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DOI | 10.1212/WNL.0000000000010256 |
Multitracer model for staging cortical amyloid deposition using PET imaging | |
Collij, Lyduine E.; Heeman, Fiona; Salvado, Gemma; Ingala, Silvia; Altomare, Daniele; de Wilde, Arno; Konijnenberg, Elles; van Buchem, Marieke; Yaqub, Maqsood; Markiewicz, Pawel; Golla, Sandeep S., V; Wottschel, Viktor; Wink, Alle Meije; Visser, Pieter Jelle; Teunissen, Charlotte E.; Lammertsma, Adriaan A.; Scheltens, Philip; van der Flier, Wiesje M.; Boellaard, Ronald; van Berckel, Bart N. M.; Molinuevo, Jose Luis; Gispert, Juan Domingo; Schmidt, Mark E.; Barkhof, Frederik; Alves, Isadora Lopes | |
通讯作者 | Alves, IL |
来源期刊 | NEUROLOGY
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ISSN | 0028-3878 |
EISSN | 1526-632X |
出版年 | 2020 |
卷号 | 95期号:11页码:E1538-E1553 |
英文摘要 | Objective To develop and evaluate a model for staging cortical amyloid deposition using PET with high generalizability. Methods Three thousand twenty-seven individuals (1,763 cognitively unimpaired [CU], 658 impaired, 467 with Alzheimer disease [AD] dementia, 111 with non-AD dementia, and 28 with missing diagnosis) from 6 cohorts (European Medical Information Framework for AD, Alzheimer's and Family, Alzheimer's Biomarkers in Daily Practice, Amsterdam Dementia Cohort, Open Access Series of Imaging Studies [OASIS]-3, Alzheimer's Disease Neuroimaging Initiative [ADNI]) who underwent amyloid PET were retrospectively included; 1,049 individuals had follow-up scans. With application of dataset-specific cutoffs to global standard uptake value ratio (SUVr) values from 27 regions, single-tracer and pooled multitracer regional rankings were constructed from the frequency of abnormality across 400 CU individuals (100 per tracer). The pooled multitracer ranking was used to create a staging model consisting of 4 clusters of regions because it displayed a high and consistent correlation with each single-tracer ranking. Relationships between amyloid stage, clinical variables, and longitudinal cognitive decline were investigated. Results SUVr abnormality was most frequently observed in cingulate, followed by orbitofrontal, precuneal, and insular cortices and then the associative, temporal, and occipital regions. Abnormal amyloid levels based on binary global SUVr classification were observed in 1.0%, 5.5%, 17.9%, 90.0%, and 100.0% of individuals in stage 0 to 4, respectively. Baseline stage predicted decline in Mini-Mental State Examination (MMSE) score (ADNI: n = 867,F= 67.37,p< 0.001; OASIS: n = 475,F= 9.12,p< 0.001) and faster progression toward an MMSE score <= 25 (ADNI: n = 787, hazard ratio [HR](stage1)2.00, HR(stage2)3.53, HR(stage3)4.55, HR(stage4)9.91,p< 0.001; OASIS: n = 469, HR(stage4)4.80,p< 0.001). Conclusion The pooled multitracer staging model successfully classified the level of amyloid burden in >3,000 individuals across cohorts and radiotracers and detects preglobal amyloid burden and distinct risk profiles of cognitive decline within globally amyloid-positive individuals. |
类型 | Article |
语种 | 英语 |
开放获取类型 | hybrid, Green Published |
收录类别 | SCI-E |
WOS记录号 | WOS:000576025700021 |
WOS关键词 | ALZHEIMERS-DISEASE ; PATHOLOGY ; DEMENTIA ; BURDEN ; PHASES |
WOS类目 | Clinical Neurology |
WOS研究方向 | Neurosciences & Neurology |
来源机构 | University of London |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/326666 |
作者单位 | [Collij, Lyduine E.; Heeman, Fiona; Ingala, Silvia; Yaqub, Maqsood; Golla, Sandeep S., V; Wottschel, Viktor; Wink, Alle Meije; Lammertsma, Adriaan A.; Boellaard, Ronald; van Berckel, Bart N. M.; Barkhof, Frederik; Alves, Isadora Lopes] Vrije Univ Amsterdam, Dept Radiol & Nucl Med, Amsterdam UMC, Amsterdam, Netherlands; [Teunissen, Charlotte E.] Vrije Univ Amsterdam, Neurochem Lab, Amsterdam UMC, Amsterdam, Netherlands; [Altomare, Daniele; de Wilde, Arno; Konijnenberg, Elles; van Buchem, Marieke; Visser, Pieter Jelle; Scheltens, Philip; van der Flier, Wiesje M.] Vrije Univ Amsterdam, Alzheimer Ctr, Amsterdam UMC, Amsterdam, Netherlands; [Altomare, Daniele; de Wilde, Arno; Konijnenberg, Elles; van Buchem, Marieke; Visser, Pieter Jelle; Scheltens, Philip; van der Flier, Wiesje M.] Vrije Univ Amsterdam, Dept Neurol, Amsterdam UMC, Amsterdam, Netherlands; [Salvado, Gemma; Molinuevo, Jose Luis; Gispert, Juan Domingo] Pasqua Maragall Fdn, Barcelonasseta Brain Res Ctr BBRC, Barcelona, Spain; [Gispert, Juan Doming... |
推荐引用方式 GB/T 7714 | Collij, Lyduine E.,Heeman, Fiona,Salvado, Gemma,et al. Multitracer model for staging cortical amyloid deposition using PET imaging[J]. University of London,2020,95(11):E1538-E1553. |
APA | Collij, Lyduine E..,Heeman, Fiona.,Salvado, Gemma.,Ingala, Silvia.,Altomare, Daniele.,...&Alves, Isadora Lopes.(2020).Multitracer model for staging cortical amyloid deposition using PET imaging.NEUROLOGY,95(11),E1538-E1553. |
MLA | Collij, Lyduine E.,et al."Multitracer model for staging cortical amyloid deposition using PET imaging".NEUROLOGY 95.11(2020):E1538-E1553. |
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