Investigation of effects of dose- or acquisition time reduction on image quality for FDG brain PET G30.9
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Capacity to consent (prerequisite, except the responsible physician has severe doubts in the subject ability to consent) • Consent given • Above 50 years of age • AD-group: clinically diagnosed with Alzheimer’s dementia – from ZGGF • AD-group: amyloid PET available (less than 3 months old) positively diagnosed for amyloid pathology, or liquor diagnostic with AD-typical finding (reduced A-beta1-42 and increased phosphor-tau) • Healthy control group: clinically excluded neuro-degeneration (MRI scans) and cognitive deficits (neuro-psychological testing) • No neurological or psychiatric pre-existing condition • No severe acute condition (e.g. tumor) • No diabetes mellitus
Exclusion criteria
Exclusion criteria: • Circumstances which prohibit MRI or PET examination (severe back pain, claustrophobia, metal implants) • Previously enrolled in a nuclear medicine study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Investigation of the effect of dose reduction on group separation between subjects with Alzheimers disease and healthy controls using regional cerebral glucose metabolism. Starting from the reference dose (full dose from guidelines), the values from the regions-of-interest (ROI) will be evaluated at lower doses (simulated by evaluation of a shortened measuring time). The target dose is the one at which a group difference passes the significance threshold of p=0.05, employing an unpaired t-test. Effect size (Cohen’s d) and significance (p-value) of unpaired t-tests comparing the AD-group against healthy controls cohort, based on an analysis of cerebral regions (ROIs), using measuring times between 2 seconds and 10 minutes for FDG brain PET. | — |
Secondary
| Measure | Time frame |
|---|---|
| Investigation of the effect of dose reduction on group separation between subjects with Alzheimers disease and healthy controls using regional cerebral glucose metabolism. Three experienced nuclear medicine physicians will evaluate imaging data in a blinded and randomized fashion, for scans with reference FDG dose (full dose from guidelines) to scans with reduced dose (simulated by evaluation of a shortened measuring time). Sensitivity, specificity and inter-rater-reliability of single-case diagnosis of three experienced nuclear medicine physicians for a blinded and randomized evaluation of FDG brain PET scans with reduced dose (simulated by evaluation of a shortened measuring time). Consensus diagnosis at full dose (according to guidelines) will serve as reference. Moreover, diagnostic confidence will be recorded (e.g. on a scale from -3 to +3, where -3 relates to high confidence in the diagnosis of AD, and +3 relates to high confidence in the diagnosis as healthy). | — |
Countries
Germany
Contacts
Klinik für Nuklearmedizin des Universitätsklinikums Freiburg