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Non-invasive MRI technique distinguishes between Alzheimer's and frontotemporal dementia

A non-invasive magnetic resonance imaging (MRI) technique called arterial spin labeling is just as accurate as invasive scanning techniques in distinguishing Alzheimer's disease from frontotemporal dementia (FTD) in the brains of elderly people, according to a new study at the San Francisco VA Medical Center (SFVAMC).

The study, led by Norbert Schuff, PhD, a Principle Investigator at SFVAMC, used arterial spin labeling to measure perfusion, or blood flow, in the areas of the brain affected by the two diseases. "Blood flow indicates brain activation," said Dr. Schuff. "So the area with less blood flow is the area affected by disease." In the study, arterial spin labeling successfully distinguished between Alzheimer's patients, FTD patients, and people without dementia.

Antao Du, PhD, SFVAMC Research Scientist and study co-author, is presenting the results at the first International Conference on Prevention of Dementia, which is being held June 18-21 in Washington, D.C. The conference is sponsored by the Alzheimer's Association.

Frontotemporal dementia is a degenerative condition involving the front part of the brain. It is the second-most common dementia after Alzheimer's disease, which mainly affects other brain areas such as the hippocampus and the temporal lobe. In their early stages, the two diseases present similar symptoms, making accurate diagnosis difficult, said Schuff, who is also an associate professor of radiology at the University of California, San Francisco (UCSF). In its later stages, FTD affects social conduct, social inhibitions, and personality, while Alzheimer's is a progressive impairment of multiple cognitive functions, often involving memory decline. "Progression of frontotemporal dementia is usually faster than Alzheimer's, and the underlying pathology is different, so it is important to know the difference," Schuff observed.

Currently, brain blood flow can be measured using positron emission tomography (PET)
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Contact: Steve Tokar
steve.tokar@ncire.org
415-221-4810 x5202
University of California - San Francisco
18-Jun-2005


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