Biology subjects

Salvi de Souza, G.

Publications and source records attributed to Salvi de Souza, G..

2 recordsLinked to original sources

bioRxiv2026

Metabolic brain network reorganization precedes clinical conversion in Alzheimer's disease

Structured AbstractO_ST_ABSIntroductionC_ST_ABSBrain glucose hypometabolism is a hallmark of Alzheimers disease (AD), yet conventional [18F]-fluorodeoxyglucose (FDG) positron emission tomography (PET) analyses have limited sensitivity in preclinical stages. Metabolic brain network approaches may better capture early vulnerability preceding clinical conversion. MethodsCognitively unimpaired individuals (n = 127) from the ADNI cohort with baseline FDG-PET and amyloid (A) and tau (T) status were classified as clinically stable or converters over an average longitudinal follow-up of 5.8 years. Baseline brain FDG uptake patterns were analyzed at the regional, voxel, and network levels across AT profiles. Network density was quantified globally and within functional networks. AD biomarkers and cognitive performance were also examined. ResultsConventional FDG-PET SUVr analyses failed to distinguish cognitively stable individuals from clinical converters at baseline, either at the regional or voxel levels. AT(N) biomarkers and neuropsychological performance likewise did not differ significantly between groups. In contrast, clinical converters exhibited hyperconnected metabolic networks at baseline, including within the default-mode network. These effects were consistent across A-T-, A+T-, and A+T+ groups, with network density higher in clinical converters than in cognitively stable individuals. Conversely, network density among stable individuals declined with AT progression, pointing to divergent network trajectories. DiscussionMetabolic network organization analysis revealed early AD-related vulnerability beyond regional hypometabolism, even before detectable amyloid positivity, and may reflect divergent trajectories of resilience and pathological propagation preceding clinical conversion. By leveraging existing FDG-PET datasets, this framework offers a valuable opportunity to identify individuals at risk of clinical progression at scale.

neuroscience↗

bioRxiv2026

Sources of Variability in Normative Cerebral FDG-PET imaging

PurposeQuantitative interpretation of brain [{superscript 1}F]FDG-PET increasingly relies on comparisons with normative datasets. However, normative values may be influenced by technical and biological factors, limiting their generalizability. We investigated the effects of scanner manufacturer, reference region, age, and sex on regional [{superscript 1}F]FDG uptake in cognitively normal (CN) adults and generated covariate-adjusted normative reference data. MethodsA total of 449 CN participants from the Alzheimers Disease Neuroimaging Initiative (ADNI) were included. Regional SUVr were calculated using three reference regions (whole cerebellum, pons, cortical gray matter) and converted to Z-scores. Linear regression models were used to estimate standardized regression coefficients ({beta}), and 10-fold cross-validation was performed to quantify the out- of-sample predictive contribution of each covariate using incremental explained variance ({Delta}R{superscript 2}). ResultsScanner manufacturer introduced large, spatially structured biases. Compared with Siemens systems, GE and Philips scanners yielded lower Z-scores in frontal and medial temporal regions, with effect sizes approaching one standard deviation in selected regions ({beta} up to -0.85). Age showed region- specific associations with subcortical nuclei, medial temporal structures, and the posterior cingulate cortex, and was the strongest biological predictor in cross-validation ({Delta}R{superscript 2}{approx}0.11). Sex effects were negligible ({Delta}R{superscript 2}<0.001). Cortical gray matter normalization minimized biological and technical confounding, and the AD meta-ROI demonstrated high robustness across manufacturers and normalization strategies. ConclusionScanner manufacturer and age are the major sources of variance in brain [{superscript 1}F]FDG-PET quantification in CN subjects. Cortical gray matter provides the most stable reference region and supports harmonized, covariate-adjusted normative datasets for clinical and research applications.

neuroscience↗