TY - JOUR
T1 - The use of biomarkers for the etiologic diagnosis of MCI in Europe
T2 - An EADC survey
AU - Bocchetta, Martina
AU - Galluzzi, Samantha
AU - Kehoe, Patrick Gavin
AU - Aguera, Eduardo
AU - Bernabei, Roberto
AU - Bullock, Roger
AU - Ceccaldi, Mathieu
AU - Dartigues, Jean-François
AU - de Mendonça, Alexandre
AU - Didic, Mira
AU - Eriksdotter, Maria
AU - Félician, Olivier
AU - Frölich, Lutz
AU - Gertz, Hermann-Josef
AU - Hallikainen, Merja
AU - Hasselbalch, Steen G
AU - Hausner, Lucrezia
AU - Heuser, Isabell
AU - Jessen, Frank
AU - Jones, Roy W
AU - Kurz, Alexander
AU - Lawlor, Brian
AU - Lleo, Alberto
AU - Martinez-Lage, Pablo
AU - Mecocci, Patrizia
AU - Mehrabian, Shima
AU - Monsch, Andreas
AU - Nobili, Flavio
AU - Nordberg, Agneta
AU - Rikkert, Marcel Olde
AU - Orgogozo, Jean-Marc
AU - Pasquier, Florence
AU - Peters, Oliver
AU - Salmon, Eric
AU - Sánchez-Castellano, Carmen
AU - Santana, Isabel
AU - Sarazin, Marie
AU - Traykov, Latchezar
AU - Tsolaki, Magda
AU - Visser, Pieter Jelle
AU - Wallin, Åsa K
AU - Wilcock, Gordon
AU - Wilkinson, David
AU - Wolf, Henrike
AU - Yener, Görsev
AU - Zekry, Dina
AU - Frisoni, Giovanni B
N1 - Copyright © 2015 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.
PY - 2015/2
Y1 - 2015/2
N2 - We investigated the use of Alzheimer's disease (AD) biomarkers in European Alzheimer's Disease Consortium centers and assessed their perceived usefulness for the etiologic diagnosis of mild cognitive impairment (MCI).We surveyed availability, frequency of use, and confidence in diagnostic usefulness of markers of brain amyloidosis (amyloid positron emission tomography [PET], cerebrospinal fluid [CSF] Ab42) and neurodegeneration (medial temporal atrophy [MTA] on MR, fluorodeoxyglucose positron emission tomography [FDG-PET], CSF tau). The most frequently used biomarker is visually rated MTA (75% of the 37 responders reported using it "always/ frequently") followed by CSF markers (22%), FDG-PET (16%), and amyloid-PET (3%). Only 45% of responders perceive MTA as contributing to diagnostic confidence, where the contribution was rated as "moderate". Seventy-nine percent of responders felt "very/extremely" comfortable delivering a diagnosis of MCI due to AD when both amyloid and neuronal injury biomarkers were abnormal (P ,.02 versus any individual biomarker). Responders largely agreed that a combination of amyloidosis and neuronal injury biomarkers was a strongly indicative AD signature.
AB - We investigated the use of Alzheimer's disease (AD) biomarkers in European Alzheimer's Disease Consortium centers and assessed their perceived usefulness for the etiologic diagnosis of mild cognitive impairment (MCI).We surveyed availability, frequency of use, and confidence in diagnostic usefulness of markers of brain amyloidosis (amyloid positron emission tomography [PET], cerebrospinal fluid [CSF] Ab42) and neurodegeneration (medial temporal atrophy [MTA] on MR, fluorodeoxyglucose positron emission tomography [FDG-PET], CSF tau). The most frequently used biomarker is visually rated MTA (75% of the 37 responders reported using it "always/ frequently") followed by CSF markers (22%), FDG-PET (16%), and amyloid-PET (3%). Only 45% of responders perceive MTA as contributing to diagnostic confidence, where the contribution was rated as "moderate". Seventy-nine percent of responders felt "very/extremely" comfortable delivering a diagnosis of MCI due to AD when both amyloid and neuronal injury biomarkers were abnormal (P ,.02 versus any individual biomarker). Responders largely agreed that a combination of amyloidosis and neuronal injury biomarkers was a strongly indicative AD signature.
KW - Alzheimer Disease
KW - Amyloid beta-Peptides
KW - Atrophy
KW - Biomarkers
KW - Brain
KW - Europe
KW - Fluorodeoxyglucose F18
KW - Internet
KW - Magnetic Resonance Imaging
KW - Mild Cognitive Impairment
KW - Peptide Fragments
KW - Positron-Emission Tomography
KW - Practice Patterns, Physicians'
KW - Radiopharmaceuticals
KW - Surveys and Questionnaires
KW - tau Proteins
U2 - 10.1016/j.jalz.2014.06.006
DO - 10.1016/j.jalz.2014.06.006
M3 - Journal article
C2 - 25150733
SN - 1552-5260
VL - 11
SP - 195-206.e1
JO - Alzheimer's & Dementia
JF - Alzheimer's & Dementia
IS - 2
ER -