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Aβ Imaging in Aging, Alzheimer’s Disease, and Other Neurodegenerative Conditions

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PET and SPECT in Neurology

Abstract

In vivo imaging of β-amyloid (Αβ) has transformed the assessment of Αβ pathology and its changes over time, extending our insight into Aβ deposition in the brain by providing highly accurate, reliable, and reproducible quantitative statements of regional or global Aβ burden in the brain, proving essential in anti-Αβ therapeutic trials. Although cross-sectional evaluation of Αβ burden does not strongly correlate with cognitive impairment in AD, it does correlate with memory impairment and a higher risk for cognitive decline in the aging population and MCI subjects. This correlation with memory impairment, one of the earliest symptoms of AD, suggests that Αβ deposition is not part of normal aging. Longitudinal observations, coupled with different disease-specific biomarkers to assess potential downstream effects of Aβ, have confirmed that Αβ deposition in the brain starts decades before the onset of symptoms. Aβ imaging studies continue to refine our understanding of the role of Αβ deposition in Alzheimer’s disease.

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Acknowledgments

We would like to thank Prof. Michael Woodward, Dr. Rachel Mulligan, Dr. Greg Savage, Dr. Joanne Robertson, Dr. Gordon Chan, Dr. Kenneth Young, Dr. Sylvia Gong, Mr. Ignatius Reilly, Ms. Fiona Lamb, Mrs. Svetlana Pejoska, and the Brain Research Institute for their assistance with this study.

This work was supported in part by Program Grant 1127007, Project Grant 1132604, and Research Fellowship 1046471 of the National Health and Medical Research Council of Australia and the Austin Hospital Medical Research Foundation.

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Villemagne, V.L., Doré, V., Burnham, S., Rowe, C.C. (2021). Aβ Imaging in Aging, Alzheimer’s Disease, and Other Neurodegenerative Conditions. In: Dierckx, R.A.J.O., Otte, A., de Vries, E.F.J., van Waarde, A., Leenders, K.L. (eds) PET and SPECT in Neurology. Springer, Cham. https://doi.org/10.1007/978-3-030-53168-3_10

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