We use tissue susceptibility to control for iron-related off-target binding effects in 18F-AV1451 PET and examine the impact of APOE-ε4 carrier status on striatal tau-PET signal in mild cognitive impairment. We found significant increases in tau-PET SUVR in the putamen (p=0.01) and caudate nucleus (p=0.046) of APOE-ε4 positive participants compared to APOE-ε4 negative participants. Controlling for striatal iron, significant correlations were seen between striatal tau-PET SUVR memory measures in the control (putamen: r=0.435; caudate: r=0.623) and APOE-ε4 positive MCI (putamen: r=0.403; caudate: r=0.648) groups with greater tau burden correlated with greater memory impairment.
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