Cognition, glucose metabolism and amyloid burden in Alzheimer's disease.

Cognition, glucose metabolism and amyloid burden in Alzheimer's disease.
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DOI:
10.1016/j.neurobiolaging.2010.03.011
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发表时间:
2012-02
影响因子:
4.2
通讯作者:
Jagust WJ
Jagust WJ
中科院分区:
医学2区
文献类型:
--
作者:
Furst AJ;Rabinovici GD;Rostomian AH;Steed T;Alkalay A;Racine C;Miller BL;Jagust WJ

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We investigated relationships between glucose metabolism, amyloid load and measures of cognitive and functional impairment in Alzheimer’s disease (AD). Patients meeting criteria for probable AD underwent [11C]PIB and [18F]FDG PET imaging and were assessed on a set of clinical measures. PIB Distribution volume ratios and FDG scans were spatially normalized and average PIB counts from regions-of-interest (ROI) were used to compute a measure of global PIB uptake. Separate voxel-wise regressions explored local and global relationships between metabolism, amyloid burden and clinical measures. Regressions reflected cognitive domains assessed by individual measures, with visuospatial tests associated with more posterior metabolism, and language tests associated with metabolism in the left hemisphere. Correlating regional FDG uptake with these measures confirmed these findings. In contrast, no correlations were found between either voxel-wise or regional PIB uptake and any of the clinical measures. Finally, there were no associations between regional PIB and FDG uptake. We conclude that regional and global amyloid burden does not correlate with clinical status or glucose metabolism in AD.
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