IMR Press / JIN / Volume 22 / Issue 6 / DOI: 10.31083/j.jin2206172
Open Access Review
Positron Emission Tomography Molecular Imaging of the Major Neurodegenerative Disorders: Overview and Pictorial Essay, from a Nuclear Medicine Center's Perspective
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1 Department of Nuclear Medicine and Theragnostics, Mariano Santo Hospital, 87100 Cosenza, Italy
2 Nuclear Medicine Unit, St Salvatore Hospital, 67100 L’Aquila, Italy
3 Nuclear Medicine Unit, Cardarelli Hospital, 86100 Campobasso, Italy
4 Unità Operativa Complessa (UOC) of Nuclear Medicine, Pescara Hospital, 65124 Pescara, Italy
*Correspondence: ferdinandocalabria@hotmail.it (Ferdinando Calabria)
These authors contributed equally.
J. Integr. Neurosci. 2023, 22(6), 172; https://doi.org/10.31083/j.jin2206172
Submitted: 20 March 2023 | Revised: 7 July 2023 | Accepted: 31 July 2023 | Published: 13 December 2023
(This article belongs to the Special Issue The Role of Imaging in the Diagnosis of Neurological Disease)
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Computed tomography (CT) and magnetic resonance imaging (MRI) provide key structural information on brain pathophysiology. Positron emission tomography (PET) measures metabolism in the living brain; it plays an important role in molecular neuroimaging and is rapidly expanding its field of application to the study of neurodegenerative diseases. Different PET radiopharmaceuticals allow in vivo characterization and quantization of biological processes at the molecular and cellular levels, from which many neurodegenerative diseases develop. In addition, hybrid imaging tools such as PET/CT and PET/MRI support the utility of PET, enabling the anatomical mapping of functional data. In this overview, we describe the most commonly used PET tracers in the diagnostic work-up of patients with Alzheimer’s disease, Parkinson’s disease, and other neurodegenerative diseases. We also briefly discuss the pathophysiological processes of tracer uptake in the brain, detailing their specific cellular pathways in clinical cases. This overview is limited to imaging agents already applied in human subjects, with particular emphasis on those tracers used in our department.

Keywords
PET
amyloid imaging
tau protein
molecular imaging
neurodegenerative diseases
[18F]FDOPA
[18F]FDG
MRI
Figures
Fig. 1.
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