Amyloidosis
Conditions
Keywords
Peripheral Nerve Amyloidosis
Brief summary
The primary aim of this study will be to examine the diagnostic utility of 18-F Florbetapir PET/MR (Positron Emission Tomography/Magnetic Resonance) in imaging patients with pathologically-confirmed systemic amyloidosis involving the peripheral nerves and compare these results to non-amyloid diseased controls.
Detailed description
Patients with pathologically proven amyloidosis involving the peripheral nervous system will undergo 18-F Florbetapir PET/MR on a GE (General Electric Healthcare) SIGNA PET/MR scanner. A control arm comprised of patients with pathologically-confirmed non-amyloid causes of peripheral neuropathy will also undergo 18-F Florbetapir PET/MR scanning. all images will be reviewed for peripheral nerve uptake.
Interventions
18-F Florbetapir PET/MR scan, PET/MR on a GE SIGNA PET/MR scanner
Sponsors
Study design
Intervention model description
Participants with biopsy proven peripheral nerve amyloidosis will undergo an F-18 Florbetapir PET/MR scan
Eligibility
Inclusion criteria
* Adults: 18-100 * Pathologically-confirmed peripheral nerve amyloidosis or pathologically-confirmed non-amyloid causes of peripheral neuropathy
Exclusion criteria
* Metallic devices that are not MR safe (cardiac pacers, stents, aneurysm coils, etc.) * Claustrophobia * BMI over 38
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Locations of peripheral nerve 18-F Florbetapir uptake | 50-120 minutes post injection | Standardized uptake value (SUV) |
| Pattern of F-18 Florbetapir uptake (Heterogeneous vs. Homogeneous, focal vs. diffuse) | 50-120 minutes post injection | Heterogeneous vs. Homogeneous, focal vs. diffuse. This is a categorical variable. There is not a quantitative or semi-quantitative scale that is appropriate. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| T1 and T2 characteristics (Hypointense, isointense or hyperintense relative to skeletal muscle) | 50-120 minutes post injection | Hypointense, isointense or hyperintense relative to skeletal muscle. This is a categorical variable. There is not a quantitative or semi-quantitative scale that is appropriate. |
| Morphologic changes | 50-120 minutes post injection | Presence or absence of neural enlargement |
| Pattern of contrast enhancement (Solid, heterogeneous or peripheral enhancement) | 50-120 minutes post injection | Solid, heterogeneous or peripheral enhancement. This is a categorical variable. There is not a quantitative or semi-quantitative scale that is appropriate. |
| Additional sites of 18-F Florbetapir uptake | 50-120 minutes post injection | i.e. cardiac myocardium, skeletal muscle, bone marrow |
Countries
United States
Contacts
Mayo Clinic