Evidence map›Paper›PMID 42541545›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2026

From image reconstruction to clinical prognosis: A comprehensive analysis of centiloid-based amyloid PET assessment.

Katharina C E Hirschmüller, Elena Prieto, Edgar F Guillén, Beatriz Echeveste, Fernando Mínguez, Marta Romera, Félix Pareja, Rachid Fahmi, Mario Riverol, Javier Arbizu

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Article in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Katharina C E HirschmüllerDepartment of Nuclear Medicine, Clínica Universidad de Navarra, Pamplona, Spain.
Elena PrietoDepartment of Medical Physics, Clínica Universidad de Navarra, 31008, Pamplona, Spain. eprietoaz@unav.es.ORCID http://orcid.org/0000-0002-3609-1210
Edgar F GuillénDepartment of Nuclear Medicine, Clínica Universidad de Navarra, Madrid, Spain.
Beatriz EchevesteDepartment of Neurology, Clínica Universidad de Navarra, Pamplona, Spain.
Fernando MínguezDepartment of Nuclear Medicine, Clínica Universidad de Navarra, Pamplona, Spain.
Marta RomeraDepartment of Nuclear Medicine, Clínica Universidad de Navarra, Pamplona, Spain.
Félix ParejaDepartment of Nuclear Medicine, Clínica Universidad de Navarra, Pamplona, Spain.
Rachid FahmiMolecular Imaging, Siemens Medical Solutions USA, Inc., Knoxville, TN, USA.
Mario RiverolDepartment of Neurology, Clínica Universidad de Navarra, Pamplona, Spain.
Javier ArbizuDepartment of Nuclear Medicine, Clínica Universidad de Navarra, Pamplona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the sources of variability in Centiloid (CL) calculations, particularly the influence of image reconstruction and reference region selection, and to examine the relationship between baseline CL scores, visual interpretation and subsequent disease progression.

methods162 aMCI patients who underwent amyloid PET at a single center were retrospectively analyzed. Visual assessment was performed by two nuclear medicine physicians and Centiloid scoring was determined using syngo.MI Neurology Cortical Analysis, using different reference regions (RR) and image reconstruction settings. The CL values were compared against visual interpretation, using a ROC analysis. The value of CL in predicting the onset of Alzheimer's dementia was assessed.

resultsThe use of the whole cerebellum as RR provided the most robust and consistent CL values across reconstruction methods. The RR was critical in the case of flutemetamol, as CL varied in more than 20 units between pons and whole cerebellum. Visual classifications and CL values showed strong concordance (area under the ROC curve: 0.9786) and the CL cut-off value that maximized agreement with visual reading was 28 CL. During follow-up, 49% of patients progressed to AD dementia and CL-based amyloid positivity was a significant predictor of progression.

conclusionStandardized CL quantification using the whole cerebellum as RR enhances the reliability of amyloid PET interpretation across tracers and reconstruction settings. CL values strongly correlate with visual assessment and are predictive of clinical progression. These findings suggest the potential utility of CL quantification in both clinical and research settings.

Indexed as

AmyloidImage Processing, Computer-AssistedPositron-Emission TomographyAgedAged, 80 and overAlzheimer DiseaseDisease ProgressionFemaleHumansMalePrognosisRetrospective StudiesAmyloidAlzheimer’s diseaseAmyloidCentiloidPET

Identifiers

PMID42541545
PMCPMC13633294

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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.