Brain
A large portion of our research centers around using imaging to enhance our understanding of brain function and neurological disorders.
Neurological disorders
We are investigating novel radiotracers and PET and MR imaging techniques to improve the diagnosis, characterization, and treatment of age-related diseases such as Alzheimer’s (AD) and Parkinson’s (PD), frontotemporal dementia, etc.
Synaptic Density
Synaptic vesicle glycoprotein 2A (SV2A), a protein found in synaptic vesicles, is being investigated as a PET biomarker for synaptic density. SV2A levels in the brain are correlated with synaptophysin, a marker of synapse density, underscoring the versatility of SV2A-PET imaging in the diagnosis of neurological disorders.
Alzheimer’s disease (AD)
Parametric PET images of Synaptic Vesicle Glycoprotein 2A in a cognitively normal subject, a participant with mild cognitive impairment, and a patient with AD. Images show a reduction in hippocampal SV2A binding in AD patients compared to the normal group.
Synaptic loss is a major structural correlate of cognitive impairment in Alzheimer’s disease (AD). Measuring synaptic density in vivo could expedite the development of AD treatments. Synaptic loss in AD differs from amyloid, tau, and FDG patterns seen in other types of PET imaging, although correlations exist.
Investigator: Richard Carson
Parkinson’s Disease
Example PD patients and matched controls that were both imaged dynamically with 11C-UCB-J. Parametric images of binding potential (BPND) showed evidence of lower synaptic density in the substantia nigra and brainstem nuclei, among other regions, involved in the pathogenesis of PD in living patients. (NPJ Parkinsons Dis. 2024 Feb 24;10(1):42. doi: 10.1038/s41531-024-00655-9. PMID: 38402233;)
We are conducting research to develop a better diagnosis for Parkinson’s disease (PD) and to help establish the next generation of brain imaging, which will be vital for monitoring progression and evaluating new treatments. Currently we are using synaptic density and dopamine transporter imaging. We are also interested in the non-motor symptoms of Parkinson’s disease such as depression, anxiety, and sleep disturbance. The ultimate goal of our research is to inform new treatments that alleviate the symptoms and improve quality of life in those living with PD.
References:
- Honhar P, Ebrahimian Sadabad F, et. al., Clinical correlates of dopamine transporter availability in cross-sectional and longitudinal studies with [18F]FE-PE2I PET: independent validation with new insights. Brain Commun. 2024 Oct 2;6(5):fcae345. doi: 10.1093/braincomms/fcae345.
- Matuskey D, Tinaz S, Wilcox, KC, et. al., In vivo imaging detects synaptic loss in Parkinson’s disease. Ann Neurol. 2020 Mar;87(3):329-338. doi: 10.1002/ana.25682.
Read more on our NeuroPET research program page.
Investigator: David Matuskey
Preclinical Alzheimer’s Disease (AD) and Parkinson’s Disease (PD)
The work of Hamid Abuwarda et. al. (under revision, 2025) shows edges of the functional connectome that predict focal tau deposition in a large dataset of people with preclinical Alzheimer’s disease.
The Fredericks lab is based upon the premise that neurodegenerative diseases are fundamentally disorders of specific brain circuits. We are interested in the earliest “preclinical” stages of diseases like Alzheimer’s disease and Parkinson’s disease, and in clinical heterogeneity within these diseases once they are symptomatic. In studying neurodegenerative disease from these more novel angles, we can ask and answer questions about the earliest changes that characterize the illness, and deduce generalizable principles about how the illness operates across circuits in its full spectrum of phenotypes. We use multimodal neuroimaging, including structural and functional MRI and tau PET, and analytic techniques including graph theoretic approaches and connectome-based predictive modeling, to answer our questions.
For more details please visit the Fredericks lab website.
Investigator: Carolyn Fredericks
Frontotemporal dementia
This project uses synaptic density imaging to study behavioral variant frontotemporal dementia (bvFTD) using [18F]SynVestT-1. This radiotracer binds to a protein in synapses and is the first to provide synaptic measurements in living people, which is centrally important in bvFTD based upon strong supporting evidence from animal models, genetic research and post-mortem studies. By studying this tracer and comparing it to a clinically available biomarker, 18F-FDG, this study could be the first step to a better measure of early detection and progression in bvFTD.
Read more on the NeuroPET research program page.
Investigator: David Matuskey with Arman Fesharaki
Multiple Sclerosis
MS is a chronic inflammatory disease that affects the brain by causing demyelination and is the second most common cause of disability in young adults. Brain MRI is currently the preferred diagnostic imaging method for MS, but it lacks sensitivity and specificity for monitoring disease pathology. Molecular imaging with PET using translocator protein (TSPO) radioligands allows for the in vivo visualization of microglial activation. TSPO PET imaging can quantify microglial activity at any given time and has the potential to monitor disease progression and evaluate treatment responses in MS patients.
