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行为变异型额颞叶痴呆患者脑中 F-氟脱氧葡萄糖摄取的皮质下优势蓄积。

Predominant subcortical accumulation of F-flortaucipir binding in behavioral variant frontotemporal dementia.

机构信息

Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Departments of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Neurobiol Aging. 2018 Jun;66:112-121. doi: 10.1016/j.neurobiolaging.2018.02.015. Epub 2018 Feb 21.

Abstract

Behavioral variant frontotemporal dementia (bvFTD) is the most common form of frontotemporal dementia, and tau pathology can be found in 40%-50% of bvFTD patients. In this study, we sought to investigate F-flortaucipir-binding patterns and their correlates in clinically diagnosed bvFTD patients by comparing with results for Alzheimer's disease (AD) patients. We enrolled 20 bvFTD, 20 AD, and 20 age-matched healthy subjects who underwent neuropsychological tests, magnetic resonance imaging, and tau positron emission tomography scans with F-flortaucipir. Regional standardized uptake value ratios for the cerebral cortex and underlying white matter were compared between the 2 groups. The bvFTD patients showed increased F-flortaucipir binding in the putamen and globus pallidus when compared to the healthy controls. In addition, bvFTD was associated with increased binding in the white matter regions underlying the frontal, anterior cingulate, and insula cortices. The bvFTD patients may exhibit predominantly subcortical F-flortaucipir-binding pattern that is distinct from the patterns seen in AD patients. We hypothesize that the clinical characteristics of bvFTD patients may be attributable to the dysfunctional frontal-subcortical networks. However, concerns remain regarding unknown "off-target" binding in the white matter and the basal ganglia.

摘要

行为变异型额颞叶痴呆(bvFTD)是额颞叶痴呆最常见的形式,40%-50%的 bvFTD 患者可发现 tau 病理学。在这项研究中,我们通过与阿尔茨海默病(AD)患者的结果进行比较,旨在研究临床诊断的 bvFTD 患者中 F-氟替卡滨结合模式及其相关性。我们纳入了 20 名 bvFTD 患者、20 名 AD 患者和 20 名年龄匹配的健康对照者,他们接受了神经心理学测试、磁共振成像和 F-氟替卡滨的 tau 正电子发射断层扫描。比较了两组大脑皮质和下白质的区域标准化摄取比值。与健康对照组相比,bvFTD 患者的壳核和苍白球中 F-氟替卡滨结合增加。此外,bvFTD 与额叶、前扣带回和脑岛皮质下白质区域的结合增加有关。bvFTD 患者可能表现出主要的皮质下 F-氟替卡滨结合模式,与 AD 患者的模式不同。我们假设 bvFTD 患者的临床特征可能归因于功能失调的额皮质下网络。然而,对于白质和基底节中未知的“脱靶”结合仍存在担忧。

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