This study aims to implement an intervention based on multiple, individualized multifocal tACS stimulation sessions based on individual PET and MRI information in patients with amyloid-positive PET with the hope that this leads to microglia activation and decrease in cerebral amyloid and tau depositions in human patients with AD.
Name: Transcranial Alternating Current Stimulation (tACS)
Description: Adverse Events as a result of tACS stimulation will be reported
Measure: Incidence of Treatment-Emergent Adverse Events Time: Up to 12 weeksDescription: Changes in the amyloid load observed via PET imaging will be evaluated by comparing PET data acquired before and after the 20 tACS sessions
Measure: PET amyloid burden Time: up to 12 weeksDescription: Changes in the tau deposition observed via PET imaging will be evaluated by comparing PET data acquired before and after the 20 tACS sessions
Measure: PET tau deposition Time: up to 12 weeksDescription: Changes in the microglia activation observed via PET imaging will be evaluated by comparing PET data acquired before and after the 20 tACS sessions
Measure: PET Microglia activation Time: up to 12 weeksDescription: Change in Adas-Cog score will be reported, to document a potential clinical benefit of tACS. The scale ranges from a total score of 0-70 with higher score indicating greater cognitive impairment.
Measure: Alzheimer's Disease Assessment Scale -Cog Score Time: up to 12 weeksAllocation: N/A
Single Group Assignment
There is one SNP
- Contraindication for undergoing MRI or receiving TMS or tACS, - >50 mSv of radiation exposure for research within the past year (PET imaging exclusion) - Presence of the Thr/Thr polymorphism in the TSPO gene (rs6971) due to low affinity binding for the PBR 28 (microlgia) PET scan - History of fainting spells of unknown or undetermined etiology that might constitute seizures.