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Neurocase

Behavior, Cognition and Neuroscience
Volume 26, 2020 - Issue 3
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Research Article

What to make of equivocal amyloid imaging results

ORCID Icon, , , &
Pages 137-146
Received 09 Aug 2019
Accepted 27 Apr 2020
Published online: 15 May 2020

ABSTRACT

Introduction

Six patients with equivocal amyloid-PET results are discussed.

Methods

Patients underwent clinical/neuropsychological assessment, MRI, and amyloid-PET. Equivocal amyloid-PET was defined as cortical ligand binding with SUVR < 1.40. Follow-up for up to 5 years is presented.

Results

6 patients (4 males, 2 females, mean age 71.8 +/- 2.5 years) with equivocal amyloid-PET were included from 136 patients who underwent amyloid-PET (4.4% of cases). Patients had variable language, behavioral, and cognitive deficits. Progression varied from no deterioration to residential care within 3 years.

Discussion

Equivocal amyloid-PET should be interpreted cautiously. Improved biomarkers of AD and other neurodegenerative diseases are needed.

Acknowledgments

This work was supported in part by funding to Forefront, a collaborative research group dedicated to the study of frontotemporal dementia and motor neuron disease, from the National Health and Medical Research Council of Australia (NHMRC) program grant (#1037746) and the Australian Research Council Centre of Excellence in Cognition and its Disorders Memory Program (#CE110001021). We are grateful to the research participants involved with the ForeFront research studies. JRB was supported by an NHMRC Early Career Fellowship (#1072451). CEL is supported by an NHMRC-ARC Dementia Development Fellowship (#1102969). OP is supported by an NHMRC Senior Research Fellowship (#1103258).

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by the Centre of Excellence in Cognition and its Disorders, Australian Research Council [110001021]; National Health and Medical Research Council [1037746,1072451,1102969,1103258].

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