Alzheimer's disease (AD) is characterized by a progressive decline of cognitive function, while the neuropathologic features include the occurrence of neurofibrillary tangles, neuritic plaques, decreased synaptic density, and loss of neurons. Neuritic plaques consist of extracellular -amyloid (A) deposits surrounded by dystrophic neuritis (1). The plaques are neurotoxic and induce inflammatory responses. According to the amyloid cascade hypothesis, the increased amyloid deposition results in the onset and progression of AD (2,3,4,5) and therefore amyloid plaques became crucial as a target for many therapeutic approaches (6,7).Despite the impact of in vivo imaging techniques in daily clinical practice and also in neuroscience, typical Alzheimer plaques were never visualized in vivo in patients. To diagnose AD and to differentiate from other dementias, the detection of at least one typical hallmark, i.e., amyloid plaques or neurofibrillary tangles, appears essential. To date, accumulations of amyloid in AD patients have been observed only postmortem. Recently, however, significant progress has been made visualizing AD plaques using transgenic mouse models for AD. Skovronsky et al. (8) reported in vivo labeling of amyloid plaques in transgenic mice using a radiolabeled ligand but detection was still performed postmortem with fluorescence microscopy. Another attempt to demonstrate plaques postmortem used MRI and was based on injection of a specific derivative of the amyloid peptide with a high molecular specificity for amyloid as a label, i.e., putrescine-gadolinium-A (9). Finally, Wadghiri et al. (10) used systemic injection of monocrystalline iron oxide nanoparticles or gadolinium (Gd) labeled A 1-40 peptide with a high affinity for A and were able to detect ex vivo but also in vivo amyloid plaques in the affected mouse brains. In this approach, the main obstacle for amyloid labeling remains the blood brain barrier and its transient opening using mannitol must be considered quite invasive. Another drawback may be the authentication of amyloid plaques and the exclusion of the involvement of blood vessels embedded with contrast agent, which requires subsequent histology of the brain.The first MRI study that demonstrated amyloid plaques without any exogenous labeling was performed by Benveniste et al. in 1999 (11). Three dimensional T 2 * images of postmortem human AD brain samples, acquired in more than 2.7 hr, revealed dark spots in the brain correlating with histologic amyloid staining. Recently, using T 2 MR contrast, identification of plaque-like structures in the cortex and hippocampus of fixed mouse brain was reported by Zhang et al. (12). However, the authors did not explain the source of the MR contrast in relation to the physiologic processes related with plaque formation and the evidence was only confirmed by the subsequent co registration of plaques by histology. Analogous to this finding, Helpern et al. (13) demonstrated a reduced T 2 value in the cortex and hippocampus in vivo in an AD mouse model,...