A1 Refereed original research article in a scientific journal

Negative C-11-PIB PET Predicts Lack of Alzheimer's Disease Pathology in Postmortem Examination




AuthorsNoora M. Scheinin, Maria Gardberg, Matias Röyttä, Juha O. Rinne

PublisherIOS PRESS

Publication year2018

JournalJournal of Alzheimer's Disease

Journal name in sourceJOURNAL OF ALZHEIMERS DISEASE

Journal acronymJ ALZHEIMERS DIS

Volume63

Issue1

First page 79

Last page85

Number of pages7

ISSN1387-2877

DOIhttps://doi.org/10.3233/JAD-170569

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/31093246


Abstract
Our aim was to assess whether in vivo C-11-PIB negative memory-impaired subjects may nonetheless exhibit brain Alzheimer's disease (AD) pathology. We re-evaluated the PET images and systematically characterized the postmortem neuropathology of six individuals who had undergone clinically indicated amyloid PET. The single case with negligible amyloid-beta (A beta) pathology had Lewy body disease, where concomitant AD changes are often seen. Further, the subject's plaques were predominantly diffuse. The predictive value of a negative C-11-PIB scan appears to be good, even in memory-impaired populations. Our results suggest that considerable neuritic A beta plaque pathology in the absence of specific/cortical C-11-PIB binding upon PET is unlikely.

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