Investigator: Kelly Cosgrove
Deuterium (2H) Metabolic Imaging (DMI) of human brain tumors
3D illustration fusing T2-weighted MRI and DMI to depict the spatial distribution of the lactate/Glx ratio, representing the Warburg effect.
See our instrumentation page and the DMI lab page for more information on DMI technology.
After an oral dose of 2H-labeled glucose, DMI provided unprecedented contrast based on glucose metabolism in a patient with a GBM brain tumor. We were able to visualize the Warburg effect, a metabolic process in which cancer cells use glycolysis to produce energy, even when oxygen is present, in a patient with GBM after oral 2H-glucose intake.
Investigator: Robin de Graaf, Henk de Feyter
Neuropsychiatic Disorders
Essential tremor
Despite being one of the most common and widespread neurological diseases, the etiology of essential tremor (ET) is only partially understood. Clinical evidence, however, points to the cerebellum as an origin of the disease. Synaptic density imaging is being used as an in vivo biomarker to quantify synaptic density loss in ET and has the potential to be a reliable and diagnostically useful marker of ET progression.
Read more on the NeuroPET research program page.
Investigator: David Matuskey with Elan Louis (UTSW)
Autism Spectrum Disorder (ASD)
The pseudocolor represents differences of SV2A density (i.e., 11C-UCB-J BPND) in the autistic group compared to the neurotypical group. Scale on the right is in SPM T values. (Mol Psychiatry. 2025 Apr;30(4):1610-1616. doi: 10.1038/s41380-024-02776-2.)
Because ASD is poorly understood at the molecular level, we are investigating metabotropic glutamate receptor 5 (mGluR5) density, a potential mechanism for autistic dysfunction, supported by animal models, genetic research, post-mortem studies, and related single-gene disorders. By linking this information to a detailed assessment of social-communicative dysfunction, it provides the first data supporting mechanistic dysfunction from the molecular level to neural systems to clinical behavior. This is crucial as there are no clinical ASD biomarkers and medications to regulate glutamate receptors exist. Understanding mGluR5 differences in ASD has direct implications for treatment. We are also using a synaptic density PET tracer, binding to synaptic vesicle glycoprotein 2A (SV2A), to investigate the molecular underpinnings of the autism phenotype. We have found that more autistic features are associated with lower synaptic density.
Investigator: David Matuskey with James McPartland
Behavioral Health
Behavioral health encompasses the promotion of well-being by addressing behaviors that affect mental and physical health, including the treatment of mental disorders and substance abuse issues.
Medical imaging can be instrumental in studying and treating mental disorders and substance abuse issues by providing detailed insights into brain structure and function. Techniques such as MRI, fMRI, PET, and SPECT allow researchers to identify brain abnormalities, understand brain function and how the function is altered by disorders and substance abuse, monitor the efficacy of treatments, help tailor therapeutic approaches, and assist in the early detection of mental health issues by identifying biomarkers, potentially leading to earlier and more effective interventions.
Substance Abuse
We are working on ways to examine how substance abuse leads to changes in the brain and ways in which imaging may help discover preventions and treatments.
Imaging smoking-induced dopamine release utilizing PET imaging
Men and women experience smoking differently and some medications for smoking cessation work better in men than in women. We are using PET imaging to identify differences in brain activation between men and women while they are smoking a cigarette (in the PET scanner).
Investigator: Evan Morris
MRS and the isotope 13C to study the long-term impact of alcohol
We found that heavy drinkers (HD) consume more acetate in their brains than light or non-drinkers (LD), as shown by the higher 13C labeling in their brain metabolites glutamate and glutamine after being given acetate with a 13C atom
This finding has implications for alcohol detoxification: when someone stops drinking, they lose not only the alcohol, but the acetate that comes from the alcohol, so it is possible that replacing that acetate with something similar may help with withdrawal.
Investigator: Graeme Mason
Brain metabolism through MRS
A (sagittal) and B (coronal) show with location of the MR spectrum in red. C shows the MR spectrum (blue) + fit (red), with glutamate, glutamine, and aspartate labeled.
Brain metabolism can be studied by administering 13C-labeled glucose, which the brain consumes, depositing 13C into chemicals like glutamate and glutamine. The figure shows the 13C MR spectrum from the prefrontal lobe during an infusion of [U-13C]-glucose, revealing that ketamine increased glutamate release compared to a placebo without affecting oxidative metabolism.
Investigator: Graeme Mason
Opioid use disorder
Kappa opioid receptors are among the most abundant opioid receptors in the brain with widespread distribution, including in areas implicated in reward, stress, and cognition. This is particularly relevant in opioid use disorder (OUD) as it has been hypothesized to result from a weakened reward system. In parallel, there is a recruitment and a strengthening of “anti-reward” / stress systems, partially mediated by kappa opioid receptors. We are studying this system to understand the influence in OUD as a potential for new and improved treatment options.
