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CTAD 2025 | Harmonizing tau PET imaging across different radiotracers and pipelines: preliminary findings

Alexis Moscoso, PhD, University of Gothenburg, Gothenburg, Sweden, comments on the challenges of harmonizing tau PET imaging across different radiotracers and pipelines, highlighting the need for region-specific conversion equations due to the multiple regions of interest in the brain that can be evaluated. Dr Moscoso notes that while preliminary results using a single conversion equation for the entire brain look promising, it is still early to conclude that a single equation can achieve good harmonization across all radiotracers and pipelines. This interview took place at the 18th Clinical Trials on Alzheimer’s Disease (CTAD) Conference in San Diego, CA.

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Transcript

One key difference compared to the centiloid scale is that with tau PET, there are multiple regions in the brain that can be evaluated and that can be relevant. With the centiloid scale, we only had one large composite ROI that covered a significant portion of the cortex, right? Here, for tau, we have multiple regions of interest, right? And therefore, we need to derive a different conversion equation for each ROI...

One key difference compared to the centiloid scale is that with tau PET, there are multiple regions in the brain that can be evaluated and that can be relevant. With the centiloid scale, we only had one large composite ROI that covered a significant portion of the cortex, right? Here, for tau, we have multiple regions of interest, right? And therefore, we need to derive a different conversion equation for each ROI. Now, this can be considered a bit of a limitation, right? So what we are exploring now is whether we can apply a single conversion equation to the entire brain and still get good harmonization results. So this is what we tried to do in this study. But for now, yeah, the results are a bit unclear. It really seems like some regions in particular, the medial temporal lobe, the equation is a bit different compared to the equations you would get in the neocortex. So this is very preliminary. We ran a few experiments using the metatemporal conversion equation to the entire brain. The results look promising, but still, I think it’s still early to conclude that we can use just a single equation and achieve a good harmonization across all the radiotracers and pipelines.

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