TY - JOUR JF - Dementia UR - http://www.karger.com/Article/Abstract/107349 A1 - Pietrini, Pietro A1 - Azari, Nina P. A1 - Grady, Cheryl L. A1 - Salerno, Judith A. A1 - Gonzales-Aviles, A. A1 - Heston, L. L. A1 - Pettigrew, Karen D. A1 - Horwitz, Barry A1 - Haxby, James V. A1 - Schapiro, Mark B. Y1 - 1993/// VL - 4 PB - Karger IS - 2 AV - none SN - 1013-7424 ID - eprints3328 EP - 101 SP - 94 TI - Pattern of cerebral metabolic interactions in a subject with isolated amnesia at risk for Alzheimer's disease: A longitudinal evaluation N2 - A pattern of reduced cerebral metabolic rate for glucose (rCMRglc) has been shown by positron emission tomography (PET) in patients with dementia of the Alzheimer type. To verify if a similar rCMRglc pattern is present in subjects 'at risk' for Alzheimer's disease (AD), we used high-resolution PET to longitudinally study a subject with isolated memory impairment and a family history for autosomal dominant AD. Initial rCMRglc data did not reveal any consistent abnormality as compared to a group of sex- and age-matched healthy controls. However, 1 year later, a follow-up evaluation did reveal reduced parietal rCMRglc values coinciding with a worsening of cognitive impairment, which suggested that standard analyses of resting rCMRglc data may not be useful in the early diagnosis of AD. In contrast, when a previously determined discriminant function for distinguishing controls from AD patients was applied, the subject was correctly identified as an AD patient on both PET scans. ER -