RT Journal Article
SR Electronic
T1 Multimodality Imaging of Alzheimer Disease and Other Neurodegenerative Dementias
JF Journal of Nuclear Medicine
JO J Nucl Med
FD Society of Nuclear Medicine
SP 2003
OP 2011
DO 10.2967/jnumed.114.141416
VO 55
IS 12
A1 Ilya M. Nasrallah
A1 David A. Wolk
YR 2014
UL http://jnm.snmjournals.org/content/55/12/2003.abstract
AB Neurodegenerative diseases, such as Alzheimer disease, result in cognitive decline and dementia and are a leading cause of mortality in the growing elderly population. These progressive diseases typically have an insidious onset, with overlapping clinical features early in the disease course that make diagnosis challenging. The neurodegenerative diseases are associated with characteristic, although not completely understood, changes in the brain: abnormal protein deposition, synaptic dysfunction, neuronal injury, and neuronal death. Neuroimaging biomarkers—principally regional atrophy on structural MR imaging, patterns of hypometabolism on 18F-FDG PET, and detection of cerebral amyloid plaque on amyloid PET—are able to evaluate the patterns of these abnormalities in the brain to improve early diagnosis and help predict the disease course. These techniques have unique strengths and synergies in multimodality evaluation of the patient with cognitive decline or dementia. This review discusses the key imaging biomarkers from MR imaging, 18F-FDG PET, and amyloid PET; the imaging features of the most common neurodegenerative dementias; the role of various neuroimaging studies in differential diagnosis and prognosis; and some promising imaging techniques under development.