Brain MRI scans were acquired using a 3T MR scanner (Achieva scanner; Philips Medical Systems), with body coil transmission and eight channel head coil receiver. Images acquired included a 3D sagittal magnetisation-prepared rapid gradient echo (MPRAGE) sequence (repetition time 8.3 ms, echo time 4.6 ms, flip angle 8°, inversion delay 1250 ms, imaging time 4.5 mins, sagittal acquisition matrix 216 × 240, voxel size 1 × 1x1mm) and T2*-weighted sequence (TR 1487 ms, TE 16.11 ms, flip angle 18°, 50 slices with 3 mm thickness (0 mm gap), voxel size 0.898 × 1.12 mm).
Amyloid imaging was carried out using a Siemens Biograph-40 PET-CT scanner with data acquired in list mode. Participants were given a 370 MBq intravenous injection of 18F-florbetapir (Amyvid), followed immediately by a 5 min scan for perfusion images, with a subsequent 15 min scan starting 30–50 min after injection to image amyloid distribution. Images were reconstructed using iterative reconstruction (4 iterations, 16 subsets), with a 168 × 168 matrix size, 2.04 × 2.04 mm pixel size, 3 mm slice thickness, and 3 mm post-reconstruction Gaussian filter. Attenuation correction was performed utilising CT scan data.