# Super-Resolution Tau PET Imaging for Alzheimer's Disease

> **NIH NIH R03** · UNIVERSITY OF MASSACHUSETTS AMHERST · 2022 · $151,673

## Abstract

PROJECT SUMMARY
Preclinical Alzheimer’s disease (the presymptomatic phase of Alzheimer’s disease) is characterized by
pathophysiological changes without measurable cognitive decline and begins decades before the onset of
cognitive symptoms. Preclinical Alzheimer’s disease research is in pressing need of new biomarker endpoints
to enable disease monitoring before traditional cognitive endpoints are measurable. The overarching research
objectives of this R03 Small Project Grant are to develop a super-resolution (SR) positron emission tomography
(PET) imaging framework for tau (a pathophysiological hallmark of Alzheimer’s disease) and to assess the
clinical utility of localized outcome measures obtained from SR PET images. Studies show that tau pathology in
the medial temporal lobe is an important marker of cognitive decline in Alzheimer’s disease. Cohorts focused on
preclinical Alzheimer’s now incorporate serialized 18F-flortaucipir PET scans for longitudinal tracking of tau
accumulation in key anatomical regions-of-interest (ROIs). The quantitative accuracy of tau PET, however, is
degraded by the limited spatial resolution capabilities of PET, which lead to inter-ROI spillover and partial volume
effects. The problem is further compounded in studies spanning several decades, many of which were
commenced on legacy scanners with even lower resolution capabilities than the current state of the art.
Additionally, many longitudinal studies began on older scanners and later transitioned to newer models posing
a multi-scanner data harmonization challenge. The proposed SR framework will perform a mapping from a low-
resolution scanner’s image domain to a high-resolution scanner’s image domain and enable PET resolution
recovery and data harmonization. Underlying the proposed framework is a neural network model that can be
adversarially trained in self-supervised mode without requiring paired input/output image samples for training.
This critical feature ensures practical clinical utility of the method as the need for paired low-resolution and high-
resolution datasets from the same subject with similar tracer dose and scan settings is a major barrier for the
clinical translatability of simpler supervised alternatives for SR. The proposed network, although trained using
unpaired clinical data, receives guidance from an ancillary neural network separately pretrained using paired
simulation datasets. For this purpose, we will synthesize paired low- and high-resolution images from a series of
digital tau phantoms that will be created for this project. Training and validation of the self-supervised SR
framework will be performed via secondary use of de-identified 18F-flortaucipir PET scans from the Harvard Aging
Brain Study, a longitudinal cohort focused on preclinical Alzheimer’s disease. We will evaluate SR performance
using a variety of image quality metrics. To assess the clinical utility of localized super-resolution measures, we
will perform cross-sectiona...

## Key facts

- **NIH application ID:** 10724836
- **Project number:** 7R03AG070750-03
- **Recipient organization:** UNIVERSITY OF MASSACHUSETTS AMHERST
- **Principal Investigator:** Joyita Dutta
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $151,673
- **Award type:** 7
- **Project period:** 2022-10-15 → 2024-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10724836

## Citation

> US National Institutes of Health, RePORTER application 10724836, Super-Resolution Tau PET Imaging for Alzheimer's Disease (7R03AG070750-03). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10724836. Licensed CC0.

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