Anti-Amyloid Imaging Abnormality in the Era of Anti-Amyloid Beta Monoclonal Antibodies: Recent Updates for the Radiologist

Lecanemab and donanemab have received full U.S. Food and Drug Administration (FDA) approval, and subsequently, lecanemab has been approved by the Korean FDA and it has recently entered commercial use in Korea. This has increased interest in anti-amyloid immunotherapy for Alzheimer’s disease. Anti...

Full description

Saved in:
Bibliographic Details
Main Authors: So Yeong Jeong, Chong Hyun Suh, Jae-Sung Lim, Yangsean Choi, Ho Sung Kim, Sang Joon Kim, Jae-Hong Lee
Format: Article
Language:English
Published: The Korean Society of Radiology 2025-01-01
Series:Journal of the Korean Society of Radiology
Subjects:
Online Access:https://doi.org/10.3348/jksr.2024.0140
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832576316333883392
author So Yeong Jeong
Chong Hyun Suh
Jae-Sung Lim
Yangsean Choi
Ho Sung Kim
Sang Joon Kim
Jae-Hong Lee
author_facet So Yeong Jeong
Chong Hyun Suh
Jae-Sung Lim
Yangsean Choi
Ho Sung Kim
Sang Joon Kim
Jae-Hong Lee
author_sort So Yeong Jeong
collection DOAJ
description Lecanemab and donanemab have received full U.S. Food and Drug Administration (FDA) approval, and subsequently, lecanemab has been approved by the Korean FDA and it has recently entered commercial use in Korea. This has increased interest in anti-amyloid immunotherapy for Alzheimer’s disease. Anti-amyloid immunotherapy has shown potential to modify the progression of the disease by specifically binding to amyloid β, a key pathological product in Alzheimer’s disease, and eliminating accumulated amyloid plaques in the brain. However, this treatment can be accompanied by a side-effect, amyloid-related imaging abnormalities (ARIA), which requires periodic monitoring by MRI. It is crucial to detect ARIA and accurately assess the severity by radiology. The role of the radiologist is important in this context, requiring proficiency in basic knowledge of ARIA, and in diagnosing/evaluating ARIA. This review aims to comprehensively cover aspects of ARIA, including its definition, pathophysiology, incidence, risk factors, assessment of severity by radiology, differential diagnosis, and management.
format Article
id doaj-art-0972e7b8e6e34053a457e4468a34c5a2
institution Kabale University
issn 2951-0805
language English
publishDate 2025-01-01
publisher The Korean Society of Radiology
record_format Article
series Journal of the Korean Society of Radiology
spelling doaj-art-0972e7b8e6e34053a457e4468a34c5a22025-01-31T07:14:41ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-01-018611733https://doi.org/10.3348/jksr.2024.0140Anti-Amyloid Imaging Abnormality in the Era of Anti-Amyloid Beta Monoclonal Antibodies: Recent Updates for the RadiologistSo Yeong JeongChong Hyun SuhJae-Sung LimYangsean ChoiHo Sung KimSang Joon KimJae-Hong LeeLecanemab and donanemab have received full U.S. Food and Drug Administration (FDA) approval, and subsequently, lecanemab has been approved by the Korean FDA and it has recently entered commercial use in Korea. This has increased interest in anti-amyloid immunotherapy for Alzheimer’s disease. Anti-amyloid immunotherapy has shown potential to modify the progression of the disease by specifically binding to amyloid β, a key pathological product in Alzheimer’s disease, and eliminating accumulated amyloid plaques in the brain. However, this treatment can be accompanied by a side-effect, amyloid-related imaging abnormalities (ARIA), which requires periodic monitoring by MRI. It is crucial to detect ARIA and accurately assess the severity by radiology. The role of the radiologist is important in this context, requiring proficiency in basic knowledge of ARIA, and in diagnosing/evaluating ARIA. This review aims to comprehensively cover aspects of ARIA, including its definition, pathophysiology, incidence, risk factors, assessment of severity by radiology, differential diagnosis, and management.https://doi.org/10.3348/jksr.2024.0140alzheimer diseasedementiaimmunotherapy
spellingShingle So Yeong Jeong
Chong Hyun Suh
Jae-Sung Lim
Yangsean Choi
Ho Sung Kim
Sang Joon Kim
Jae-Hong Lee
Anti-Amyloid Imaging Abnormality in the Era of Anti-Amyloid Beta Monoclonal Antibodies: Recent Updates for the Radiologist
Journal of the Korean Society of Radiology
alzheimer disease
dementia
immunotherapy
title Anti-Amyloid Imaging Abnormality in the Era of Anti-Amyloid Beta Monoclonal Antibodies: Recent Updates for the Radiologist
title_full Anti-Amyloid Imaging Abnormality in the Era of Anti-Amyloid Beta Monoclonal Antibodies: Recent Updates for the Radiologist
title_fullStr Anti-Amyloid Imaging Abnormality in the Era of Anti-Amyloid Beta Monoclonal Antibodies: Recent Updates for the Radiologist
title_full_unstemmed Anti-Amyloid Imaging Abnormality in the Era of Anti-Amyloid Beta Monoclonal Antibodies: Recent Updates for the Radiologist
title_short Anti-Amyloid Imaging Abnormality in the Era of Anti-Amyloid Beta Monoclonal Antibodies: Recent Updates for the Radiologist
title_sort anti amyloid imaging abnormality in the era of anti amyloid beta monoclonal antibodies recent updates for the radiologist
topic alzheimer disease
dementia
immunotherapy
url https://doi.org/10.3348/jksr.2024.0140
work_keys_str_mv AT soyeongjeong antiamyloidimagingabnormalityintheeraofantiamyloidbetamonoclonalantibodiesrecentupdatesfortheradiologist
AT chonghyunsuh antiamyloidimagingabnormalityintheeraofantiamyloidbetamonoclonalantibodiesrecentupdatesfortheradiologist
AT jaesunglim antiamyloidimagingabnormalityintheeraofantiamyloidbetamonoclonalantibodiesrecentupdatesfortheradiologist
AT yangseanchoi antiamyloidimagingabnormalityintheeraofantiamyloidbetamonoclonalantibodiesrecentupdatesfortheradiologist
AT hosungkim antiamyloidimagingabnormalityintheeraofantiamyloidbetamonoclonalantibodiesrecentupdatesfortheradiologist
AT sangjoonkim antiamyloidimagingabnormalityintheeraofantiamyloidbetamonoclonalantibodiesrecentupdatesfortheradiologist
AT jaehonglee antiamyloidimagingabnormalityintheeraofantiamyloidbetamonoclonalantibodiesrecentupdatesfortheradiologist