Dates
March 12, 2025 | 9:15 a.m. - 5 p.m. ET
March 13, 2025 | 9:30 a.m. - 4 p.m. ET
Location
This meeting was held virtually through Zoom.
Background and Purpose
Since the first use of 18F-FDG to detect brain hypometabolism, Positron Emission Tomography (PET) has represented the gold standard for the detection of neurodegenerative processes in the living human brain. Although tremendous progress has been made towards the development and validation of more accessible biomarkers, to this day, PET remains critical to support diagnostic evidence from clinical observation and other measures.
This workshop will bring together the complementary expertise of NIA-funded neurologists, pathologists, radiologists, chemists, and biologists to stimulate a discussion on the role of PET imaging in clinical practice, human research studies, and translational applications, in the context of the current state of the art, capabilities of the filed, and recent developments (plasma biomarkers, new diagnostic framework, new treatments, new diagnostic entities, enhanced appreciation of co-pathologies and heterogeneity).
Topics for discussion will include the contribution of PET To multimodal research approaches for the development of models of disease progression, as well as the elaboration of mechanistic hypotheses of pathology spread that integrate connectivity, vulnerability and resistance at regional, circuitry and cellular level. Discussions will also include emerging PET tracers that show promise for use in AD/ADRD clinical research, including those targeting pathological protein aggregates as well as those targeting cellular pathways relevant in the neurodegenerative cascade, such as neuroinflammation, oxidative stress, mitochondrial function, protein homeostasis, and epigenetic regulation.
Agenda
Day 1 (Wednesday, March 12)
9:15 a.m. Opening Remarks
Session 1 | Integrated Platforms
Highly integrated platforms are operational to allow the collection, harmonization, dissemination and sharing of protocols and PET data, in combination with clinical phenotype and multimodal biomarkers, from multiple sites. Large scale studies have enabled the definition of thresholds and facilitate the systematic assessment of risk and disease modifiers.
9:30 a.m. Harmonization of PET data for the analyses of multiple cohorts: Overview of SCAN and ADNI. Bill Jagust, University of California, Berkeley
10:00 a.m. Clinical use of PET in the "real world": Overview of the IDEAS/new IDEAS studies. Gil Rabinovici, University of California, San Francisco
10:30 a.m. Longitudinal multicenter head-to-head harmonization of tau PET tracers: The HEAD Study. Tharick Pascoal, University of Pittsburgh, and Suzanne Baker, University of California, Berkeley
11:00 a.m. Impact of co-pathologies and introduction of CLARiTI. Sterling Johnson, University of Wisconsin and C. Dirk Keene, University of Washington
Session 2 | Modeling Disease Spread and Progression
Besides assisting diagnosis, the ability of PET to provide quantitative information with high specificity, at regional level, in vivo, along the lifespan, remains uniquely attractive to illuminating the pathophysiology of AD and used in concomitance with additional approaches, allows to elaborate models of disease spread and progression.
11:30 a.m. Temporal models of disease progression and PET-based "clocks". Tobey Betthauser, University of Wisconsin
11:50 a.m. PET-based subtypes of AD. Renaud Lajoie, University of California, San Francisco
12:10 p.m. Neuropathologic evaluation of ADRD PET and fluid biomarker changes. Melissa Murray, Mayo Clinic Jacksonville
12:30 p.m. Integration of neuropathology and multimodal imaging data for clinical applications and studies in AD and ADRDs. Paul Yushkevich, University of Pennsylvania
12:50 p.m. PET as an endophenotype for genetic studies of AD/ADRD. Andy Saykin, Indiana University
1:10 p.m. Lunch Break
Session 3 | PET Imaging in ADRDs
The field faces urgent critical needs for the differential diagnosis of ADRDs, such as FTLD, Parkinson's disease/Lewy Body Disease, and LATE. Approaches capitalizing on disease-sensitive regional patterns of hypometabolism have sown promise, and PET tracers for the detection of proteinopathies associated with ADRDs--like non-AD tauopathies, alpha synucleinopathy, and TDP-43 proteinopathy--are ongoing, but face challenges associated with the coexistence of pathologies and the heterogenous molecular/supramolecular structures of proteinaceous aggregates.
