Burnham Samantha C, Iaccarino Leonardo, Pontecorvo Michael J, Fleisher Adam S, Lu Ming, Collins Emily C, Devous Michael D
Avid, Eli Lilly and Company, Philadelphia, PA 19104, USA.
Brain Commun. 2023 Nov 16;6(1):fcad305. doi: 10.1093/braincomms/fcad305. eCollection 2024.
Alzheimer's disease is defined by the presence of β-amyloid plaques and neurofibrillary tau tangles potentially preceding clinical symptoms by many years. Previously only detectable post-mortem, these pathological hallmarks are now identifiable using biomarkers, permitting an definitive diagnosis of Alzheimer's disease. F-flortaucipir (previously known as F-T807; F-AV-1451) was the first tau positron emission tomography tracer to be introduced and is the only Food and Drug Administration-approved tau positron emission tomography tracer (Tauvid™). It has been widely adopted and validated in a number of independent research and clinical settings. In this review, we present an overview of the published literature on flortaucipir for positron emission tomography imaging of neurofibrillary tau tangles. We considered all accessible peer-reviewed literature pertaining to flortaucipir through 30 April 2022. We found 474 relevant peer-reviewed publications, which were organized into the following categories based on their primary focus: typical Alzheimer's disease, mild cognitive impairment and pre-symptomatic populations; atypical Alzheimer's disease; non-Alzheimer's disease neurodegenerative conditions; head-to-head comparisons with other Tau positron emission tomography tracers; and technical considerations. The available flortaucipir literature provides substantial evidence for the use of this positron emission tomography tracer in assessing neurofibrillary tau tangles in Alzheimer's disease and limited support for its use in other neurodegenerative disorders. Visual interpretation and quantitation approaches, although heterogeneous, mostly converge and demonstrate the high diagnostic and prognostic value of flortaucipir in Alzheimer's disease.
阿尔茨海默病的定义是存在β-淀粉样蛋白斑块和神经原纤维缠结,这些病理特征可能在临床症状出现前数年就已存在。以前这些病理特征只能在尸检时检测到,现在可以使用生物标志物进行识别,从而能够对阿尔茨海默病进行明确诊断。F-氟代托品(以前称为F-T807;F-AV-1451)是首个被引入的tau正电子发射断层扫描示踪剂,也是唯一获得美国食品药品监督管理局批准的tau正电子发射断层扫描示踪剂(Tauvid™)。它已在许多独立的研究和临床环境中得到广泛应用和验证。在本综述中,我们概述了已发表的关于氟代托品用于神经原纤维缠结正电子发射断层扫描成像的文献。我们检索了截至2022年4月30日所有可获取的与氟代托品相关的同行评审文献。我们发现了474篇相关的同行评审出版物,并根据其主要重点分为以下几类:典型阿尔茨海默病、轻度认知障碍和症状前人群;非典型阿尔茨海默病;非阿尔茨海默病神经退行性疾病;与其他tau正电子发射断层扫描示踪剂的头对头比较;以及技术考量。现有的氟代托品文献为使用这种正电子发射断层扫描示踪剂评估阿尔茨海默病中的神经原纤维缠结提供了大量证据,而对其在其他神经退行性疾病中的应用支持有限。视觉解读和定量方法虽然各不相同,但大多趋于一致,并证明了氟代托品在阿尔茨海默病中的高诊断和预后价值。
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