Synaptic density imaging in behavioral variant frontotemporal dementia: A comparison of 1 8 F‐SynVesT‐1 and 1 8 F‐FDG PET

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Autori principali: Arman Fesharaki‐Zadeh, Salih Cayir, Waleed Ibrahim, Yanghong Yang, Jean‐Dominique Gallezot, Mika Naganawa, Yanjun Wu, Takuya Toyonaga, Faranak Ebrahimian Sadabad, Ryan O'Dell, Brian Pittman, Nabeel Nabulsi, Stephen Strittmatter, Richard E. Carson, Yiyun Huang, Christopher H. van Dyck, Adam P. Mecca, David Matuskey
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Pubblicazione: Wiley 2026
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author Arman Fesharaki‐Zadeh
Salih Cayir
Waleed Ibrahim
Yanghong Yang
Jean‐Dominique Gallezot
Mika Naganawa
Yanjun Wu
Takuya Toyonaga
Faranak Ebrahimian Sadabad
Ryan O'Dell
Brian Pittman
Nabeel Nabulsi
Stephen Strittmatter
Richard E. Carson
Yiyun Huang
Christopher H. van Dyck
Adam P. Mecca
David Matuskey
author_facet Arman Fesharaki‐Zadeh
Salih Cayir
Waleed Ibrahim
Yanghong Yang
Jean‐Dominique Gallezot
Mika Naganawa
Yanjun Wu
Takuya Toyonaga
Faranak Ebrahimian Sadabad
Ryan O'Dell
Brian Pittman
Nabeel Nabulsi
Stephen Strittmatter
Richard E. Carson
Yiyun Huang
Christopher H. van Dyck
Adam P. Mecca
David Matuskey
Arman Fesharaki‐Zadeh
Salih Cayir
Waleed Ibrahim
Yanghong Yang
Jean‐Dominique Gallezot
Mika Naganawa
Yanjun Wu
Takuya Toyonaga
Faranak Ebrahimian Sadabad
Ryan O'Dell
Brian Pittman
Nabeel Nabulsi
Stephen Strittmatter
Richard E. Carson
Yiyun Huang
Christopher H. van Dyck
Adam P. Mecca
David Matuskey
collection Wiley Open Access
contents Synaptic density imaging in behavioral variant frontotemporal dementia: A comparison of 1 8 F‐SynVesT‐1 and 1 8 F‐FDG PET Arman Fesharaki‐Zadeh Salih Cayir Waleed Ibrahim Yanghong Yang Jean‐Dominique Gallezot Mika Naganawa Yanjun Wu Takuya Toyonaga Faranak Ebrahimian Sadabad Ryan O'Dell Brian Pittman Nabeel Nabulsi Stephen Strittmatter Richard E. Carson Yiyun Huang Christopher H. van Dyck Adam P. Mecca David Matuskey Alzheimer's & Dementia Abstract INTRODUCTION Synapse loss, a key feature of behavioral variant frontotemporal dementia (bvFTD), can now be visualized in vivo using positron emission tomography (PET) that targets synaptic vesicle glycoprotein 2A (SV2A). Comparing this new imaging method with the clinical standard of glucose metabolism using 1 8 F‐fluorodeocyglucose ( 1 8 F‐FDG) PET might improve diagnostic accuracy and disease monitoring in bvFTD. METHODS We measured synaptic vesicle glycoprotein 2A (SV2A) binding using 1 8 F‐SynVesT‐1 PET and glucose metabolism with 1 8 F‐FDG PET in 10 patients with bvFTD and 10 age‐matched healthy controls. RESULTS SV2A binding was significantly lower in the frontal and temporal cortices, anterior cingulate, and insula in bvFTD patients, with more widespread and pronounced differences than those observed with 1 8 F‐FDG PET. SV2A binding in the frontal cortex and insula significantly correlated with the Frontal Assessment Battery scores. DISCUSSION Our findings suggest that, in bvFTD, the degree of lower synaptic density, as measured by SV2A PET, is larger than the degree of hypometabolism as measured by 1 8 F‐FDG PET. SV2A imaging demonstrates considerable promise as a new in vivo biomarker for bvFTD. 10.1002/alz.71283 http://creativecommons.org/licenses/by-nc/4.0/
doi_str_mv 10.1002/alz.71283
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id wiley_oa_10_1002_alz_71283
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc/4.0/
publishDate 2026
publisher Wiley
record_format wiley_oa
spellingShingle Synaptic density imaging in behavioral variant frontotemporal dementia: A comparison of 1 8 F‐SynVesT‐1 and 1 8 F‐FDG PET
Arman Fesharaki‐Zadeh
Salih Cayir
Waleed Ibrahim
Yanghong Yang
Jean‐Dominique Gallezot
Mika Naganawa
Yanjun Wu
Takuya Toyonaga
Faranak Ebrahimian Sadabad
Ryan O'Dell
Brian Pittman
Nabeel Nabulsi
Stephen Strittmatter
Richard E. Carson
Yiyun Huang
Christopher H. van Dyck
Adam P. Mecca
David Matuskey
Alzheimer's & Dementia
Synaptic density imaging in behavioral variant frontotemporal dementia: A comparison of 1 8 F‐SynVesT‐1 and 1 8 F‐FDG PET Arman Fesharaki‐Zadeh Salih Cayir Waleed Ibrahim Yanghong Yang Jean‐Dominique Gallezot Mika Naganawa Yanjun Wu Takuya Toyonaga Faranak Ebrahimian Sadabad Ryan O'Dell Brian Pittman Nabeel Nabulsi Stephen Strittmatter Richard E. Carson Yiyun Huang Christopher H. van Dyck Adam P. Mecca David Matuskey Alzheimer's & Dementia Abstract INTRODUCTION Synapse loss, a key feature of behavioral variant frontotemporal dementia (bvFTD), can now be visualized in vivo using positron emission tomography (PET) that targets synaptic vesicle glycoprotein 2A (SV2A). Comparing this new imaging method with the clinical standard of glucose metabolism using 1 8 F‐fluorodeocyglucose ( 1 8 F‐FDG) PET might improve diagnostic accuracy and disease monitoring in bvFTD. METHODS We measured synaptic vesicle glycoprotein 2A (SV2A) binding using 1 8 F‐SynVesT‐1 PET and glucose metabolism with 1 8 F‐FDG PET in 10 patients with bvFTD and 10 age‐matched healthy controls. RESULTS SV2A binding was significantly lower in the frontal and temporal cortices, anterior cingulate, and insula in bvFTD patients, with more widespread and pronounced differences than those observed with 1 8 F‐FDG PET. SV2A binding in the frontal cortex and insula significantly correlated with the Frontal Assessment Battery scores. DISCUSSION Our findings suggest that, in bvFTD, the degree of lower synaptic density, as measured by SV2A PET, is larger than the degree of hypometabolism as measured by 1 8 F‐FDG PET. SV2A imaging demonstrates considerable promise as a new in vivo biomarker for bvFTD. 10.1002/alz.71283 http://creativecommons.org/licenses/by-nc/4.0/
title Synaptic density imaging in behavioral variant frontotemporal dementia: A comparison of 1 8 F‐SynVesT‐1 and 1 8 F‐FDG PET
topic Alzheimer's & Dementia
url https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.71283