Evidence map›Paper›PMID 40490537›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2025

Developing a novel reference region for [

Lukas Frontzkowski, Johannes Gnörich, Mattes Gross, Amir Dehsarvi, Sebastian N Roemer-Cassiano, Carla Palleis, Sabrina Katzdobler, Anna Dewenter, Anna Steward, Davina Biel and 11 more

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Stage-dependent tau-PET signatures in Huntington's disease revealed by [¹⁸F]PI-2620.European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Associations of [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  3. Article
  4. Emerging directions in tauopathy research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  5. Longitudinal monitoring of tau aggregation in progressive supranuclear palsy with [Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    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

21 authors.

Lukas Frontzkowski *Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany. lukas.frontzkowski@med.uni-muenchen.de.ORCID 0000-0001-9321-956X
Johannes Gnörich *Department of Nuclear Medicine, LMU University Hospital, Marchioninistraße 15, Munich, 81377, Germany.
Mattes Gross *Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.
Amir DehsarviInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.
Sebastian N Roemer-CassianoInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.
Carla PalleisDepartment of Neurology, LMU University Hospital, Munich, Germany.
Sabrina KatzdoblerDepartment of Neurology, LMU University Hospital, Munich, Germany.
Anna DewenterInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.
Anna StewardInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.
Davina BielInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.
Fabian HirschInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.
Zeyu ZhuInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.
Johannes LevinDepartment of Neurology, LMU University Hospital, Munich, Germany.
Andrew W StephensLife Molecular Imaging, GmbH, Berlin, Germany.
Andre MüllerLife Molecular Imaging, GmbH, Berlin, Germany.
Norman KoglinLife Molecular Imaging, GmbH, Berlin, Germany.
Gérard N BischofLife Molecular Imaging, GmbH, Berlin, Germany.
Gabor G KovacsTanz Centre for Research in Neurodegenerative Disease (CRND), Toronto, Canada.
Günter U HöglingerDepartment of Neurology, LMU University Hospital, Munich, Germany.
Matthias Brendel *Department of Nuclear Medicine, LMU University Hospital, Marchioninistraße 15, Munich, 81377, Germany.
Nicolai Franzmeier *Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Feodor-Lynen-Straße 17, Munich, 81377, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProgressive supranuclear palsy (PSP) is a fatal 4-repeat (4R) tauopathy with progressive movement phenotypes. In-vivo 4R tau biomarkers are therefore crucial for PSP diagnosis, monitoring, and treatment evaluation. The tau-PET tracer [18F]PI-2620 binds to 4R tau and shows increased uptake in PSP-associated regions (e.g., globus pallidus), and is therefore a candidate 4R tau biomarker. However, commonly used cerebellar tau-PET reference regions show regional proximity to cerebellar 4R tau deposits in PSP, confounding semiquantitative [18F]PI-2620 assessments. Therefore, we employed bias-free image-derived input function (IDIF) PET quantification to identify an optimized data-driven reference region for assessing 4R tau in PSP.

methodsDynamic [18F]PI-2620 PET (60 min) was acquired in 58 PSP-Richardson Syndrome (PSP-RS) and 18 healthy controls (HC). IDIF-modelling with carotid timeseries derived total distribution volume (VT). Iteratively normalizing VT images to atlas-based white matter (WM), we identified reference candidates maximizing PSP-RS vs. HC pallidum differences. The best-performing WM references were combined to a temporo-orbital WM reference, validated in PSP-nonRS (n = 54), HC (n = 18), and disease controls (α-synucleinopathies, n = 21; Alzheimer’s disease (AD, n = 22) using VT-ratios (VTr) and 20-40min static standardized uptake value ratios (SUVr).

resultsUsing the data-driven temporo-orbital WM reference, PSP patients showed significantly higher basal ganglia [18F]PI-2620 signal vs. HC compared to cerebellar normalization. Receiver operating curve (ROC) analysis confirmed higher diagnostic accuracy using the temporo-orbital WM reference. Pallidum [18F]PI-2620 showed significant associations with clinical disease severity exclusively when using the novel temporo-orbital WM reference.

conclusionsA data-driven temporo-orbital WM reference optimizes [18F]PI-2620 PET assessment for PSP diagnosis, outperforming conventional cerebellar references used in tau-PET imaging.

Indexed as

Positron-Emission TomographyTauopathiesAgedFemaleFluorine RadioisotopesHumansMaleMiddle AgedPyridinesReference StandardsSupranuclear Palsy, Progressivetau Proteins((18)F)PI-2620Fluorine RadioisotopesPI-2620Pyridinestau Proteins[18F]PI-2620Four-repeat tauopathiesProgressive supranuclear palsyReference regionTau

Identifiers

PMID40490537
PMCPMC12589379

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Registered trials

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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.