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Research ArticleCLINICAL INVESTIGATIONS

Relationship of Cerebrospinal Fluid Markers to 11C-PiB and 18F-FDDNP Binding

Nelleke Tolboom, Wiesje M. van der Flier, Maqsood Yaqub, Ronald Boellaard, Nicolaas A. Verwey, Marinus A. Blankenstein, Albert D. Windhorst, Philip Scheltens, Adriaan A. Lammertsma and Bart N.M. van Berckel
Journal of Nuclear Medicine September 2009, 50 (9) 1464-1470; DOI: https://doi.org/10.2967/jnumed.109.064360
Nelleke Tolboom
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Wiesje M. van der Flier
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Maqsood Yaqub
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Ronald Boellaard
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Nicolaas A. Verwey
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Marinus A. Blankenstein
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Albert D. Windhorst
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Philip Scheltens
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Adriaan A. Lammertsma
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Bart N.M. van Berckel
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  • FIGURE 1. 
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    FIGURE 1. 

    Examples of parametric coronal (left column) and sagittal (right column) 11C-PiB and 18F-FDDNP BPND images in control subject and AD patient with their coregistered MR image. 11C-PiB and 18F-FDDNP scans were obtained in same subjects. Corresponding CSF values for AD patient (60 y) were Aβ1–42, 504 pg/mL, and tau, 837 pg/mL. For the healthy control (61 y), CSF levels were Aβ1–42, 1,123 pg/mL, and tau, 245 pg/mL.

  • FIGURE 2. 
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    FIGURE 2. 

    Scatter plots of 11C-PiB binding (global BPND) against CSF levels of Aβ1–42 (A) and tau (B). ○ are patients with AD, ▴ are patients with MCI, and □ are healthy controls. CSF values are shown as measured, whereas statistical analyses were performed on log-transformed values. Lower CSF levels of Aβ1–42 (A: r = −0.72, P < 0.001) and higher tau levels (B: r = 0.58, P < 0.001) were associated with higher global 11C-PiB binding.

  • FIGURE 3. 
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    FIGURE 3. 

    Scatter plots of 18F-FDDNP binding (global BPND) against CSF levels of Aβ1–42 (A) and tau (B). ○ are patients with AD, ▴ are patients with MCI, and □ are healthy controls. CSF values are shown as measured, whereas statistical analyses were performed on log-transformed values. Lower CSF levels of Aβ1–42 (A: r = −0.37, P < 0.05) and higher tau levels (B: r = 0.56, P < 0.001) were associated with higher global 18F-FDDNP binding.

Tables

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    TABLE 1

    Demographic and Clinical Characteristics of 3 Diagnostic Groups

    CharacteristicControlMCIAD
    n101215
    Age (y)*70 ± 668 ± 963 ± 7
    Sex (F/M)3/72/106/9
    MMSE†29 ± 128 ± 224 ± 2‡§
    Aβ1–42 (pg/mL)†886 ± 244623 ± 165§507 ± 78§
    Tau (pg/mL)†264 ± 104431 ± 269752 ± 371§||
    11C-PiB BPND
     Global†0.18 ± 0.300.33 ± 0.370.86 ± 0.12‡§
     Frontal0.22 ± 0.370.37 ± 0.420.93 ± 0.11‡§
     Medial temporal0.08 ± 0.080.07 ± 0.060.15 ± 0.09||¶
     Temporal0.16 ± 0.270.31 ± 0.340.79 ± 0.11‡§
     Posterior cingulate0.17 ± 0.220.37 ± 0.380.84 ± 0.41‡§
     Parietal0.17 ± 0.300.34 ± 0.210.96 ± 0.20‡§
    18F-FDDNP BPND
     Global*0.06 ± 0.030.08 ± 0.050.09 ± 0.02
     Frontal*0.05 ± 0.040.09 ± 0.060.09 ± 0.02
     Medial temporal0.12 ± 0.040.13 ± 0.050.14 ± 0.05
     Temporal0.07 ± 0.030.10 ± 0.050.10 ± 0.03
     Posterior cingulate0.04 ± 0.010.07 ± 0.020.06 ± 0.01
     Parietal0.02 ± 0.040.04 ± 0.040.06 ± 0.03
    • ANOVA with age as covariate:

    • ↵* P < 0.10.

