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024 7 _ |a 10.1002/mds.28624
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024 7 _ |a 1531-8257
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037 _ _ |a FZJ-2021-05941
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100 1 _ |a Palleis, Carla
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245 _ _ |a Cortical [18F]PI‐2620 Binding Differentiates Corticobasal Syndrome Subtypes
260 _ _ |a New York, NY
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336 7 _ |a article
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336 7 _ |a ARTICLE
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520 _ _ |a Background: Corticobasal syndrome is associated with cerebral protein aggregates composed of 4-repeat (~50% of cases) or mixed 3-repeat/4-repeat tau isoforms (~25% of cases) or nontauopathies (~25% of cases).Objectives: The aim of this single-center study was to investigate the diagnostic value of the tau PET-ligand [18 F]PI-2620 in patients with corticobasal syndrome.Methods: Forty-five patients (71.5 ± 7.6 years) with corticobasal syndrome and 14 age-matched healthy controls underwent [18 F]PI-2620-PET. Beta-amyloid status was determined by cerebral β-amyloid PET and/or CSF analysis. Subcortical and cortical [18 F]PI-2620 binding was quantitatively and visually compared between β-amyloid-positive and -negative patients and controls. Regional [18 F]PI-2620 binding was correlated with clinical and demographic data.Results: Twenty-four percent (11 of 45) were β-amyloid-positive. Significantly elevated [18 F]PI-2620 distribution volume ratios were observed in both β-amyloid-positive and β-amyloid-negative patients versus controls in the dorsolateral prefrontal cortex and basal ganglia. Cortical [18 F]PI-2620 PET positivity was distinctly higher in β-amyloid-positive compared with β-amyloid-negative patients with pronounced involvement of the dorsolateral prefrontal cortex. Semiquantitative analysis of [18 F]PI-2620 PET revealed a sensitivity of 91% for β-amyloid-positive and of 65% for β-amyloid-negative cases, which is in excellent agreement with prior clinicopathological data. Regardless of β-amyloid status, hemispheric lateralization of [18 F]PI-2620 signal reflected contralateral predominance of clinical disease severity.Conclusions: Our data indicate a value of [18 F]PI-2620 for evaluating corticobasal syndrome, providing quantitatively and regionally distinct signals in β-amyloid-positive as well as β-amyloid-negative corticobasal syndrome. In corticobasal syndrome, [18 F]PI-2620 may potentially serve for a differential diagnosis and for monitoring disease progression. © 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.Keywords: Alzheimer's disease; PET; corticobasal syndrome; four-repeat tauopathies; tau.
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700 1 _ |a Weidinger, Endy
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700 1 _ |a Bötzel, Kai
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700 1 _ |a Kern, Maike
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700 1 _ |a Biechele, Gloria
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700 1 _ |a Rauchmann, Boris-Stephan
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700 1 _ |a Häckert, Jan
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700 1 _ |a Höllerhage, Matthias
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700 1 _ |a Stephens, Andrew W.
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700 1 _ |a Drzezga, Alexander
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700 1 _ |a Eimeren, Thilo
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700 1 _ |a Villemagne, Victor L.
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700 1 _ |a Schildan, Andreas
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700 1 _ |a Barthel, Henryk
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700 1 _ |a Patt, Marianne
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700 1 _ |a Sabri, Osama
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700 1 _ |a Bartenstein, Peter
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700 1 _ |a Perneczky, Robert
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700 1 _ |a Haass, Christian
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700 1 _ |a Levin, Johannes
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700 1 _ |a Höglinger, Günter U.
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773 _ _ |a 10.1002/mds.28624
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