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@ARTICLE{Crook:285003,
author = {Crook, Harry and Franzmeier, Nicolai and Rahmouni, Nesrine
and Gnoerich, Johannes and Fryer, Tim D and Hong, Young T
and Roemer-Cassiano, Sebastian N and Palleis, Carla and
Strauss, Alexandra and Jones, P Simon and Aigbirhio,
Franklin I and Hopewell, Robert and Rauchmann, Boris Stephan
and Massarweh, Gassan and Perneczky, Robert and Levin,
Johannes and Höglinger, Günter U and Rowe, James B and
O'Brien, John T and Rosa-Neto, Pedro and Brendel, Matthias
and Malpetti, Maura},
title = {{C}omparing and combining {TSPO}-{PET} tracers in
tauopathies.},
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-2026-00137},
pages = {2083 - 2098},
year = {2026},
abstract = {Neuroinflammation is a key pathological driver in
neurodegenerative diseases, including Alzheimer's disease
(AD) and Progressive Supranuclear Palsy (PSP). Positron
emission tomography (PET) with tracers targeting the
translocator protein (TSPO) enables the in vivo
quantification of microgliosis. TSPO tracers have shown
similar disease-specific patterns across cohorts. However,
direct quantitative comparisons between commonly used
TSPO-PET tracers in tauopathies have not been performed.
Here, we apply a TSPO-PET standardization pipeline across
clinically matched AD cohorts and PSP cohorts, to quantify,
compare and combine multi-centre TSPO-PET data.Patients with
PSP were scanned with either [11C]PK11195 or [18F]GE-180 at
one of two centres, while patients with AD and control
participants were scanned with either [11C]PK11195,
[18F]GE-180 or [11C]PBR28 at one of three centres. A
standardised pre-processing pipeline was implemented and
participant standardised uptake volume ratio (SUVR) values
were z-scored using tracer-specific control participant
values. In a data-driven approach, dissimilarity analyses
were employed to assess differences between tracers across
clinically matched cohorts.In PSP, dissimilarity analysis
suggested that [11C]PK11195 and [18F]GE-180 binding patterns
were comparable following standardisation. In AD,
comparability across tracers was less robust, with
[11C]PK11195 and [18F]GE-180 being most comparable, followed
by [18F]GE-180 vs. [11C]PBR28, then by [11C]PK11195 vs.
[11C]PBR28.The pipeline was effective at harmonising
TSPO-PET tracers and standardising the regional
quantification of neuroinflammation in clinically matched
cohorts of PSP, while the standardisation pipeline results
were less robust across AD cohorts.},
keywords = {Humans / Positron-Emission Tomography: methods /
Positron-Emission Tomography: standards / Receptors, GABA:
metabolism / Male / Female / Aged / Middle Aged /
Radioactive Tracers / Tauopathies: diagnostic imaging /
Tauopathies: metabolism / Alzheimer Disease: diagnostic
imaging / Alzheimer Disease: metabolism /
Radiopharmaceuticals / Carbazoles / Isoquinolines /
Alzheimer’s disease. (Other) / Neuroinflammation (Other) /
Positron emission tomography (Other) / Progressive
supranuclear palsy (Other) / Translocator protein (Other) /
Receptors, GABA (NLM Chemicals) / TSPO protein, human (NLM
Chemicals) / Radioactive Tracers (NLM Chemicals) / PK 11195
(NLM Chemicals) / GE-180 (NLM Chemicals) /
Radiopharmaceuticals (NLM Chemicals) / Carbazoles (NLM
Chemicals) / Isoquinolines (NLM Chemicals)},
cin = {Clinical Research (Munich) / AG Dichgans / AG Levin / AG
Haass},
ddc = {610},
cid = {I:(DE-2719)1111015 / I:(DE-2719)5000022 /
I:(DE-2719)1111016 / I:(DE-2719)1110007},
pnm = {353 - Clinical and Health Care Research (POF4-353) / 352 -
Disease Mechanisms (POF4-352)},
pid = {G:(DE-HGF)POF4-353 / G:(DE-HGF)POF4-352},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41114734},
doi = {10.1007/s00259-025-07579-3},
url = {https://pub.dzne.de/record/285003},
}