DOI: 10.1002/alz70856_106683 B I OMARK E R S POSTER PRESENTATION NEUROIMAGING Creating amulti-centre Amyloid PET dataset for DLB patients: Design andMethodology Ariane Bollack1,2 Beatrice Orso3 Mahnaz Shekari4 Cecilia Boccalini5 Valentina Garibotto6 Giovanni B Frisoni7 Lisa Quenon8 Bernard J Hanseeuw9,10 Val J Lowe11 Lyduine E. Collij12,13 Christopher Buckley2 Alan J Thomas14 John T O’Brien15 Gill Farrar2 1UCL Centre forMedical Image Computing, London, United Kingdom 2GEHealthCare, Chalfont St Giles, Buckinghamshire, United Kingdom 3University of Genoa, Genoa, Genoa, Italy 4Barcelonaβeta Brain Research Center (BBRC), PasqualMaragall Foundation, Barcelona, Spain 5University of Geneva, Geneva, Switzerland, Switzerland 6Faculty ofMedicine, University of Geneva, Geneva, Geneva, Switzerland 7GenevaMemory Center, Geneva University Hospitals and University of Geneva, Geneva, Switzerland 8Institute of Neuroscience, UCLouvain, Brussels, Belgium 9Gordon Center forMedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA 10Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium 11Mayo Clinic, Rochester, MN, USA 12AmsterdamUMC location VUmc, Amsterdam, Amsterdam, Netherlands 13Clinical Memory Research Unit, Department of Clinical SciencesMalmö, Faculty of Medicine, Lund University, Lund, Sweden 14Newcastle University, Newcastle upon Tyne, Newcastle, United Kingdom 15University of Cambridge, Cambridge, Cambridgeshire, United Kingdom Correspondence Abstract Background: Dementia with Lewy Bodies (DLB) is often misdiagnosed or conflated with Alzheimer’s Disease (AD) due to overlapping clinical presentations and neuropathological features. The presence of AD-like features correlates with accelerated cognitive decline and a worse overall prognosis. Compared to AD, studies suggest that amyloid uptake in DLB may spare the occipital lobe. This project aims to investigate whether amyloid PET could be leveraged to differentiate between AD and DLB patients, with the goal of improving diagnostic accuracy and supporting patient stratification and safety in anti-amyloid trials. Method: This study involves collaboration across six centres (University of Geneva, BioFINDER, AMPLE, AMYPAD PNHS, MCSA, GEHC), each contributing amyloid PET imaging data from patients diagnosed with DLB based on clinical or neuropathological assessments. Moreover, each center provided an additional subset of AD and healthy controls, then matched to DLB samples based on age/sex/APOE genotype/education for comparison. A sub analysis will be performed on patients with evidence of both DLB and AD markers. Given the relatively small sample size, key aspect of the methodological approach is to reduce technical sources of variability. The processing workflow includes rigorous quality control, formatting, normalisation to MNI space, harmonisation (differential smoothing), andMRI-based segmentation. Result: The dataset currently includes amyloid PET scans (acquired using [11C]PiB, [18F]Flutemetamol or [18F]Florbetapir) and MRI scans from ∼130 DLB patients, along with ∼150 AD patients and ∼150 controls. In addition, 99 patients positive for the CSF α-Synuclein Seeding Amplification Assay were included. Patient data This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2025 The Alzheimer’s Association. Alzheimer’s & Dementia published byWiley Periodicals LLC on behalf of Alzheimer’s Association. Alzheimer’s Dement. 2025;21(Suppl. 2):e106683. wileyonlinelibrary.com/journal/alz 1 of 2 https://doi.org/10.1002/alz70856_106683 http://creativecommons.org/licenses/by/4.0/ https://wileyonlinelibrary.com/journal/alz https://doi.org/10.1002/alz70856_106683 2 of 2 BIOMARKERS Ariane Bollack, UCL Centre forMedical Image Computing, London, United Kingdom. Email: ariane.bollack@gehealthcare.com were anonymized, and a harmonised database was created, including demographic characteristics, clinical history, and results from neuropsychological assessments. Conclusion: The creation of a standardized, multi-centre amyloid PET dataset for DLB will enable the study of amyloid PET patterns at the global, regional and voxel level, in comparison with uptake in AD patients and controls. This dataset will serve as a valuable resource for investigating the neuropathological underpinnings of DLB, improving diagnostic accuracy, and potentially guiding patient stratification in anti-amyloid trials. Efforts to integrate [18F]Florbetaben and additional data are ongoing. mailto:ariane.bollack@gehealthcare.com Abstract