ArticleAnnals of nuclear medicine2026
Semi-quantitative tau PET approaches for Braak staging: concordance of CenTauRz and STOC with visual assessment.
Article in Annals of nuclear medicine, 2026. 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
objectiveThe progression of tau pathology in Alzheimer's disease (AD) is closely linked to cognitive decline. Visual Braak staging of tau PET reflects neurofibrillary tangle distribution but requires expertise in interpretation. The present study aimed to evaluate agreement between Braak stages and semi-quantitative CenTauRz and Simplified Temporal-Occipital Classification (STOC).
methodsWe collected data from 112 persons with normal cognition (NC), as well as 103 patients with mild cognitive impairment (MCI), and 48 with AD who were assessed by
resultsThe accuracy of CenTauRz compared to Braak stages was 0.84-0.90, κ = 0.61-0.77, and ρ = 0.67-0.83 and that of STOC was 0.87; κ = 0.71, and ρ = 0.81. CenTauRz captured the regional heterogeneity of tau accumulation, whereas STOC provided a staging framework aligned with Braak progression.
conclusionThe agreement of CenTauRz and STOC with visually assessed Braak stages was strong. Combinations of semi-quantitative methods might serve as complementary tools for tau PET images and improve interpretive reliability and objectivity.
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