journal article Open Access Jan 01, 2026

Salivary Gland Uptake on 18 F‐Florbetaben PET Did Not Demonstrate Additional Diagnostic Value for Alzheimer's Disease

View at Publisher Save 10.1002/brb3.71199
Abstract
Abstract

Objectives

Saliva, like other body fluids, has been investigated as a source of biomarkers for Alzheimer's disease (AD) due to its accessibility. Recently, decreased amyloid‐PET uptake in the salivary glands of patients with AD was reported, prompting interest in the potential clinical relevance of that finding. This study evaluates the association between salivary gland uptake on
1
8
F‐florbetaben PET and cortical amyloid burden and assesses its diagnostic value.



Methods

We retrospectively analyzed 73 patients who underwent
18
F‐florbetaben PET imaging. Salivary gland uptake (SUVR
SG
) was measured and compared with the cortical amyloid burden, severity of dementia, and clinical diagnoses (cognitively normal, mild cognitive impairment, and dementia). Diagnostic performance was assessed using receiver operating characteristic (ROC) curve analyses.



Results

The mean SUVR
SG
was 1.43 ± 0.29, with no significant differences based on the cortical amyloid burden, severity of dementia, or clinical diagnosis. SUVR
SG
did not correlate with the cortical amyloid burden (ρ = −0.103, p > 0.05). The area under the ROC curve and volume under the ROC surface indicated that SUVR
SG
had poor diagnostic performance.



Conclusions

Salivary gland uptake on
18
F‐florbetaben PET was not associated with the cortical amyloid burden or clinical stage of AD, and it did not demonstrate diagnostic value. Further research is needed to explore its biological significance and standardization methods.
Topics

No keywords indexed for this article. Browse by subject →

References
49
[7]
Metabolic Syndrome and Amyloid Accumulation in the Aging Brain

Gabriela Gomez, Lori L. Beason-Held, Murat Bilgel et al.

Journal of Alzheimer’s Disease 10.3233/jad-180297
[15]
Kim D. "Internal and External Validations of BTXBrain‐Amyloid, AI‐Powered Automated Quantification Software for Amyloid PET" Journal of Nuclear Medicine (2022)
[17]
The Centiloid Project: Standardizing quantitative amyloid plaque estimation by PET

William E. Klunk, Robert A. Koeppe, Julie C. Price et al.

Alzheimer's & Dementia 10.1016/j.jalz.2014.07.003
[22]
Clinical diagnosis of Alzheimer's disease

Guy McKhann, David Drachman, Marshall Folstein et al.

Neurology 10.1212/wnl.34.7.939
[25]
Neuraceq. n.d. “EPAR—Product Information.” Accessed July 15 2025.https://www.ema.europa.eu/en/documents/product‐information/neuraceq‐epar‐product‐information_en.pdf. .
[34]
The Global Deterioration Scale for assessment of primary degenerative dementia
American Journal of Psychiatry 10.1176/ajp.139.9.1136
[37]
Safari S. "Evidence Based Emergency Medicine; Part 5 Receiver Operating Curve and Area Under the Curve" Emergency (2016)
[40]
Scheinin N. M. "Biodistribution and Radiation Dosimetry of the Amyloid Imaging Agent 11C‐PIB in Humans" Journal of Nuclear Medicine (2007)
[45]
Amyloid Imaging with18F-Florbetaben in Alzheimer Disease and Other Dementias

Victor L. Villemagne, Kevin Ong, Rachel S. Mulligan et al.

Journal of Nuclear Medicine 10.2967/jnumed.111.089730
Metrics
0
Citations
49
References
Details
Published
Jan 01, 2026
Vol/Issue
16(1)
License
View
Cite This Article
Hyun Woo Kwon, Saim Jung, Cheolmin Shin, et al. (2026). Salivary Gland Uptake on 18 F‐Florbetaben PET Did Not Demonstrate Additional Diagnostic Value for Alzheimer's Disease. Brain and Behavior, 16(1). https://doi.org/10.1002/brb3.71199
Related

You May Also Like

Socioeconomic status, white matter, and executive function in children

Alexandra Ursache, Kimberly G. Noble · 2016

175 citations

Neuroanatomy and function of human sexual behavior: A neglected or unknown issue?

Rocco S. CALABRÒ, Alberto Cacciola · 2019

166 citations

Molecular links between endocrine, nervous and immune system during chronic stress

Roberto Zefferino, Sante Di Gioia · 2020

161 citations

Cortical asymmetry in Parkinson's disease: early susceptibility of the left hemisphere

Daniel O. Claassen, Katherine E. McDonell · 2016

108 citations