Investigators: David Matuskey with Gustavo Angarita, Sarah Yip
Alcohol use disorder
“Centroid Images” for 3 groups of AUD participants based on spectral clustering of KOR VT images. Each image represents a KOR archetype. Regional VT in each image is set to the mean KOR VT of that region of all members of the cluster. Chart at right shows the mean values of drinks reduced between drinking sessions before and after the week of NTX. Hoye, et. al., Brain Imaging and Behavior 17, 367–371 (2023). https://doi.org/10.1007/s11682-023-00758-6.
We are using advanced PET imaging and machine learning to study the levels of specific brain receptors in people with Alcohol Use Disorder (AUD) and relate them to outcomes when they try to quit drinking. AUD affects over 14 million adults in the U.S., and understanding the balance between euphoria-inducing (Mu-Opioid) and dysphoria-inducing (Kappa-Opioid), receptors which are disrupted by alcohol use, could help develop better treatments. The goal is to use PET scans to image both receptor types and analyze the data to improve prediction and treatment of clinical outcomes for AUD patients.
Investigators: Evan Morris, Kelly Cosgrove
Mental Health
We use imaging to elucidate the sources of mental health disorders and ways to treat them effectively. This includes disorders such as PTSD, borderline personality disorder (BPD), depression, bipolar disorder, Tourette’s Syndrome, anxiety, OCD, autism spectrum disorder (ASD), etc.
Lower synaptic Density and Depression
Lower SV2A density in individuals with high-severity depressive symptoms vs. HC subjects.
Synaptic vesicle glycoprotein 2A (SV2A) serves as an indirect measure of synaptic density and is used to investigate aging and various neurological diseases. Using [11C]UCB-J PET imaging, we found that individuals with major depressive disorder (MDD) and post-traumatic stress disorder (PTSD) had lower SV2A density correlating with higher depressive symptoms and abnormal network function, compared to healthy controls (HC).
Investigator: Irina Esterlis
Addiction and psychiatric disorders
The Cosgrove laboratory is interested in examining the neurochemical and molecular basis of addiction and psychiatric disorders by using the novel state-of-the-art PET brain imaging technology within Yale BioImaging. Imaging changes in the beta2-nicotinic acetylcholine receptors, which are critical for the rewarding aspects of nicotine, during acute and prolonged abstinence in tobacco smokers has been a particular focus.
For more information on this work, see the Cosgrove lab page.
Investigator: Kelly Cosgrove
Real-time fMRI to treat and study Tourette’s Syndrome
Although treatment options are available for Tourette's Syndrome, many patients do not benefit from them, creating a need for new approaches. We are using real-time functional magnetic resonance imaging (fMRI) to treat and study Tourette’s syndrome and chronic tic disorder in adolescents. We train participants to control activity in their supplementary motor area. This training was associated with clinical improvement in a small pilot study we ran (Sukhodolsky et al., 2020, Biological Psychiatry, 87: 1063-1070) and we aim to replicate that result in a larger trial. Also, by comparing neural activity recorded before, during, and after neurofeedback sessions—and correlating these changes with shifts in symptoms—we can gain important insights into the brain circuits that contribute to tic disorders.
Investigator: Michelle Hampson
Brain Networks
Brain networks, complex interconnected systems of neurons, play crucial roles in cognitive, emotional, and behavioral functions. Imaging techniques like Functional Magnetic Resonance Imaging (fMRI) and Diffusion Tensor Imaging (DTI) have revolutionized our understanding of these networks. fMRI measures brain activity and identifies functional connectivity, while DTI maps white matter tracts connecting brain regions. Imaging brain networks helps understand how diseases disrupt normal connectivity, aids diagnosis, and develops targeted treatments. It also tracks changes in networks over time, illustrating the brain’s adaptability to injury, learning, and therapy.
Connectomics, neuroscience and multiomics
Our research focuses on the intersection of brain connectomics, neuroscience, and multiomics, with a particular emphasis on neurodegenerative diseases such as Alzheimer’s disease and other types of dementia. Over the years, we have developed innovative imaging biomarkers based on PET and network/graph theory metrics. Currently, we are also focusing our investigations on integrating neuroimaging-connectomics with cerebral gene expression to identify novel molecular targets for PET tracers and therapeutic purposes.
Investigator: Jorge Sepulcre
MINDS lab connectomics
The MINDS lab conducts state-of-the-art research to help us better measure and understand human functional connectivity. Understanding the complex network of interconnected regions in the brain, their interactions, and their role in behavior is a central question in human neuroscience. The MINDS lab is addressing these questions through fMRI technology. The lab develops novel statistical and machine learning methods for functional connectivity to address challenges of large-scale neuroscience data. Key research areas include connectome-based predictive modeling, high-dimensional imputation, multi-modality manifold learning, and advanced statistical inference to enhance power and reliability.
Investigator: Dustin Scheinost
Fetal development
Our studies focus on the development of the brain’s functional organization in fetuses, neonates, and infants. The MINDS lab research in this area involves developing state-of-the-art tools and analytic pipelines to meet the challenges of imaging early brain development with advances in image acquisition, image analysis, and statistical analysis.
Investigator: Dustin Scheinost