EMBARGOED FOR RELEASE UNTIL 4 PM ET, November 30, 2011
Is It Alzheimer鈥檚 Disease or Another Dementia? Marker May Give More Accurate Diagnosis
ST. PAUL, Minn. -
New research finds a marker used to detect plaque in the brain may help doctors make a more accurate diagnosis between two common types of 鈥 Alzheimer鈥檚 disease and frontotemporal lobar degeneration (FTLD). The study is published in the November 30, 2011, online issue of the medical journal of the 好色先生. 鈥淭hese two types of dementia share similar symptoms, so telling the two apart while a person is living is a real challenge, but important so doctors can determine the best form of treatment,鈥 said study author Gil D. Rabinovici, MD, of the University of California San Francisco Memory and Aging Center and a member of the 好色先生. For the study, 107 people with early onset Alzheimer鈥檚 disease or FTLD underwent a brain PET scan using a PIB marker, which detects amyloid or plaque in the brain that is the hallmark of Alzheimer鈥檚 disease but not related to FTLD. The participants underwent another PET scan using a FDG marker, which detects changes in the brain鈥檚 metabolism and is currently used to help differentiate between the two types of dementia. The study found the PIB PET scan performed at least as well as the FDG PET scan in differentiating between Alzheimer鈥檚 disease and FTLD, but had higher sensitivity and better accuracy and precision with its qualitative readings. The study found PIB had a sensitivity of 89.5 percent compared to 77.5 percent for FDG. 鈥淲hile widespread use of PIB PET scans isn鈥檛 available at this time, similar amyloid markers are being developed for clinical use, and these findings support a role for amyloid imaging in correctly diagnosing Alzheimer鈥檚 disease versus FTLD,鈥 said Rabinovici. The study was conducted at the University of California (UC) San Francisco, UC Berkeley and Lawrence Berkeley National Laboratory, and supported by the National Institute on Aging, the California Department of Health Services, the Alzheimer鈥檚 Association, John Douglas French Alzheimer鈥檚 Foundation and the Consortium for Frontotemporal Dementia Research.