PET/CT of Dementia

被引:22
作者
Zukotynski, Katherine [1 ,2 ,3 ]
Kuo, Phillip H. [4 ,5 ,6 ]
Mikulis, David [7 ]
Rosa-Neto, Pedro [8 ]
Strafella, Antonio P. [9 ,10 ,11 ]
Subramaniam, Rathan M. [12 ]
Black, Sandra E. [13 ,14 ]
机构
[1] McMaster Univ, Dept Med, 1200 Main St W,Rm 1P11, Hamilton, ON L8N 3Z5, Canada
[2] McMaster Univ, Dept Radiol, Hamilton, ON, Canada
[3] Univ Toronto, Inst Biomat & Biomed Engn, Toronto, ON, Canada
[4] Univ Arizona, Dept Med Imaging, Tucson, AZ USA
[5] Univ Arizona, Dept Med, Tucson, AZ USA
[6] Univ Arizona, Dept Biomed Engn, Tucson, AZ USA
[7] Univ Toronto, Dept Med Imaging, Toronto, ON, Canada
[8] McGill Univ, Montreal Neurol Inst, Douglas Res Ctr, Montreal, PQ, Canada
[9] Univ Hlth Network, Toronto Western Hosp, Neurol Div, Dept Med, Toronto, ON, Canada
[10] Univ Hlth Network, Krembil Res Inst, Toronto, ON, Canada
[11] Campbell Family Mental Hlth Res Inst, Res Imaging Ctr, Toronto, ON, Canada
[12] UT Southwestern Med Ctr, Dept Radiol, Dallas, TX USA
[13] Univ Toronto, Neurol Div, Dept Med, Toronto, ON, Canada
[14] Sunnybrook Res Inst, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada
关键词
amyloid; dementia; imaging; PET/CT; tau; POSITRON-EMISSION-TOMOGRAPHY; MILD COGNITIVE IMPAIRMENT; AMYLOID-BETA PLAQUES; ALZHEIMERS-DISEASE; FDG-PET; NEUROFIBRILLARY PATHOLOGY; ANATOMIC STANDARDIZATION; TRANSLOCATOR PROTEIN; AMERICAN-ACADEMY; IMAGING AGENT;
D O I
10.2214/AJR.18.19822
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. In this article, we review the literature on PET/CT in the management of dementia, present evidence for best clinical practices, and discuss recent advances in the field. CONCLUSION. Standard-of-care imaging for dementia includes CT and MRI, primarily for excluding vascular lesions or masses, detecting atrophy, and monitoring disease severity. PET/CT is a powerful functional modality that can differentiate dementia types and influence management. Fluorine-18-FDG PET/CT reveals the spatial pattern of glucose metabolism in the brain. More recently, radiotracers for PET have been developed that bind to amyloid protein, tau protein, and neuroinflammatory markers.
引用
收藏
页码:246 / 259
页数:14
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