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Updated: Jan 8, 2026

Hybrid PET/MRI Imaging of Alzheimer's Disease Based on 18F-AV-1451
Published on: April 18, 2025
Alzheimer's Imaging Consortium
Avital Dell'Ariccia1, Armen Bodossian1, Logan Xin Zhang1
1Quantified Imaging, London, London, UK.
Arterial Spin Labelling (ASL) measures cerebral blood flow to track Alzheimer's disease (AD) progression. A novel meta-region of interest (meta-ROI) derived from ASL data showed a strong correlation with cognitive scores, suggesting its potential as a non-invasive biomarker.
Area of Science:
- Neuroimaging
- Biomarker Discovery
- Alzheimer's Disease Research
Background:
- Arterial Spin Labelling (ASL) is a non-invasive MRI technique measuring cerebral blood flow (CBF).
- CBF changes are indicative of Alzheimer's disease (AD) progression.
- ASL-derived CBF may serve as an imaging biomarker for dementia.
Purpose of the Study:
- Introduce a novel AD meta-region of interest (meta-ROI) using ASL data.
- Assess the correlation between the ASL meta-ROI and cognitive scores.
- Evaluate ASL as a potential non-invasive alternative to PET and other biomarkers for tracking disease progression across cognitively normal (CN), mild cognitive impairment (MCI), and AD stages.
Main Methods:
- Analyzed ASL data from the Alzheimer's Disease Neuroimaging Initiative (ADNI3).
- Processed ASL data to obtain calibrated CBF maps using the qasl pipeline.
- Constructed a meta-ROI from 17 ROIs showing linear correlation with ADAS-Cog scores and trained a regression model to predict ADAS-Cog.
Main Results:
- Observed a significant correlation (R=0.72) between the ASL meta-ROI scores and cognitive performance.
- This correlation is comparable to established biomarkers like PET (R=0.75) and CSF/plasma biomarkers.
- The findings suggest ASL's efficacy in reflecting disease progression.
Conclusions:
- The strong correlation supports the use of ASL-derived biomarkers for predicting and monitoring Alzheimer's disease progression.
- ASL offers a promising non-invasive imaging approach for clinical applications in dementia.
- Further validation of ASL meta-ROI as a reliable biomarker is warranted.
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