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Visualization of Amyloid β Deposits in the Human Brain with Matrix-assisted Laser Desorption/Ionization Imaging Mass Spectrometry
Published on: March 7, 2019
Clinical amyloid imaging in logopenic progressive aphasia
Mario F Mendez1, Valeriy Sabodash
1Departments of *Neurology †Psychiatry & Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles ‡Neurobehavior Unit, V.A. Greater Los Angeles Healthcare Center, Los Angeles, CA.
Florbetapir (Amyvid) PET scans show amyloid deposition in logopenic progressive aphasia (LPA), an Alzheimer disease variant. This helps diagnose early-onset, nonamnestic cognitive complaints, aiding Alzheimer disease assessment.
Area of Science:
- Neurology
- Neuroimaging
- Biomarkers
Background:
- Alzheimer disease (AD) diagnosis can be challenging in young patients with nonamnestic cognitive complaints.
- Logopenic progressive aphasia (LPA) is a common variant of early-onset AD presenting with language difficulties.
- Distinguishing LPA from other progressive aphasias requires advanced diagnostic tools.
Observation:
- Florbetapir (Amyvid) positron emission tomography (PET) imaging was used to evaluate 3 LPA patients.
- Patients were compared with age- and severity-matched individuals with typical amnestic AD.
- Fluorodeoxyglucose-PET revealed focal hypometabolism in the left temporoparietal regions in LPA patients.
Findings:
- Florbetapir PET scans showed diffuse amyloid deposition in all LPA patients.
- Amyloid deposition patterns in LPA did not differ from those in typical amnestic AD.
- Clinical amyloid imaging is valuable for detecting Alzheimer pathology in early-onset and nonamnestic presentations.
Implications:
- Florbetapir PET imaging can significantly aid in the clinical evaluation of nonamnestic cognitive complaints suggestive of AD.
- This biomarker facilitates the assessment of beta-amyloid pathology in challenging early-onset AD cases.
- Amyloid PET imaging represents a major advancement in diagnosing Alzheimer disease variants like LPA.
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