Factor | Imaging | CSF | Blood | Potential RX |
---|---|---|---|---|
Amyloid-β load | [11C]PIB [18F]NAV4694 [18F]florbetapir [18F]florbetaben [18F]flutemetamol | Amyloid-β(1–42) | APP669–711; Amyloid-β(1–42); Amyloid-β(1–40); | BACE inhibitors Amyloid-β immunotherapy |
Neurofibrillary tangles load | [18F]MK6240 [18F]AV1451 [11C]PBBB3 | Phosphorylated tau | The association of serum phosphorylated tau with tangles is unclear | Anti-aggregation Tau immunotherapy |
Neurodegeneration | MRI [18F]FDG | Neurofilament light chain (NFL); d neurogranin (Ng); Visinin-like protein-1 (VILIP-1); Synaptosomal-associated protein 25 (SNAP-25); Neuron-specific enolase (NSE); Heart fatty acid binding protein (HFABP) | Neurofilament light chain (NFL) | Neurotrophic factors |
Vascular load | MRI | CSF albumin /plasma albumin ratio | Control of risk factors | |
Lewy Body load | NA | α-synuclein | α-synuclein | α-synuclein immunotherapy |
Neuroinflammation activity | Microglial Activation: [11C]PK11195 [11C]PBR28 [11C]DAA1106 [18F] DPA714 [11C] DPA713 [18F]GE180 Reactive astrocytes: [11C]L-des-deprenyl | Microglial Activation: Chitinase-3-like protein 1 (YKL-40), soluble TREM2 (sTREM2) Cytokines: TNF-α, IL-6, IL-1β Chemokines: monocyte chemotactic protein 1 [MCP-1] | Microglial Activation: Chitinase-3-like protein 1 (YKL-40) Cytokines: TNF-α, IL-6, IL-1β, Chemokines: monocyte chemotactic protein 1 [MCP-1] | NSAIDS Peroxisome proliferator-activated receptor-γ (PPAR-γ) activators TNF-α inhibitor |