Evidence map›Paper›PMID 26768154›Full record

ArticleAlzheimer's research & therapy2016

Reference tissue normalization in longitudinal (18)F-florbetapir positron emission tomography of late mild cognitive impairment.

Sepideh Shokouhi, John W Mckay, Suzanne L Baker, Hakmook Kang, Aaron B Brill, Harry E Gwirtsman, William R Riddle, Daniel O Claassen, Baxter P Rogers, Alzheimer’s Disease Neuroimaging Initiative

Abstract read
In one paragraph

Article in Alzheimer's research & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. The associations between synaptic density and "A/T/N" biomarkers in Alzheimer's disease: AnJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
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  7. The RSNA QIBA Profile for Amyloid PET as an Imaging Biomarker for Cerebral Amyloid Quantification.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
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  8. Comparison ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  9. Article
  10. Self-normalized Classification of Parkinson's Disease DaTscan Images.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2021
    Article
  11. Spatially constrained kinetic modeling with dual reference tissues improvesEuropean journal of nuclear medicine and molecular imaging · 2021
    Article
  12. AMYQ: An index to standardize quantitative amyloid load across PET tracers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021
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  13. Review
  14. Article
  15. Article
  16. Evaluation of the early-phase [NeuroImage. Clinical · 2021
    Article
  17. Quantification of [Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2019
    Article
  18. Investigation of white matter PiB uptake as a marker of white matter integrity.Annals of clinical and translational neurology · 2019
    Article
  19. Article
  20. White Matter Reference Region in PET Studies ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sepideh ShokouhiDepartment of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, 1161 21st Avenue South, Medical Center North, AA-1105, Nashville, TN, 37232-2310, USA. sepideh.shokouhi@vanderbilt.edu.
John W MckayDepartment of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, 1161 21st Avenue South, Medical Center North, AA-1105, Nashville, TN, 37232-2310, USA. john.w.mckay@vanderbilt.edu.
Suzanne L BakerCenter of Functional Imaging, Lawrence Berkeley National Laboratory, One Cyclotron Road, Berkeley, CA, 94720, USA. slbaker@lbl.gov.
Hakmook KangDepartment of Biostatistics, Vanderbilt University, 2525 West End Avenue, 11th Floor, Suite 11000, Nashville, TN, 37203-1738, USA. h.kang@vanderbilt.edu.
Aaron B BrillDepartment of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, 1161 21st Avenue South, Medical Center North, AA-1105, Nashville, TN, 37232-2310, USA. aaron.brill@Vanderbilt.Edu.
Harry E GwirtsmanDepartment of Psychiatry, Vanderbilt University, 1601 23rd Avenue South, Nashville, TN, 37212, USA. harry.gwirtsman@Vanderbilt.Edu.
William R RiddleDepartment of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, 1161 21st Avenue South, Medical Center North, AA-1105, Nashville, TN, 37232-2310, USA. bill.riddle@Vanderbilt.Edu.
Daniel O ClaassenDepartment of Neurology, Vanderbilt University, A-0118 Medical Center North, 1161 21st Avenue South, Nashville, TN, 37232-2551, USA. daniel.claassen@Vanderbilt.Edu.
Baxter P RogersDepartment of Radiology and Radiological Sciences, Vanderbilt University Institute of Imaging Science, 1161 21st Avenue South, Medical Center North, AA-1105, Nashville, TN, 37232-2310, USA. baxter.rogers@vanderbilt.edu.
Alzheimer’s Disease Neuroimaging Initiative

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
National Centralized Repository for Alzheimer's Disease and Related Dementias (NCRAD)U24AG021886 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI TATIANA M. FOROUD · 2002 to 2026
$119.8M
THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI BUCHWALD, DEDRA S · 1985 to 2019
$57.2M
Neuropathology CoreP30AG013846 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KOWALL, NEIL W. · 1996 to 2020
$29.1M
Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
Dopamine Effects on Mesocorticolimbic Function in Parkinson DiseaseK23NS080988 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CLAASSEN, DANIEL OLIVER · 2013 to 2017
$904k
In vivo Amyloid-Beta Imaging in Mouse Brain Using Stochastic Object ModelsR00EB009106 · NIBIB · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SHOKOUHI, SEPIDEH · 2014 to 2016
$729k
NIA NIH HHS P30 AG013846NIA NIH HHS P50 AG005136NIA NIH HHS U01 AG024904NIA NIH HHS U24 AG021886NIBIB NIH HHS R00 EB009106NICHD NIH HHS U54 HD083211NINDS NIH HHS K23 NS080988
6 · The paper itself

Abstract

backgroundSemiquantitative methods such as the standardized uptake value ratio (SUVR) require normalization of the radiotracer activity to a reference tissue to monitor changes in the accumulation of amyloid-β (Aβ) plaques measured with positron emission tomography (PET). The objective of this study was to evaluate the effect of reference tissue normalization in a test-retest (18)F-florbetapir SUVR study using cerebellar gray matter, white matter (two different segmentation masks), brainstem, and corpus callosum as reference regions.

methodsWe calculated the correlation between (18)F-florbetapir PET and concurrent cerebrospinal fluid (CSF) Aβ1-42 levels in a late mild cognitive impairment cohort with longitudinal PET and CSF data over the course of 2 years. In addition to conventional SUVR analysis using mean and median values of normalized brain radiotracer activity, we investigated a new image analysis technique-the weighted two-point correlation function (wS2)-to capture potentially more subtle changes in Aβ-PET data.

resultsCompared with the SUVRs normalized to cerebellar gray matter, all cerebral-to-white matter normalization schemes resulted in a higher inverse correlation between PET and CSF Aβ1-42, while the brainstem normalization gave the best results (high and most stable correlation). Compared with the SUVR mean and median values, the wS2 values were associated with the lowest coefficient of variation and highest inverse correlation to CSF Aβ1-42 levels across all time points and reference regions, including the cerebellar gray matter.

conclusionsThe selection of reference tissue for normalization and the choice of image analysis method can affect changes in cortical (18)F-florbetapir uptake in longitudinal studies.

Indexed as

AgedAmyloid beta-PeptidesAniline CompoundsBrainCognitive DysfunctionEthylene GlycolsFemaleHumansLongitudinal StudiesMalePeptide FragmentsPositron-Emission TomographyReference StandardsReproducibility of ResultsAmyloid beta-Peptidesamyloid beta-protein (1-41)Aniline CompoundsEthylene GlycolsflorbetapirPeptide Fragments

Identifiers

PMID26768154
PMCPMC4714472

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.