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HAI PET-tle Royale 2026
Presented by: Christopher G. Schwarz, Mayo Clinic (HAI Quizmaster, 2026)
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1
The first edition of HAI was held in:
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Miami
Boston
San Juan
San Diego
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2
T/F: Centiloid values are always between 0 and 100
True
False
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3
In session 1, which of Renaud's fruits was most dodgy?
Banana π
Pineapple π
Coconuts π₯₯
Peach π
Eggplant π
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4
Which is the earliest name for Flortaucipir:
AV-1451
T-807
AV-45
Florzolotau
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5
CSF or Plasma p-tau217 is most correlated with:
Tau PET
Amyloid PET
Neurodegeneration
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6
From session 2, among tau PET harmonization schemes:
CenTauR is linear and Unitau is nonlinear
CenTauR is nonlinear and Unitau is linear
Both schemes are linear
Both schemes are nonlinear
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7
Which ATN stage is shown below?
Answer on the next page
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8
Which ATN stage is shown on the previous card?
A-T-(N)-
A+T-(N)-
A+T+(N)-
A+T+(N)+
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9
Type a question
AV-1451
NAV4694
MK-6240
GTP-1
PI-2620
RO-948
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10
The figure shown below depicts
Answer on the next page
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11
The figure shown on the previous card depicts
Braak staging
ATN Staging
Jack curves
Thal staging
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12
Alois Alzheimer wrote his doctoral thesis on:
Auguste Deter
The structure of amyloid plaques
Epilepsy
Earwax
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13
In the Alzheimer's Association AD criteria, FDG PET is a marker of:
Amyloid
Tau
Neurodegeneration
Vascular disease
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14
ARIA stands for:
Alzheimer's-Related Imaging Anomaly
Amyloid-Related Imaging Abnormality
Amyloid-Related Inflammation at Autopsy
Alzheimer's-Related Inflammation Abnormality
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15
Which is not a stage of tau tangles?
pre-tangles
young tangles
mature tangles
ghost tangles
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16
Which is a common acquisition time window for PIB PET:
50-70 minutes post-injection
80-120 minutes post-injection
60-90 minutes post-injection
70-90 minutes post-injection
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17
The amyloid PET scan below should be read as:
Answer on the next page
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18
The amyloid PET scan shown on the previous card should be read as:
Positive
Negative
unreadable: corrupted by motion
A mislabeled tau PET scan
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19
Which is a common region of off-target binding for MK-6240?
Basal ganglia
Meninges
Choroid plexus
White matter
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20
Which is a common region of off-target binding for Flortaucipir?
meninges
cerebellum
supratentorial white matter
basal ganglia
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21
Which protein has been the scourge of all tau and a-syn tracers, most often blamed for off-target binding?
TSPO
MAO-A
MAO-B
TDP-43
NfL
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22
Plasma GFAP is used as a measure of:
Neuroinflammation
Tau
Neurodegeneration
Amyloid
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23
89M with progressive amnestic dementia. Most likely DX?
Answer on the next page
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24
89M with progressive amnestic dementia. Most likely DX?
AD
TDP43/LATE
Vascular dementia
DLB
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25
This meeting has largely agreed that PET-based Braak ROIs:
Accurately reflect Braak staging at autopsy
Are consistently more sensitive and higher than Braak staging at autopsy
Are consistently less sensitive and lower than Braak staging at autopsy
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26
This focal FTP signal surrounding a hypointense area was caused by:
(Answer on the next page)
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27
This focal FTP signal surrounding a hypointense area was caused by:
Off-target binding related to TDP-43
On-target binding to AD-related tau
Off-target binding related to a cortical infarct
Motion / attenuation correction artifact
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28
In May 2025, the FDA approved the first plasma marker for detection of amyloid plaques, based on:
AΞ²42/40
pTau217
pTau217/AΞ²42
pTau181
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29
Approved anti-amyloid therapeutics typically have what effect on MRI gray matter volume and cortical thickness?
Increase
Decrease
No change
Increase gray matter volume but reduce cortical thickness
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30
Which ATN stage is shown below?
Answer on the next page
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31
Which ATN stage is shown on the previous card?
A-T-(N)-
A+T-(N)-
A+T+(N)-
A+T+(N)+
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32
The primary purpose of the CT scan in PET-CT is to help correct for:
Motion
Signal attenuation
Partial volume effects
Head size / TIV
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33
Autoradiography is a process to measure:
spatial autocorrelation of PET scans
correlation over time in dynamic scans
tracer binding in tissue samples
point spread function / scanner resolution
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34
In the keynote, which network architecture was considered the most recent and most advanced?
GAN
LAN
Transformer
U-Net
CNN
Decepticon
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35
An abnormal CSF or plasma AB42/40 level associated with amyloid plaques is:
abnormally high
abnormally low
in a mid-range, neither abnormally high or low
AB42/40 is actually a nonspecific marker of neurodegeneration
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36
Which is true of Flortaucipir in-vivo in non-AD pathologies, at the group level
Binds strongly in GM to all tauopathies
Weakly elevated in GM for non-AD tauopathies only
Weakly elevated in juxtacortical WM for both 4-R tau and TDP-43
Weakly elevated in juxtacortical WM for 4-R tau but not TDP-43
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