PET imaging in traumatic brain injury, surgical, and drug abuse patients. Lead Investigator: Je Yeong Sone Institution : NYU E-Mail : js7690@nyu.edu Proposal ID : 788 Proposal Description: The purpose of our study is to associate TBI exposure, surgical history, and drug abuse of patients with tau-specific signals in PET imaging compared to healthy controls and dementia patients. The literature recognizes TBI as a risk factor of tauopathy and dementia. Although there is an emerging literature on PET studies that analyze tau pathology and clearance in the brain, almost no publications exist on PET-analyzed tau pathology in TBI patients. Many TBI patients require surgical intervention, and studies like Ramlawi et al., 2006 Ann Surg. have shown that perioperative elevation of tau was associated with worse cognitive outcome. Abuse of illicit drugs such as heroin and opioids was shown to be a risk factor for TBI and have resulted in elevations of P-tau levels in mice. But there is a shortage of studies examining surgical operations and drug abuse with PET imaging. The study???s objective is to see which regions of the brain have elevated tau-specific PET signals in subjects with a history of TBI, subjects who have had major surgeries, and subjects with a history of drug abuse compared to healthy controls and dementia patients. These comparisons will account for risk factors of TBI and demographic characteristics of the subjects. The tau-specific PET signals will also be compared to amyloid PET and glucose PET imaging. These findings will provide great insight on the in vivo temporal and spatial pathology of tau in TBI, surgical, and drug abuse patients.