Radiological assessment of dementia: the Italian inter-society consensus for a practical and clinically oriented guide to image acquisition, evaluation, and reporting.
Assessment
Consensus
Dementia
MRI
Neuroimaging
Journal
La Radiologia medica
ISSN: 1826-6983
Titre abrégé: Radiol Med
Pays: Italy
ID NLM: 0177625
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
19
05
2022
accepted:
25
07
2022
pubmed:
8
9
2022
medline:
28
9
2022
entrez:
7
9
2022
Statut:
ppublish
Résumé
Radiological evaluation of dementia is expected to increase more and more in routine practice due to both the primary role of neuroimaging in the diagnostic pathway and the increasing incidence of the disease. Despite this, radiologists often do not follow a disease-oriented approach to image interpretation, for several reasons, leading to reports of limited value to clinicians. In our work, through an intersocietal consensus on the main mandatory knowledge about dementia, we proposed a disease-oriented protocol to optimize and standardize the acquisition/evaluation/interpretation and reporting of radiological images. Our main purpose is to provide a practical guideline for the radiologist to help increase the effectiveness of interdisciplinary dialogue and diagnostic accuracy in daily practice. We defined key clinical and imaging features of the dementias (A), recommended MRI protocol (B), proposed a disease-oriented imaging evaluation and interpretation (C) and report (D) with a glimpse to future avenues (E). The proposed radiological practice is to systematically evaluate and score atrophy, white matter changes, microbleeds, small vessel disease, consider the use of quantitative measures using commercial software tools critically, and adopt a structured disease-oriented report. In the expanding field of cognitive disorders, the only effective assessment approach is the standardized disease-oriented one, which includes a multidisciplinary integration of the clinical picture, MRI, CSF and blood biomarkers and nuclear medicine.
Sections du résumé
BACKGROUND
BACKGROUND
Radiological evaluation of dementia is expected to increase more and more in routine practice due to both the primary role of neuroimaging in the diagnostic pathway and the increasing incidence of the disease. Despite this, radiologists often do not follow a disease-oriented approach to image interpretation, for several reasons, leading to reports of limited value to clinicians. In our work, through an intersocietal consensus on the main mandatory knowledge about dementia, we proposed a disease-oriented protocol to optimize and standardize the acquisition/evaluation/interpretation and reporting of radiological images. Our main purpose is to provide a practical guideline for the radiologist to help increase the effectiveness of interdisciplinary dialogue and diagnostic accuracy in daily practice.
RESULTS
RESULTS
We defined key clinical and imaging features of the dementias (A), recommended MRI protocol (B), proposed a disease-oriented imaging evaluation and interpretation (C) and report (D) with a glimpse to future avenues (E). The proposed radiological practice is to systematically evaluate and score atrophy, white matter changes, microbleeds, small vessel disease, consider the use of quantitative measures using commercial software tools critically, and adopt a structured disease-oriented report. In the expanding field of cognitive disorders, the only effective assessment approach is the standardized disease-oriented one, which includes a multidisciplinary integration of the clinical picture, MRI, CSF and blood biomarkers and nuclear medicine.
Identifiants
pubmed: 36070064
doi: 10.1007/s11547-022-01534-0
pii: 10.1007/s11547-022-01534-0
pmc: PMC9508052
doi:
Substances chimiques
Biomarkers
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
998-1022Informations de copyright
© 2022. The Author(s).
Références
Lancet Neurol. 2012 Mar;11(3):241-9
pubmed: 22305802
Continuum (Minneap Minn). 2019 Feb;25(1):76-100
pubmed: 30707188
Brain. 2010 Apr;133(Pt 4):1043-53
pubmed: 20133395
Prion. 2017 May 4;11(3):205-213
pubmed: 28509609
