PET Imaging of Tau Deposition in the Aging Human Brain

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Presentation transcript:

PET Imaging of Tau Deposition in the Aging Human Brain Michael Schöll, Samuel N. Lockhart, Daniel R. Schonhaut, James P. O’Neil, Mustafa Janabi, Rik Ossenkoppele, Suzanne L. Baker, Jacob W. Vogel, Jamie Faria, Henry D. Schwimmer, Gil D. Rabinovici, William J. Jagust  Neuron  Volume 89, Issue 5, Pages 971-982 (March 2016) DOI: 10.1016/j.neuron.2016.01.028 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 AV-1451 Mean Images of Participant Groups Surface projections and coronal slices are presented for young healthy adults (YA), older adults (OA) split into PiB− and PiB+ subgroups for illustration, and AD patients. Differences between cognitively healthy participants were primarily localized in inferior and lateral temporal subregions, while patient versus control differences extended into other temporal as well as parietal and frontal cortical regions. Neuron 2016 89, 971-982DOI: (10.1016/j.neuron.2016.01.028) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 Braak Stage ROI AV-1451 Uptake by Group (A) Results from Mann-Whitney U test, uncorrected for partial volume effects. (B) Results from Mann-Whitney U test, corrected for partial volume effects. Lines indicate means ± SD. ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001. See also Tables S1 and S2, Figure S1, and Movies S1, S2, and S3. Neuron 2016 89, 971-982DOI: (10.1016/j.neuron.2016.01.028) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 In Vivo Braak Staging Using Conditional Inference Trees Braak staging of healthy young adults (YA, n = 5), healthy older adults (OA, n = 33) and AD patients (n = 15) based on AV-1451 Braak ROI uptake, with participant characterization by in vivo assigned Braak stage. ICV, intracranial volume. Values for MMSE, PiB DVR index, and hippocampal volume are mean (SD). Neuron 2016 89, 971-982DOI: (10.1016/j.neuron.2016.01.028) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 4 AV-1451 in Braak ROIs versus Cognition in Healthy Elderly (A and B) Significant relationships of AV-1451 in Braak ROI I/II with cross-sectional performance and retrospective change (slopes) in episodic memory (A) and of AV-1451 in all Braak stage ROIs with retrospective change (slopes) in global cognition in healthy OA participants (B), grouped into PiB+ and PiB−. See also Figure S3. Neuron 2016 89, 971-982DOI: (10.1016/j.neuron.2016.01.028) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 5 Cross-sectional and Longitudinal Episodic Memory versus AV-1451 Uptake in OA (A and B) Nonparametric voxelwise regression of AV-1451 on cross-sectional performance (A) and retrospective longitudinal change (B) in episodic memory. See also Table S3. Neuron 2016 89, 971-982DOI: (10.1016/j.neuron.2016.01.028) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 6 Age, Aβ, and Tau Associations among OA (A) Positive associations between chronological age and AV-1451 accumulation in OA (n = 33), controlling for global PiB DVR, exist in medial temporal and ventral frontal subregions. Note all Age FWE results (left MTL, ventral frontal) are overlapped and only liberal and overlap colors are visible. (B) Positive associations between PiB DVR and AV-1451 accumulation, controlling for chronological age, appear in additional temporal regions, as well as in parietal and frontal cortex. All results from voxelwise nonparametric regression, with mean-centered covariates of age (years) and PiB (global cortical DVR). Multiple statistical thresholding approaches were considered: a combined uncorrected cluster (k > 100 voxels) plus height (p < 0.005) threshold (“liberal”), and an FWE p < 0.05 correction (“conservative”). See also Table S4, Figure S4, and Movie S4. Neuron 2016 89, 971-982DOI: (10.1016/j.neuron.2016.01.028) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 7 Temporal Lobe Regional Patterns of Tau Accumulation in OA Relations of bilateral temporal ROI AV-1451 SUVR values with age (top row) and with PiB DVR (bottom row). Left to right within each row represents a medial-to-lateral path across the inferior aspect of temporal cortex. Also shown are regression results for models with one or two independent variables. ROIs: entorhinal cortex, ERC; parahippocampal gyrus, PHG; fusiform gyrus, FG; inferior temporal cortex, ITC. In bottom row, participants are median-split by age for descriptive purposes (young-old: <79 years, old-old: ≥79 years). Neuron 2016 89, 971-982DOI: (10.1016/j.neuron.2016.01.028) Copyright © 2016 Elsevier Inc. Terms and Conditions