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The RSNA QIBA Profile for Amyloid PET as an Imaging Biomarker for Cerebral Amyloid Quantification
The Journal of Nuclear Medicine ( IF 9.3 ) Pub Date : 2023-02-01 , DOI: 10.2967/jnumed.122.264031
Anne M Smith 1 , Nancy A Obuchowski 2 , Norman L Foster 3 , Gregory Klein 4 , P David Mozley 5 , Adriaan A Lammertsma 6, 7 , Richard L Wahl 8, 9 , John J Sunderland 10 , Jean-Luc Vanderheyden 11 , Tammie L S Benzinger 8, 9 , Paul E Kinahan 12 , Dean F Wong 8 , Eric S Perlman 13 , Satoshi Minoshima 14 , Dawn Matthews 15
Affiliation  

A standardized approach to acquiring amyloid PET images increases their value as disease and drug response biomarkers. Most 18F PET amyloid brain scans often are assessed only visually (per regulatory labels), with a binary decision indicating the presence or absence of Alzheimer disease amyloid pathology. Minimizing technical variance allows precise, quantitative SUV ratios (SUVRs) for early detection of β-amyloid plaques and allows the effectiveness of antiamyloid treatments to be assessed with serial studies. Methods: The Quantitative Imaging Biomarkers Alliance amyloid PET biomarker committee developed and validated a profile to characterize and reduce the variability of SUVRs, increasing statistical power for these assessments. Results: On achieving conformance, sites can justify a claim that brain amyloid burden reflected by the SUVR is measurable to a within-subject coefficient of variation of no more than 1.94% when the same radiopharmaceutical, scanner, acquisition, and analysis protocols are used. Conclusion: This overview explains the claim, requirements, barriers, and potential future developments of the profile to achieve precision in clinical and research amyloid PET imaging.



中文翻译:

RSNA QIBA 淀粉样蛋白 PET 谱作为脑淀粉样蛋白定量的成像生物标志物

获取淀粉样蛋白 PET 图像的标准化方法增加了其作为疾病和药物反应生物标志物的价值。大多数18 F PET 淀粉样蛋白脑部扫描通常仅通过视觉评估(根据监管标签),并通过二元决定表明是否存在阿尔茨海默病淀粉样蛋白病理。最大限度地减少技术差异可以实现精确、定量的 SUV 比率 (SUVR),以便早期检测 β-淀粉样蛋白斑块,并允许通过系列研究评估抗淀粉样蛋白治疗的有效性。方法:定量成像生物标志物联盟淀粉样蛋白 PET 生物标志物委员会开发并验证了一个概况,以表征和减少 SUVR 的变异性,从而提高这些评估的统计功效。结果:在达到一致性时,站点可以证明这样一种说法:当使用相同的放射性药物、扫描仪、采集和分析方案时,SUVR 反映的脑淀粉样蛋白负荷可测量到受试者内变异系数不超过 1.94%。结论:本概述解释了在临床和研究淀粉样蛋白 PET 成像中实现精确性的概况的主张、要求、障碍和潜在的未来发展。

更新日期:2023-02-01
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