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使用[18F]氟代米他莫-PET检测淀粉样蛋白阳性与非痴呆社区居住老年人认知缺陷的关系

Amyloid Positivity Using [18F]Flutemetamol-PET and Cognitive Deficits in Nondemented Community-Dwelling Older Adults.

作者信息

Hammers Dustin B, Atkinson Taylor J, Dalley Bonnie C A, Suhrie Kayla R, Horn Kevin P, Rasmussen Kelli M, Beardmore Britney E, Burrell Lance D, Duff Kevin, Hoffman John M

机构信息

1 Department of Neurology, Center for Alzheimer's Care, Imaging and Research, University of Utah, Salt Lake City, UT, USA.

2 Center for Quantitative Cancer Imaging, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.

出版信息

Am J Alzheimers Dis Other Demen. 2017 Sep;32(6):320-328. doi: 10.1177/1533317517698795. Epub 2017 Apr 12.

Abstract

Little research exists examining the relationship between beta-amyloid neuritic plaque density via [18F]flutemetamol binding and cognition; consequently, the purpose of the current study was to compare cognitive performances among individuals having either increased amyloid deposition (Flute+) or minimal amyloid deposition (Flute-). Twenty-seven nondemented community-dwelling adults over the age of 65 underwent [18F]flutemetamol amyloid-positron emission tomography imaging, along with cognitive testing using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and select behavioral measures. Analysis of variance was used to identify the differences among the cognitive and behavioral measures between Flute+/Flute- groups. Flute+ participants performed significantly worse than Flute- participants on RBANS indexes of immediate memory, language, delayed memory, and total scale score, but no significant group differences in the endorsed level of depression or subjective report of cognitive difficulties were observed. Although these results are preliminary, [18F]flutemetamol accurately tracks cognition in a nondemented elderly sample, which may allow for better prediction of cognitive decline in late life.

摘要

关于通过[18F]氟代米他莫尔结合来检测β-淀粉样蛋白神经炎性斑块密度与认知之间关系的研究很少;因此,本研究的目的是比较淀粉样蛋白沉积增加(Flute+)或淀粉样蛋白沉积极少(Flute-)的个体之间的认知表现。27名年龄在65岁以上的非痴呆社区居住成年人接受了[18F]氟代米他莫尔淀粉样蛋白正电子发射断层扫描成像,并使用可重复神经心理状态评估量表(RBANS)及部分行为测量方法进行了认知测试。采用方差分析来确定Flute+/Flute-组在认知和行为测量方面的差异。在RBANS的即时记忆、语言、延迟记忆和总分量表指标上,Flute+参与者的表现明显比Flute-参与者差,但在抑郁认可水平或认知困难主观报告方面未观察到显著的组间差异。尽管这些结果是初步的,但[18F]氟代米他莫尔能准确追踪非痴呆老年样本中的认知情况,这可能有助于更好地预测晚年的认知衰退。

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