Matching Clinical Diagnosis and Amyloid Biomarkers in Alzheimer's Disease and Frontotemporal Dementia.

Alzheimer’s disease CSF biomarkers amyloid-PET frontotemporal dementia

Journal

Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269

Informations de publication

Date de publication:
14 Jan 2021
Historique:
received: 01 12 2020
revised: 08 01 2021
accepted: 09 01 2021
entrez: 20 1 2021
pubmed: 21 1 2021
medline: 21 1 2021
Statut: epublish

Résumé

The aims of this study were to compare the diagnostic accuracy, sensitivity, specificity, and positive and negative predictive values (PPV, NPV) of different cerebrospinal fluid (CSF) amyloid biomarkers and amyloid-Positron Emission Tomography (PET) in patients with a clinical diagnosis of Alzheimer's disease (AD) and Frontotemporal Dementia (FTD); to compare concordance between biomarkers; and to provide an indication of their use and interpretation. We included 148 patients (95 AD and 53 FTD), who underwent clinical evaluation, neuropsychological assessment, and at least one amyloid biomarker (CSF analysis or amyloid-PET). Thirty-six patients underwent both analyses. One-hundred-thirteen patients underwent Apolipoprotein E (ApoE) genotyping. Amyloid-PET presented higher diagnostic accuracy, sensitivity, and NPV than CSF Aβ CSF Aβ

Sections du résumé

BACKGROUND BACKGROUND
The aims of this study were to compare the diagnostic accuracy, sensitivity, specificity, and positive and negative predictive values (PPV, NPV) of different cerebrospinal fluid (CSF) amyloid biomarkers and amyloid-Positron Emission Tomography (PET) in patients with a clinical diagnosis of Alzheimer's disease (AD) and Frontotemporal Dementia (FTD); to compare concordance between biomarkers; and to provide an indication of their use and interpretation.
METHODS METHODS
We included 148 patients (95 AD and 53 FTD), who underwent clinical evaluation, neuropsychological assessment, and at least one amyloid biomarker (CSF analysis or amyloid-PET). Thirty-six patients underwent both analyses. One-hundred-thirteen patients underwent Apolipoprotein E (ApoE) genotyping.
RESULTS RESULTS
Amyloid-PET presented higher diagnostic accuracy, sensitivity, and NPV than CSF Aβ
CONCLUSIONS CONCLUSIONS
CSF Aβ

Identifiants

pubmed: 33466854
pii: jpm11010047
doi: 10.3390/jpm11010047
pmc: PMC7830228
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Fondazione Cassa di Risparmio di Firenze
ID : ECRF16 - CONTRIBUTO 2015.0713, SORBI
Organisme : Ateneo dell'Università di Firenze
ID : fondi Ateneo 2020, Sorbi and Nacmias

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Auteurs

Giulia Giacomucci (G)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.

Salvatore Mazzeo (S)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
IRCCS Fondazione Don Carlo Gnocchi, Via Scandicci 269, 50143 Florence, Italy.

Silvia Bagnoli (S)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.

Matteo Casini (M)

Faculty of Medicine and Surgery, University of Florence, Largo Brambilla 3, 50134 Florence, Italy.

Sonia Padiglioni (S)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.

Cristina Polito (C)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
IRCCS Fondazione Don Carlo Gnocchi, Via Scandicci 269, 50143 Florence, Italy.

Valentina Berti (V)

Department of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Florence, Via Giovanni Battista Morgagni 50, 50134 Florence, Italy.
Nuclear Medicine Unit, Azienda Ospedaliero-Universitaria Careggi, Largo Piero Palagi 1, 50139 Florence, Italy.

Juri Balestrini (J)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.

Camilla Ferrari (C)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.

Gemma Lombardi (G)

IRCCS Fondazione Don Carlo Gnocchi, Via Scandicci 269, 50143 Florence, Italy.

Assunta Ingannato (A)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.

Sandro Sorbi (S)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
IRCCS Fondazione Don Carlo Gnocchi, Via Scandicci 269, 50143 Florence, Italy.

Benedetta Nacmias (B)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.
IRCCS Fondazione Don Carlo Gnocchi, Via Scandicci 269, 50143 Florence, Italy.

Valentina Bessi (V)

Department of Neuroscience, Psychology, Drug Research and Child Health, University of Florence (NEUROFARBA), Azienda Ospedaliera-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy.

Classifications MeSH