The main objective of this study is to compare the distribution of Florbetaben (NEURACEQ: FBB) in the brain in amyloid cerebral angiopathy (ACA) manifested by isolated hemosiderosis in non-demented patients with that observed in healthy subjects, patients with ACA and with lobar hematoma(s) and patients with Alzheimer's dementia without MRI signs in favor of ACA.
The secondary objectives of this study are to compare among groups: A. The associated micro-bleeds. B. Associated leukoencephalopathy. C. Contrast observed in lobar Virchow-Robin perivascular spaces. D. Apolipoprotein E genotypes.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
DOUBLE
Patients will have a pet scan with Florbetaben (NEURACEQ : FBB). All other care corresponds to routine care. Florbetaben is used during pet scans to visualize beta amyloid plaques and cannot be a separate intervention in and of itself.
Subjects will have an MRI scan at inclusion.
Subjects will have APO (apolipoprotein) E genotyping if not already known.
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, France
CH de Perpignan - Hôpital Saint Jean
Perpignan, France
PET scan with Florbetaben: Standardized Uptake Value Ratio
Time frame: Day 0
On the reference MRI: the number of lobar hemorrhages
Time frame: Day 0
On the reference MRI: the locations of lobar hemorrhages
Location is defined as choices from among the following: frontal-right; frontal-left; parietal-right; parietal-left; occipital-right; occipital-left; temporal-right; temporal-left.
Time frame: Day 0
On the reference MRI: The presence/absence classification for superficial siderosis
The classification corresponds to one of the following: absence; focal (involving \< 4 sulci); disseminated (involving 4 or more sulci).
Time frame: Day 0
On the reference MRI: the locations of superficial siderosis
Location is defined as choices from among the following: frontal-right; frontal-left; parietal-right; parietal-left; occipital-right; occipital-left; temporal-right; temporal-left.
Time frame: Day 0
On the reference MRI: the absolute quantitative count of microbleeds
Time frame: Day 0
On the reference MRI: microbleed count category
The microbleed count category corresponds to one of the following: 0, 1, 2-4, \>4.
Time frame: Day 0
On the reference MRI: The predominant location of microbleeds
Time frame: Day 0
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On the reference MRI: a measure of leukoencephalopathy using the ARWMC scale
The age-related white matter changes (ARWMC) rating scale rating only the supratentorial white matter for each frontal, parieto-occipital, and temporal localisation: 0 for no lesions, 1 for focal lesions, 2 for beginning confluence of lesions, and 3 for diffuse involvement of the entire region
Time frame: Day 0
Apolipoprotein E genotype
Everyone has two copies of the gene so the resulting combination determines your APOE "genotype" as one of the following: E2/E2, E2/E3, E2/E4, E3/E3, E3/E4, or E4/E4.
Time frame: Day 0