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@ARTICLE{Weih:285002,
author = {Weih, Fiona and Rullmann, Michael and Henssen, Dylan and
Meyer, Philipp M and Jochimsen, Thies and Schildan, Andreas
and Rumpf, Jost-Julian and Brendel, Matthias and Schroeter,
Matthias L and Classen, Joseph and Barthel, Henryk and
Sabri, Osama and Tiepolt, Solveig},
title = {{H}ybrid {T}au-{PET}/{MRI} study: {Q}uantitative
susceptibility mapping in progressive supranuclear palsy and
its correlation with {T}au-{PET}.},
journal = {European journal of nuclear medicine and molecular imaging},
volume = {53},
number = {3},
issn = {1619-7070},
address = {Heidelberg [u.a.]},
publisher = {Springer-Verl.},
reportid = {DZNE-2026-00136},
pages = {2099 - 2109},
year = {2026},
abstract = {The atypical Parkinsonian disorder progressive supranuclear
palsy (PSP) forms a diagnostic challenge, resulting in
frequent misdiagnosis and delay in treatment. Although
structural MRI can detect PSP signs at more advanced stages,
emerging diagnostic tools such as tau-PET and quantitative
susceptibility mapping (QSM) may allow for earlier
detection. This exploratory study aimed to investigate
differences in QSM data of patients with PSP and healthy
controls (HCs) and for the first time assess possible
correlations between QSM and tau-PET data in patients with
PSP to explore the relationship between tau aggregation and
iron susceptibility.We retrospectively investigated
differences in susceptibility values of brain structures, as
assessed by QSM, between 11 HCs and 31 patients with PSP
[Richardson's syndrome (PSP-RS): n = 14; other subtypes
(PSP-nonRS): n = 17]. Additionally, we examined
co-registered [18F]PI-2620 PET and QSM data in the 31
patients with PSP to explore the relationship between tau
accumulation and susceptibility changes.Compared to HCs,
patients with PSP showed higher QSM values in left nucleus
caudate (p = 0.04) and bilateral dentate nucleus (p = 0.04,
p = 0.01). Patients with the subtype PSP-RS showed higher
QSM values than HCs in left dentate nucleus (p = 0.02). The
association between the patients' QSM and tau-PET data
showed a significant positive correlation.These results
suggest distinct patterns of regional iron accumulation in
patients with PSP and its subtypes and support an
association between iron and tau pathology. The data
encourage further investigation in longitudinal studies and
validation in larger cohorts to examine the value of QSM as
a possible diagnostic biomarker.},
keywords = {Humans / Supranuclear Palsy, Progressive: diagnostic
imaging / Supranuclear Palsy, Progressive: metabolism / Male
/ Female / tau Proteins: metabolism / Magnetic Resonance
Imaging / Positron-Emission Tomography / Aged / Middle Aged
/ Retrospective Studies / Multimodal Imaging / MRI (Other) /
PET (Other) / PSP (Other) / QSM (Other) / Tau (Other) / tau
Proteins (NLM Chemicals)},
cin = {AG Haass},
ddc = {610},
cid = {I:(DE-2719)1110007},
pnm = {352 - Disease Mechanisms (POF4-352)},
pid = {G:(DE-HGF)POF4-352},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41174096},
doi = {10.1007/s00259-025-07600-9},
url = {https://pub.dzne.de/record/285002},
}