Standardization of amyloid quantitation with florbetapir standardized uptake value ratios to the Centiloid scale

Alzheimers Dement. 2018 Dec;14(12):1565-1571. doi: 10.1016/j.jalz.2018.06.1353. Epub 2018 Jul 11.

Abstract

Introduction: Klunk et al. recently proposed a means of standardizing quantitation of amyloid burden from positron emission tomography scans to a common Centiloid scale, and we have applied that method to florbetapir.

Methods: Florbetapir and Pittsburgh compound B scans were acquired for 46 mixed clinical presentation subjects within 18 ± 20 days. Florbetapir and Pittsburgh compound B cortical standardized uptake value ratio (SUVr) values were well correlated for both standard Centiloid (R2 = 0.894) and Avid (R2 = 0.901) volume of interests (VOIs). The methods of Klunk et al. were applied to establish a conversion first from florbetapir SUVr values obtained using standard Centiloid VOIs to Centiloids and then from Avid VOIs (Joshi et al.) to Centiloids.

Results: The equation for conversion of florbetapir SUVr from Avid VOIs to the Centiloid scale was as follows: Florbetapir Centiloids = 183 × SUVrAvid - 177. The threshold that discriminated neuropathologically verified none or sparse versus moderate to frequent plaques in autopsy-confirmed data is 24.1 Centiloids.

Discussion: These findings may allow improved tracer-independent amyloid quantitation.

Keywords: Amyloid imaging; Centiloids; Florbetapir; Pittsburgh compound B; Standardization.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Amyloid / metabolism*
  • Aniline Compounds*
  • Brain / diagnostic imaging*
  • Brain / metabolism*
  • Cohort Studies
  • Ethylene Glycols*
  • Female
  • Humans
  • Male
  • Positron-Emission Tomography / methods
  • Positron-Emission Tomography / standards*
  • Radiopharmaceuticals*
  • Thiazoles

Substances

  • 2-(4'-(methylamino)phenyl)-6-hydroxybenzothiazole
  • Amyloid
  • Aniline Compounds
  • Ethylene Glycols
  • Radiopharmaceuticals
  • Thiazoles
  • florbetapir