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Positron Emission Tomography (PET), a method of medical
imaging, appears to be a successful non-invasive test for detecting the early
stages of Alzheimer’s disease. Until now, doctors couldn’t be sure if a patients
was suffering from the disease until the brain was examined after death in an
autopsy.
The method developed by University
of Pittsburgh researchers and used by
Ville Leinonen of Finland's University of Kuopio and his colleagues, may help
detect the presence of the brain plaques, including those made of the compound
beta-amyloid, considered hallmarks for developing Alzheimer’s.
PET scanning uses a novel brain-imaging agent called
Pittsburgh Compound B (PiB), which attaches to Alzheimer’s-related brain
deposits. The chemical is injected into a vein before the scan.
Leinonen and his colleagues used PET scans on 10 people who
had undergone a brain biopsy because of a suspected abnormal increase of
cerebrospinal fluid in the brain, suspicious signs of a condition called
normal-pressure hydrocephalus (NPH). The condition also causes mind and memory
problems. Some patients showing symptoms of the condition have brain lesions
characteristic of Alzheimer’s disease. After brain biopsy, which showed that six
patients had beta-amyloid plaque, the patients underwent a 90-minute PET scan.
They were previously injected with PiB.
All patients with beta-amyloid plaques had a higher uptake
of the imaging compound compared to those without the abnormal proteins.
“This study supports the use of…PiB PET in the evaluation of
beta-amyloid [deposits] in, for example, mild cognitive impairment, Alzheimer’s
disease or normal-pressure hydrocephalus,” Leinonem said.
However, he agreed that more studies are needed to determine
whether PET scanning can be used to diagnose Alzheimer’s disease.
The study’s findings appeared in the online issue of the
Archives of Neurology and will be published in its October 2008 print issue.
There are currently 5.2 million Americans living with
Alzheimer’s disease, a number expected to reach 7.7 million by 2030, as the
baby boom generation ages, according to the advocacy group Alzheimer’s
Association. There is no cure for the disease, as existing drugs can ease symptoms
but do not stop it.
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