    • ↵† P ≤ 0.001.

    • Post hoc least-significant difference tests:

    • ↵‡ P ≤ 0.001, compared with MCI.

    • ↵§ P ≤ 0.001, compared with controls.

    • ↵|| P < 0.05, compared with MCI.

    • ↵¶ P < 0.05, compared with controls.

    • Data are mean ± SD, where appropriate. Note that raw values are shown for CSF biomarkers (pg/mL) but that log-transformed values were used for statistical analysis.

    • MMSE = Mini-Mental State Examination.

    • View popup
    TABLE 2

    Pearson Correlation Coefficients Between CSF Biomarkers and Tracer BPND

    CSF biomarker (pg/mL)
    BPND11C-PiBBPND18F-FDDNP
    Brain regionAβ1–42TauAβ1–42Tau
    Global−0.72*0.58*−0.37†0.56*
    Frontal−0.74*0.58*−0.37†0.56*
    Medial temporal−0.36†0.26−0.130.25
    Temporal−0.71*0.59*−0.260.45†
    Posterior cingulated−0.69*0.53†−0.120.33†
    Parietal−0.68*0.56*−0.39†0.48†
    • ↵* P ≤ 0.001.

    • ↵† P < 0.05.

    • View popup
    TABLE 3

    Linear Regression Analysis Between CSF Biomarkers and Tracer BPND

    CSF biomarker (pg/mL)
    Model 1Model 2
    Brain regionAβ1–42TauAβ1–42Tau
    11C-PiB BPND
     Global 11C-PiB−0.72*0.59*−0.50*0.17
     Frontal−0.75*0.60*−0.56*0.18
     Medial temporal−0.42†0.37†−0.150.03
     Temporal−0.69*0.57*−0.46*0.17
     Posterior cingulate−0.69*0.52*−0.47†0.12
     Parietal−0.67*0.57*−0.43†0.14
    18F-FDDNP BPND
     Global 18F-FDDNP−0.36†0.59*−0.260.62†
     Frontal−0.36†0.56*−0.270.62†
     Medial temporal−0.160.34‡−0.070.33
     Temporal−0.29‡0.56*−0.120.50†
     Posterior cingulate−0.120.33†−0.030.46†
     Parietal−0.36†0.49†−0.330.44†
    • ↵* P ≤ 0.001.

    • ↵† P < 0.05.

    • ↵‡ P < 0.10.

    • Linear regression analyses were performed to adjust for potential confounders. Model 1, adjusted for ROI volume; model 2, adjusted for ROI volume, age, sex, and diagnosis (using dummy variables). Values are given as standardized βs.

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Journal of Nuclear Medicine: 50 (9)
Journal of Nuclear Medicine
Vol. 50, Issue 9
September 2009
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Relationship of Cerebrospinal Fluid Markers to 11C-PiB and 18F-FDDNP Binding
Nelleke Tolboom, Wiesje M. van der Flier, Maqsood Yaqub, Ronald Boellaard, Nicolaas A. Verwey, Marinus A. Blankenstein, Albert D. Windhorst, Philip Scheltens, Adriaan A. Lammertsma, Bart N.M. van Berckel
Journal of Nuclear Medicine Sep 2009, 50 (9) 1464-1470; DOI: 10.2967/jnumed.109.064360

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Relationship of Cerebrospinal Fluid Markers to 11C-PiB and 18F-FDDNP Binding
Nelleke Tolboom, Wiesje M. van der Flier, Maqsood Yaqub, Ronald Boellaard, Nicolaas A. Verwey, Marinus A. Blankenstein, Albert D. Windhorst, Philip Scheltens, Adriaan A. Lammertsma, Bart N.M. van Berckel
Journal of Nuclear Medicine Sep 2009, 50 (9) 1464-1470; DOI: 10.2967/jnumed.109.064360
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