1:40 p.m. Cryo-EM structures of amyloid filaments: Considerations for PET imaging tracers in neurodegenerative diseases. Benjamin Ryskeldi-Falcon, Medical Research Council, UK
2:10 p.m. Overview of alpha-syn tracers and selective 4R, 3R tracers. Robert Mach, University of Pennsylvania
2:40 p.m. Overview of emerging tau tracers. Neil Vasdev, University of Toronto
3:10 p.m. Imaging of the pathologic heterogeneity associated with alpha-synucleinopathies with PET. Kejal Kantarci, Mayo Clinic Rochester
3:30 p.m. Exploiting FDG PET in Limbic-predominant age-related TDP43-encephalopathy. David Jones, Mayo Clinic Rochester
3:50 p.m. Synaptic PET imaging in AD/ADRD. Barbara Bendlin, University of Wisconsin.
4:10 p.m. Day 1 Panel Discussion
4:40 p.m. Closing Remarks and Adjournment of Day 1
Day 2 (Thursday, March 13)
Session 4 | Neuroinflammation
Translational studies have veered radiochemist towards targeting pathophysiological processes involved in neurodegeneration, particularly, neuroinflammation. While a few such tracers have been introduced in clinical studies, and have potential to unveil histopathological changes across diseases, their performance has been unsatisfactory, and novel ligands are emerging that show promise to detect oxidative stress or selectively target inflammatory astrocytes or microglia.
9:30 a.m. Overview of immune activation in AD. David Morgan, Michigan State University
10:00 a.m. Imaging glia and neuroinflammation in AD. Pedro Rosa-Neto, UT Southwestern and McGill University
10:20 a.m. Neuroinflammation: Focus on astroglial markers. Victor Villemagne, University of Pittsburgh
10:40 a.m. CSF-1R as a promising PET imaging target. Ansel Hillmer, University of Michigan
11:00 a.m. TSPO PET tracers-utility in early-onset dementia and insights from clinical trials. Belen Pascual, Houston Methodist
11:20 a.m. Immunological profiles in AD/ADRD and their correlation to PET measures of AD/ADRD. Maura Malpetti, University of Cambridge
11:50 a.m. Integration of MRI brain connectivity with PET tau/inflammation to inform disease pathophysiology. Julie Ottoy, Sunnybrook Research Institute
12:10 p.m. Panel Discussion
12:40 p.m. Break
Session 5 | Emerging Tracers and Future Opportunities
Several tracers are under evaluation for use in humans to detect other processes that are thought to be involved in AD/ADRDs, such as, synaptic health, mitochondria function, chromatin regulation, myelinzation, microtubule stability, proteostasis, and lipid metabolism, to name a few. Emerging tracers have the potential to illuminate the biology of dementia and inform mechanistic hypothesis driving novel therapeutic/preventative interventions.
1:10 p.m. Neurotransmitter system PET tracers: applications in AD/ADRD. Gwenn Smith, Johns Hopkins University
1:30 p.m. Potential utility of mitochondrial complex 1 PET imaging in neurodegenerative diseases. Sarah Berman, University of Pittsburgh
1:50 p.m. Emerging targets in AD/ADRD: an overview of new tracers under evaluation in humans. Steven Liang, Emory University
2:20 p.m. Other biological processes we should monitor in AD. What are we missing? David Morgan, Michigan State University
2:50 p.m. From click chemistry to precision neuroscience. Hartmuth Kolb, Enigma Biomedical
3:20 p.m. Panel Discussion| How do we choose a good target for PET tracer development? What are the promises, challenges and constraints? Chairs: Julie Price, Massachusetts General Research Institute, and Elizabeth Mormino, Stanford University
Panelists:
- Hartmuth Kolb
- Steven Liang
- Robert Mach
- Tharick Pascoal
- Neil Vasdev
3:50 p.m. Wrap-Up and Closing Remarks
Contact Information
Please contact Alessandra Rovescalli for questions about the workshop.
Reasonable Accommodations: If you need reasonable accommodation to participate in this event, please contact the meeting organizer listed under Contact information. Please make your request no later than 1 week before the event.
Summary
Read a summary of the