegenerative dementias.
American Journal of Neuroradiology
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