Positron Emission Tomography-Based Assessment of Cognitive Impairment and Dementias, Critical Role of Fluorodeoxyglucose in such Settings

PET Clin. 2022 Jul;17(3):479-494. doi: 10.1016/j.cpet.2022.03.009.

Abstract

Positron emission tomography (PET) has been a key component in the diagnostic armamentarium for assessing neurodegenerative diseases such as Alzheimer or Parkinson disease. PET imaging has been useful for diagnosing these disorders, identifying their pathophysiology, and following their treatment. Further, PET imaging has been extensively used for both clinical and research purposes, particularly for helping with potential therapeutic approaches for managing neurodegenerative diseases. This article will review the current literature regarding PET imaging in patients with neurodegenerative disorders. This includes an evaluation of the most commonly used tracer fluorodeoxyglucose that measures cerebral glucose metabolism, tracers that assess neurotransmitter systems, and tracers designed to reveal disease-specific pathophysiological processes. With the continuing development of an expanding variety of radiopharmaceuticals, PET imaging will likely play a prominent role in future research and clinical applications for neurodegenerative diseases.

Keywords: Alzheimer disease; Cognitive impairment; Dementia; FDG; Parkinson disease.

Publication types

  • Review

MeSH terms

  • Cognitive Dysfunction* / diagnostic imaging
  • Dementia* / diagnostic imaging
  • Dementia* / metabolism
  • Fluorodeoxyglucose F18
  • Humans
  • Neurodegenerative Diseases* / diagnostic imaging
  • Positron-Emission Tomography / methods
  • Radiopharmaceuticals

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18