RT Journal Article SR Electronic T1 Validation of a Simplified Tissue-to-Reference Ratio Measurement Using SUVR to Assess Synaptic Density Alterations in Alzheimer Disease with [11C]UCB-J PET JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP jnumed.124.267419 DO 10.2967/jnumed.124.267419 A1 Young, Juan J. A1 O’Dell, Ryan S. A1 Naganawa, Mika A1 Toyonaga, Takuya A1 Chen, Ming-Kai A1 Nabulsi, Nabeel B. A1 Huang, Yiyun A1 Cooper, Emma A1 Miller, Alyssa A1 Lam, Jessica A1 Bates, Kara A1 Ruan, Audrey A1 Nelsen, Kimberly A1 Salardini, Elaheh A1 Carson, Richard E. A1 van Dyck, Christopher H. A1 Mecca, Adam P. YR 2024 UL http://jnm.snmjournals.org/content/early/2024/09/19/jnumed.124.267419.abstract AB Simplified methods of acquisition and quantification would facilitate the use of synaptic density imaging in multicenter and longitudinal studies of Alzheimer disease (AD). We validated a simplified tissue-to-reference ratio method using SUV ratios (SUVRs) for estimating synaptic density with [11C]UCB-J PET. Methods: Participants included 31 older adults with AD and 16 with normal cognition. The distribution volume ratio (DVR) using simplified reference tissue model 2 was compared with SUVR at short scan windows using a whole-cerebellum reference region. Results: Synaptic density was reduced in AD participants using DVR or SUVR. SUVR using later scan windows (60–90 or 70–90 min) was minimally biased, with the strongest correlation with DVR. Effect sizes using SUVR at these late time windows were minimally reduced compared with effect sizes with DVR. Conclusion: A simplified tissue-to-reference method may be useful for multicenter and longitudinal studies seeking to measure synaptic density in AD.