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High PIB Retention in Alzheimer's Disease is an Early Event with Complex Relationship with CSF Biomarkers and Functional Parameters
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Radiology, Oncology and Radiation Science, Section of Nuclear Medicine and PET.
Uppsala Imanet AB, GE Healthcare, Uppsala, Sweden.
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2010 (English)In: Current Alzheimer Research, ISSN 1567-2050, Vol. 7, no 1, 56-66 p.Article in journal (Refereed) Published
Abstract [en]


New in vivo amyloid PET imaging tracers, such as 11C-PIB, provide possibilities to deeper understand the underlying pathological processes in Alzheimers disease (AD). In this study we investigated how 11C-PIB retention is related to cerebral glucose metabolism, episodic memory and CSF biomarkers.


Thirty-seven patients with mild AD and 21 patients with mild cognitive impairment (MCI) underwent PET examinations with the amyloid tracer 11C-PIB, 18F-FDG for measurement of regional cerebral metabolic rate of glucose (rCMRglc), assessment of episodic memory and assay of cerebral spinal fluid (CSF) levels of amyloid-ß (Aβ1-42), total tau and phosphorylated tau respectively. Analyses were performed using Statistical Parametric Mapping (SPM) and regions of interest (ROIs).


Pooled data from AD and MCI patients showed strong correlations between 11C-PIB retention, levels of CSF biomarkers (especially Aß1-42), rCMRglc and episodic memory. Analysis of the MCI group alone revealed significant correlations between 11C-PIB retention and CSF biomarkers and between CSF biomarkers and episodic memory respectively. A strong correlation was observed in the AD group between rCMRglc and episodic memory as well as a significant correlation between 11C-PIB retention and rCMRglc in some cortical regions. Regional differences were observed as sign for changes in temporal patterns across brain regions.


A complex pattern was observed between pathological and functional markers with respect to disease stage (MCI versus AD) and brain regions. Regional differences over time were evident during disease progression. 11C-PIB PET and CSF Aß1-42 allowed detection of prodromal stages of AD. Amyloid imaging is useful for early diagnosis and evaluation of new therapeutic interventions in AD.

Place, publisher, year, edition, pages
2010. Vol. 7, no 1, 56-66 p.
Keyword [en]
Amyloid, CSF biomarkers, C-11-PIB-PET, F-18-FDG-PET, AD, MCI, cognition
National Category
Radiology, Nuclear Medicine and Medical Imaging Neurology
URN: urn:nbn:se:uu:diva-137416DOI: 10.2174/156720510790274446ISI: 000274023800007PubMedID: 20205671OAI: oai:DiVA.org:uu-137416DiVA: diva2:378188
Available from: 2010-12-15 Created: 2010-12-15 Last updated: 2014-06-05Bibliographically approved

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Engler, HenryWall, AndersLångström, Bengt
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Section of Nuclear Medicine and PETDepartment of Biochemistry and Organic Chemistry
Radiology, Nuclear Medicine and Medical ImagingNeurology

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