Publication

FDG-PET for Prediction of AD Dementia in Mild Cognitive Impairment. A Review of the State of the Art with Particular Emphasis on the Comparison with Other Neuroimaging Modalities (MRI and Perfusion SPECT)

Sanchez-Catasus, C. A., Stormezand, G. N., van Laar, P. J., De Deyn, P. P., Sanchez, M. A. & Dierckx, R. A. J. O., 2017, In : Current alzheimer research. 14, 2, p. 127-142 16 p.

Research output: Contribution to journalReview articleAcademicpeer-review

This review article aims at providing a state-of-the-art review of the role of fluorodeoxyglucose (FDG) positron emission tomography (PET) imaging (FDG-PET) in the prediction of Alzheimer's dementia in subjects suffering mild cognitive impairment (MCI), with a particular focus on the predictive power of FDG-PET compared to structural magnetic resonance imaging (sMRI). We also address perfusion single photon emission computed tomography (SPECT) as a less costly and more accessible alternative to FDG-PET.

A search in PubMed was performed, taking into consideration relevant scientific articles published in English within the last five years and limited to human studies. This recent literature confirms the effectiveness of FDG-PET and sMRI for prediction of AD dementia in MCI. However, there are discordant results regarding which image modality is superior. This could be explained by the high variability of metrics used to evaluate both imaging modalities and/or by sampling/population issues such as age, disease severity and conversion time. FDG-PET seems to outperform sMRI in rapidly converting early-onset MCI individuals, whereas sMRI may outperform FDG-PET in late-onset MCI subjects, in which case FDG PET might only provide a complementary role. Although FDG-PET performs better than perfusion SPECT, current evidence confirms perfusion SPECT as a valid alternative when FDG-PET is not available. Finally, possible future directions in the field are discussed.

Original languageEnglish
Pages (from-to)127-142
Number of pages16
JournalCurrent alzheimer research
Volume14
Issue number2
Publication statusPublished - 2017

    Keywords

  • Alzheimer's disease, dementia, FDG-PET, perfusion SPECT, MRI, mild cognitive impairment, ALZHEIMERS ASSOCIATION WORKGROUPS, POSITRON-EMISSION-TOMOGRAPHY, POSTERIOR CINGULATE CORTEX, BLOOD-FLOW SPECT, CEREBROSPINAL-FLUID, F-18-FDG PET, DIAGNOSTIC GUIDELINES, NATIONAL INSTITUTE, GLUCOSE-METABOLISM, BRAIN PERFUSION

ID: 43809935