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@ARTICLE{Barthel:916864,
author = {Barthel, Henryk and Villemagne, Victor L. and Drzezga,
Alexander},
title = {{F}uture {D}irections in {M}olecular {I}maging of
{N}eurodegenerative {D}isorders},
journal = {Journal of nuclear medicine},
volume = {63},
number = {Supplement 1},
issn = {0097-9058},
address = {New York, NY},
publisher = {Soc.},
reportid = {FZJ-2023-00156},
pages = {68S - 74S},
year = {2022},
abstract = {The improvement of existing techniques and the development
of new molecular imaging methods are an exciting and rapidly
developing field in clinical care and research of
neurodegenerative disorders. In the clinic, molecular
imaging has the potential to improve early and differential
diagnosis and to stratify and monitor therapy in these
disorders. Meanwhile, in research, these techniques improve
our understanding of the underlying pathophysiology and
pathobiochemistry of these disorders and allow for drug
testing. This article is an overview on our perspective on
future developments in neurodegeneration tracers and the
associated imaging technologies. For example, we predict
that the current portfolio of β-amyloid and tau aggregate
tracers will be improved and supplemented by tracers
allowing imaging of other protein aggregation pathologies,
such as α-synuclein and transactive response DNA binding
protein 43 kDa. Future developments will likely also be
observed in imaging neurotransmitter systems. This refers to
both offering imaging to a broader population in cases
involving the dopaminergic, cholinergic, and serotonergic
systems and making possible the imaging of systems not yet
explored, such as the glutamate and opioid systems. Tracers
will be complemented by improved tracers of
neuroinflammation and synaptic density. Technologywise, the
use of hybrid PET/MRI, dedicated brain PET, and total-body
PET scanners, as well as advanced image acquisition and
processing protocols, will open doors toward broader and
more efficient clinical use and novel research applications.
Molecular imaging has the potential of becoming a standard
and essential clinical and research tool to diagnose and
study neurodegenerative disorders and to guide treatments.
On that road, we will need to redefine the role of molecular
imaging in relation to that of emerging blood-based
biomarkers. Taken together, the unique features of molecular
imaging-that is, the potential to provide direct noninvasive
information on the presence, extent, localization, and
quantity of molecular pathologic processes in the living
body-together with the predicted novel tracer and imaging
technology developments, provide optimism about a bright
future for this approach to improved care and research on
neurodegenerative disorders.},
cin = {INM-2},
ddc = {610},
cid = {I:(DE-Juel1)INM-2-20090406},
pnm = {5253 - Neuroimaging (POF4-525)},
pid = {G:(DE-HGF)POF4-5253},
typ = {PUB:(DE-HGF)16},
pubmed = {35649650},
UT = {WOS:000807305900010},
doi = {10.2967/jnumed.121.263202},
url = {https://juser.fz-juelich.de/record/916864},
}