Journal
ALZHEIMERS & DEMENTIA
Volume 15, Issue 4, Pages 570-580Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jalz.2018.12.001
Keywords
Alzheimer; Atrophy; MRI; PET; Tau
Categories
Funding
- European Research Council
- Swedish Research Council
- Marianne and Marcus Wallenberg Foundation
- Strategic Research Area MultiPark (Multidisciplinary Research in Parkinson's disease) at Lund University
- Bundy Academy
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Introduction: The relative importance of structural magnetic resonance imaging (MRI) and tau positron emission tomography (PET) to predict diagnosis and cognition in Alzheimer's disease (AD) is unclear. Methods: We tested 56 cognitively unimpaired controls (including 27 preclinical AD), 32 patients with prodromal AD, and 39 patients with AD dementia. Optimal classifiers were constructed using the least absolute shrinkage and selection operator with F-18-AV-1451 (tau) PET and structural MRI data (regional cortical thickness and subcortical volumes). Results: F-18-AV-1451 in the amygdala, entorhinal cortex, parahippocampal gyrus, fusiform, and inferior parietal lobule had 93% diagnostic accuracy for AD (prodromal or dementia). The MRI classifier involved partly the same regions plus the hippocampus, with 83% accuracy, but did not improve upon the tau classifier. F-18-AV-1451 retention and MRI were independently associated with cognition. Discussion: Optimized tau PET classifiers may diagnose AD with high accuracy, but both tau PET and structural brain MRI capture partly unique information relevant for the clinical deterioration in AD. (C) 2018 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.
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