Are tau PET scans 'lighting up' too much of the brain in Alzheimer's disease?

Medical Xpress
February 26, 2026
AI-Generated Deep Dive Summary
Tau proteins play a critical role in maintaining brain health by stabilizing neurons, but in Alzheimer's disease, they malfunction and form toxic clumps called neurofibrillary tangles. These tangles spread throughout the brain, impairing neuronal function and leading to cell death. Recent research has raised concerns about tau PET scans, which are used to detect these tangles, potentially lighting up areas of the brain that aren't truly affected by Alzheimer's. This overactivity could lead to misdiagnosis or unnecessary treatments, highlighting the need for careful interpretation in clinical settings. The debate surrounding tau PET scans centers on their sensitivity and specificity. While they can identify tau pathology, there is growing evidence that these scans may detect tau-related changes present in other brain conditions, not just Alzheimer's. This raises questions about whether the scans are accurately pinpointing Alzheimer's-specific tau tangles or capturing a broader range of tau-related changes that might not directly correlate with disease progression or symptoms. Understanding the implications of tau PET scan findings is crucial for patients and healthcare providers. Overdiagnosis could lead to overtreatment, exposing individuals to unnecessary medications or procedures. It also underscores the importance of integrating multiple diagnostic tools, such as cognitive assessments and clinical observations, alongside imaging results. For researchers, this issue highlights the need to refine scanning techniques and better
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Originally published on Medical Xpress on 2/26/2026