Falasco Germán*, Damian Andres, Urrutia Leandro, Niell Nicolás, Lago Graciela, Bérgamo Yanina, Chrem Patricio, Quagliata Adriana, Bentancourt Cecilia, Calandri Ismael, Cordero Ismael, Magdalena Ponce de León, Contreras Valeria, Viviana Feuerstein, Dansilio Sergio, Allegri Ricardo, Engler Henry and Vazquez Silvia Pages 646 - 655 ( 10 )
<P>Purpose: The aim of this study was to investigate the differences in early (EOAD) and late (LOAD) onset of Alzheimer´s disease, as well as glucose uptake, regional cerebral blood flow (R1), amyloid depositions, and functional brain connectivity between normal young (YC) and Old Controls (OC). </P><P> Methodology: The study included 22 YC (37 ± 5 y), 22 OC (73 ± 5.9 y), 18 patients with EOAD (63 ± 9.5 y), and 18 with LOAD (70.6 ± 7.1 y). Patients underwent FDG and PIB PET/CT. R1 images were obtained from the compartmental analysis of the dynamic PIB acquisitions. Images were analyzed by a voxel-wise and a VOI-based approach. Functional connectivity was studied from the R1 and glucose uptake images. </P><P> Results: OC had a significant reduction of R1 and glucose uptake compared to YC, predominantly at the dorsolateral and mesial frontal cortex. EOAD and LOAD vs. OC showed a decreased R1 and glucose uptake at the posterior parietal cortex, precuneus, and posterior cingulum. EOAD vs. LOAD showed a reduction in glucose uptake and R1 at the occipital and parietal cortex and an increased at the mesial frontal and temporal cortex. There was a mild increase in an amyloid deposition at the frontal cortex in LOAD vs. EOAD. YC presented higher connectivity than OC in R1 but lower connectivity considering glucose uptake. Moreover, EOAD and LOAD showed a decreased connectivity compared to controls that were more pronounced in glucose uptake than R1. </P><P> Conclusion: Our results demonstrated differences in amyloid deposition and functional imaging between groups and a differential pattern of functional connectivity in R1 and glucose uptake in each clinical condition. These findings provide new insights into the pathophysiological processes of AD and may have an impact on patient diagnostic evaluation.</P>
Alzheimer's disease, glucose uptake, regional cerebral blood flow, amyloid depositions, functional brain connectivity, EOAD, LOAD.
Centro de Imagenes Moleculares, Fleni. Ruta 9, km 52.5, B1625XAF Escobar, Buenos Aires, Centro Uruguayo de Imagenologia Molecular, CUDIM. Av. Ricaldoni 2010, Montevideo, Centro de Imagenes Moleculares, Fleni. Ruta 9, km 52.5, B1625XAF Escobar, Buenos Aires, Centro Uruguayo de Imagenologia Molecular, CUDIM. Av. Ricaldoni 2010, Montevideo, Centro Uruguayo de Imagenologia Molecular, CUDIM. Av. Ricaldoni 2010, Montevideo, Departamento de Neurología Cognitiva, Neuropsiquiatria y Neuropsicología, Fleni. Montaneses 2325, C1428AQK, Ciudad de Buenos Aires, Departamento de Neurología Cognitiva, Neuropsiquiatría y Neuropsicología, Fleni. Montañeses 2325, C1428AQK, Ciudad de Buenos Aires, Centro Uruguayo de Imagenologia Molecular, CUDIM. Av. Ricaldoni 2010, Montevideo, Centro Uruguayo de Imagenologia Molecular, CUDIM. Av. Ricaldoni 2010, Montevideo, Departamento de Neurología Cognitiva, Neuropsiquiatria y Neuropsicología, Fleni. Montaneses 2325, C1428AQK, Ciudad de Buenos Aires, Centro Uruguayo de Imagenologia Molecular, CUDIM. Av. Ricaldoni 2010, Montevideo, Centro de Imagenes Moleculares, Fleni. Ruta 9, km 52.5, B1625XAF Escobar, Buenos Aires, Departamento de Neuropsicología, Instituto de Neurologia, Hospital de Clinicas, Montevideo, Departamento de Neuropsicología, Instituto de Neurologia, Hospital de Clinicas, Montevideo, Departamento de Neuropsicología, Instituto de Neurologia, Hospital de Clinicas, Montevideo, Departamento de Neurología Cognitiva, Neuropsiquiatria y Neuropsicología, Fleni. Montaneses 2325, C1428AQK, Ciudad de Buenos Aires, Facultad de Medicina, Universidad de la Republica, Montevideo, Centro de Imagenes Moleculares, Fleni. Ruta 9, km 52.5, B1625XAF Escobar, Buenos Aires