JAMA Neurol. 2017 Apr 1;74(4):427-436
pubmed: 28241163
Neurology. 2009 Jun 9;72(23):1994-2001
pubmed: 19506221
Brain. 2000 Jan;123 ( Pt 1):141-54
pubmed: 10611128
Neurology. 2018 Mar 6;90(10):e896-e906
pubmed: 29438042
Neuroradiology. 1988;30(5):385-9
pubmed: 3211313
Radiol Med. 2021 Sep;126(9):1207-1215
pubmed: 34131844
Neuroradiology. 2019 Jun;61(6):633-642
pubmed: 30852630
Ann Neurol. 2011 Aug;70(2):327-40
pubmed: 21823158
Neurobiol Aging. 2018 Nov;71:32-40
pubmed: 30077040
J Neurol. 2020 Oct;267(10):2971-2982
pubmed: 32494850
Alcohol Clin Exp Res. 1989 Oct;13(5):664-6
pubmed: 2688465
Neurology. 2005 Jul 26;65(2):329
pubmed: 16043814
Stroke. 2018 Feb;49(2):491-497
pubmed: 29335334
Mov Disord. 1997 Sep;12(5):691-6
pubmed: 9380049
Brain. 2007 Jan;130(Pt 1):36-47
pubmed: 17178742
Continuum (Minneap Minn). 2019 Feb;25(1):34-51
pubmed: 30707186
AJNR Am J Neuroradiol. 2017 Sep;38(9):1737-1741
pubmed: 28705819
Neurology. 2009 Apr 21;72(16):1425-31
pubmed: 19380702
Brain. 2017 Dec 1;140(12):3286-3300
pubmed: 29053874
Lancet Neurol. 2018 Mar;17(3):232-240
pubmed: 29331631
J Neuroimaging. 2003 Oct;13(4):376-9
pubmed: 14569834
J Neurol Neurosurg Psychiatry. 2010 Jun;81(6):679-84
pubmed: 20522874
Alzheimer Dis Assoc Disord. 2014 Jul-Sep;28(3):206-18
pubmed: 24632990
AJR Am J Roentgenol. 1987 Aug;149(2):351-6
pubmed: 3496763
Neurology. 2005 Feb 22;64(4):643-8
pubmed: 15728285
Nature. 2022 Apr;604(7906):525-533
pubmed: 35388223
Stroke. 2001 Jun;32(6):1318-22
pubmed: 11387493
Mov Disord. 2017 Jul;32(7):955-971
pubmed: 28500751
JAMA Neurol. 2016 Feb;73(2):197-202
pubmed: 26720093
Adv Neurol. 2000;82:197-208
pubmed: 10624483
Neuroimage. 2007 Jul 1;36(3):497-510
pubmed: 17478101
Stroke. 2020 Jan;51(1):47-53
pubmed: 31752613
Neurology. 2012 Jul 24;79(4):320-6
pubmed: 22786597
MAGMA. 2020 Apr;33(2):217-219
pubmed: 31897906
Arch Neurol. 2005 Jun;62(6):925-30
pubmed: 15956163
Neurology. 2007 Apr 17;68(16):1274-83
pubmed: 17438218
J Neurol. 2015 Jun;262(6):1455-62
pubmed: 25860345
Curr Opin Neurol. 2019 Aug;32(4):597-603
pubmed: 31145128
Stroke. 2021 Jul;52(7):2356-2362
pubmed: 33874751
Neurology. 1993 Feb;43(2):250-60
pubmed: 8094895
Eur Radiol. 2011 Dec;21(12):2618-25
pubmed: 21805370
J Neurol Neurosurg Psychiatry. 2017 Nov;88(11):982-994
pubmed: 28844070
Eur Radiol. 2008 Nov;18(11):2678-83
pubmed: 18500524
Parkinsonism Relat Disord. 2010 Mar;16(3):208-14
pubmed: 20018548
Neurology. 2011 Mar 15;76(11):1006-14
pubmed: 21325651
Neurology. 2010 Apr 27;74(17):1346-50
pubmed: 20421578
Can J Neurol Sci. 2016 Apr;43 Suppl 1:S96-S109
pubmed: 27307130
Neuroimage Clin. 2018 Aug 09;20:374-379
pubmed: 30128275
Continuum (Minneap Minn). 2019 Feb;25(1):14-33
pubmed: 30707185
Stroke. 2014 Apr;45(4):1151-3
pubmed: 24496391
Nat Rev Neurol. 2012 Aug;8(8):423-34
pubmed: 22732773
Case Rep Neurol Med. 2018 May 31;2018:5157275
pubmed: 29955403
Radiol Med. 2021 Feb;126(2):283-290
pubmed: 32524282
Neurology. 1999 Aug 11;53(3):502-7
pubmed: 10449111
Lancet Neurol. 2017 Aug;16(8):661-676
pubmed: 28721928
Neurology. 2009 Nov 24;73(21):1759-66
pubmed: 19933977
Acta Neuropathol. 2020 May;139(5):799-812
pubmed: 32108259
Am J Alzheimers Dis Other Demen. 2012 Sep;27(6):413-20
pubmed: 22871906
Neurosurgery. 2005 Sep;57(3 Suppl):S4-16; discussion ii-v
pubmed: 16160425
Lancet Neurol. 2016 Apr;15(5):455-532
pubmed: 26987701
Neurology. 2014 Sep 30;83(14):1228-34
pubmed: 25165388
Stroke. 2019 Jul;50(7):1727-1733
pubmed: 31159702
Neurol Med Chir (Tokyo). 2021 Feb 15;61(2):63-97
pubmed: 33455998
Eur Neurol. 1996;36(5):268-72
pubmed: 8864706
Eur J Neurol. 2020 Mar;27(3):475-483
pubmed: 31692118
J Neurol. 1995 Sep;242(9):557-60
pubmed: 8551316
Brain. 2015 Aug;138(Pt 8):2126-39
pubmed: 26115675
AJNR Am J Neuroradiol. 2009 Feb;30(2):338-43
pubmed: 19001544
Neurology. 2012 Apr 24;78(17):1330-3
pubmed: 22496200
Neuroimage. 2005 Jul 1;26(3):912-21
pubmed: 15955501
Cerebellum. 2009 Sep;8(3):373-81
pubmed: 19408064
Arch Neurol. 1998 May;55(5):609-14
pubmed: 9605717
ACS Chem Neurosci. 2021 Sep 15;12(18):3487-3496
pubmed: 34464084
AJNR Am J Neuroradiol. 2015 Jun;36(6):1089-95
pubmed: 25698623
Neurology. 2014 Aug 26;83(9):801-9
pubmed: 25056580