Simple Quantification of Surface Uptake in F-18 Florapronol PET/CT Imaging for the Validation of Alzheimer’s Disease

We developed a novel quantification method named shape feature using F-18 florapronol positron emission tomography–computed tomography (PET/CT) and evaluated its sensitivity and specificity for discriminating between patients with Alzheimer’s disease (AD) and patients with mild cognitive impairment...

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Main Authors: Do-Hoon Kim, Junik Son, Chae Moon Hong, Ho-Sung Ryu, Shin Young Jeong, Sang-Woo Lee, Jaetae Lee
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/1/132
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author Do-Hoon Kim
Junik Son
Chae Moon Hong
Ho-Sung Ryu
Shin Young Jeong
Sang-Woo Lee
Jaetae Lee
author_facet Do-Hoon Kim
Junik Son
Chae Moon Hong
Ho-Sung Ryu
Shin Young Jeong
Sang-Woo Lee
Jaetae Lee
author_sort Do-Hoon Kim
collection DOAJ
description We developed a novel quantification method named shape feature using F-18 florapronol positron emission tomography–computed tomography (PET/CT) and evaluated its sensitivity and specificity for discriminating between patients with Alzheimer’s disease (AD) and patients with mild cognitive impairment or other precursors dementia (non-AD). We calculated the cerebral amyloid smoothing score (CASS) and brain atrophy index (BAI) using the surface area and volume of the region of interest in PET images. We calculated gray and white matter from trained CT data, prepared using U-net. Shape feature was calculated by multiplying CASS with BAI scores. We measured region-based standard uptake values (SUVr) and performed receiver operating characteristic (ROC) analysis to compare SUVr, shape feature, CASS, and BAI score. We investigated the relationship between shape feature and neuropsychological tests. Fifty subjects (23 with AD and 27 with non-AD) were evaluated. SUVr, shape feature, CASS, and BAI score were significantly higher in patients with AD than in those with non-AD. There was no statistically significant difference between shape feature and SUVr in ROC analysis. Shape feature correlated well with mini-mental state examination scores. Shape feature can effectively quantify beta-amyloid deposition and atrophic changes in the brain. These results suggest that shape feature is useful in the diagnosis of AD.
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spelling doaj.art-4484125e0bda4c8b9bfa369706c811212023-11-23T13:28:49ZengMDPI AGDiagnostics2075-44182022-01-0112113210.3390/diagnostics12010132Simple Quantification of Surface Uptake in F-18 Florapronol PET/CT Imaging for the Validation of Alzheimer’s DiseaseDo-Hoon Kim0Junik Son1Chae Moon Hong2Ho-Sung Ryu3Shin Young Jeong4Sang-Woo Lee5Jaetae Lee6Department of Nuclear Medicine, Kyungpook National University School of Medicine and Hospital, Daegu 41944, KoreaDepartment of Nuclear Medicine, Kyungpook National University School of Medicine and Hospital, Daegu 41944, KoreaDepartment of Nuclear Medicine, Kyungpook National University School of Medicine and Hospital, Daegu 41944, KoreaDepartment of Neurology, Kyungpook National University School of Medicine and Hospital, Daegu 41944, KoreaDepartment of Nuclear Medicine, Kyungpook National University School of Medicine and Hospital, Daegu 41944, KoreaDepartment of Nuclear Medicine, Kyungpook National University School of Medicine and Hospital, Daegu 41944, KoreaDepartment of Nuclear Medicine, Kyungpook National University School of Medicine and Hospital, Daegu 41944, KoreaWe developed a novel quantification method named shape feature using F-18 florapronol positron emission tomography–computed tomography (PET/CT) and evaluated its sensitivity and specificity for discriminating between patients with Alzheimer’s disease (AD) and patients with mild cognitive impairment or other precursors dementia (non-AD). We calculated the cerebral amyloid smoothing score (CASS) and brain atrophy index (BAI) using the surface area and volume of the region of interest in PET images. We calculated gray and white matter from trained CT data, prepared using U-net. Shape feature was calculated by multiplying CASS with BAI scores. We measured region-based standard uptake values (SUVr) and performed receiver operating characteristic (ROC) analysis to compare SUVr, shape feature, CASS, and BAI score. We investigated the relationship between shape feature and neuropsychological tests. Fifty subjects (23 with AD and 27 with non-AD) were evaluated. SUVr, shape feature, CASS, and BAI score were significantly higher in patients with AD than in those with non-AD. There was no statistically significant difference between shape feature and SUVr in ROC analysis. Shape feature correlated well with mini-mental state examination scores. Shape feature can effectively quantify beta-amyloid deposition and atrophic changes in the brain. These results suggest that shape feature is useful in the diagnosis of AD.https://www.mdpi.com/2075-4418/12/1/132beta-amyloidpositron emission tomographyF-18 florapronolAlzheimer’s diseasecerebral amyloid smoothing scorebrain atrophy index
spellingShingle Do-Hoon Kim
Junik Son
Chae Moon Hong
Ho-Sung Ryu
Shin Young Jeong
Sang-Woo Lee
Jaetae Lee
Simple Quantification of Surface Uptake in F-18 Florapronol PET/CT Imaging for the Validation of Alzheimer’s Disease
Diagnostics
beta-amyloid
positron emission tomography
F-18 florapronol
Alzheimer’s disease
cerebral amyloid smoothing score
brain atrophy index
title Simple Quantification of Surface Uptake in F-18 Florapronol PET/CT Imaging for the Validation of Alzheimer’s Disease
title_full Simple Quantification of Surface Uptake in F-18 Florapronol PET/CT Imaging for the Validation of Alzheimer’s Disease
title_fullStr Simple Quantification of Surface Uptake in F-18 Florapronol PET/CT Imaging for the Validation of Alzheimer’s Disease
title_full_unstemmed Simple Quantification of Surface Uptake in F-18 Florapronol PET/CT Imaging for the Validation of Alzheimer’s Disease
title_short Simple Quantification of Surface Uptake in F-18 Florapronol PET/CT Imaging for the Validation of Alzheimer’s Disease
title_sort simple quantification of surface uptake in f 18 florapronol pet ct imaging for the validation of alzheimer s disease
topic beta-amyloid
positron emission tomography
F-18 florapronol
Alzheimer’s disease
cerebral amyloid smoothing score
brain atrophy index
url https://www.mdpi.com/2075-4418/12/1/132
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