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Abstract
This is a progress report of the Alzheimer's Disease Neuroimaging Initiative (ADNI)
positron emission tomography (PET) Core.
The Core has supervised the acquisition, quality control, and analysis of longitudinal
[(18)F]fluorodeoxyglucose PET (FDG-PET) data in approximately half of the ADNI cohort.
In an "add on" study, approximately 100 subjects also underwent scanning with [(11)C]
Pittsburgh compound B PET for amyloid imaging. The Core developed quality control
procedures and standardized image acquisition by developing an imaging protocol that
has been widely adopted in academic and pharmaceutical industry studies. Data processing
provides users with scans that have identical orientation and resolution characteristics
despite acquisition on multiple scanner models. The Core labs have used many different
approaches to characterize differences between subject groups (Alzheimer's disease,
mild cognitive impairment, controls), to examine longitudinal change over time in
glucose metabolism and amyloid deposition, and to assess the use of FDG-PET as a potential
outcome measure in clinical trials.
ADNI data indicate that FDG-PET increases statistical power over traditional cognitive
measures, might aid subject selection, and could substantially reduce the sample size
in a clinical trial. Pittsburgh compound B PET data showed expected group differences,
and identified subjects with significant annual increases in amyloid load across the
subject groups. The next activities of the PET core in ADNI will entail developing
standardized protocols for amyloid imaging using the [(18)F]-labeled amyloid imaging
agent AV45, which can be delivered to virtually all ADNI sites.
ADNI has demonstrated the feasibility and utility of multicenter PET studies and is
helping to clarify the role of biomarkers in the study of aging and dementia.
Copyright 2010 The Alzheimer