ArticleAJNR. American journal of neuroradiology2025
Implications of Hydrocephalus on FDG-PET Statistical Parametric Mapping Analysis in Neurodegenerative Disease Evaluation.
Article in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
background and purposeFDG-PET is critical in the diagnosis of neurodegenerative disease. Quantitative analysis with statistical parametric mapping (SPM) has been shown to improve the diagnostic accuracy of FDG-PET and has been incorporated in clinical workflows. This study aimed to assess the effects of hydrocephalus on the accuracy of FDG-PET SPM analysis, focusing on the cingulate gyrus regions, which are of particular interest in dementia evaluation and are adjacent to the lateral ventricles. MATERIALS AND
methodsIn this retrospective institutional review board-approved study, patients who underwent brain FDG-PET/CT or PET/MRI were evaluated. Inclusion criteria were a clinical history of cognitive impairment/suspected neurodegenerative disease and MRI evidence of communicating hydrocephalus. Region-specific
resultsThe study included 48 patients (17 women; mean age, 76 years). SPM analysis found significantly lower cingulate
conclusionsOur study highlights hydrocephalus as an important pitfall of FDG-PET SPM, particularly when analyzing the cingulate regions, integral to the clinical evaluation of dementia. Awareness of this pitfall can improve diagnostic accuracy and thus improve clinical outcomes in this growing patient population.
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