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Recommendations for CSF AD biomarkers in the diagnostic evaluation of dementia

Authors: Simonsen, Anja Hviid; Herukka, Sanna-Kaisa; Andreasen, Niels; Baldeiras, Ines; Bjerke, Maria; Blennow, Kaj; Engelborghs, Sebastiaan; +21 Authors

Recommendations for CSF AD biomarkers in the diagnostic evaluation of dementia

Abstract

AbstractThis article presents recommendations, based on the Grading of Recommendations, Assessment, Development, and Evaluation method, for the clinical application of cerebrospinal fluid (CSF) amyloid‐β1–42, tau, and phosphorylated tau in the diagnostic evaluation of patients with dementia. The recommendations were developed by a multidisciplinary working group based on the available evidence and consensus from focused discussions for (i) identification of Alzheimer's disease (AD) as the cause of dementia, (ii) prediction of rate of decline, (iii) cost‐effectiveness, and (iv) interpretation of results. The working group found sufficient evidence to support a recommendation to use CSF AD biomarkers as a supplement to clinical evaluation, particularly in uncertain and atypical cases, to identify or exclude AD as the cause of dementia. Because of insufficient evidence, it was uncertain whether CSF AD biomarkers outperform imaging biomarkers. Operational recommendations for the interpretation of ambiguous CSF biomarker results were also provided.

Keywords

MILD COGNITIVE IMPAIRMENT, Alzheimer disease - cerebrospinal fluid, Epidemiology, Review, Recommendations, GUIDELINES, Alzheiiner's disease, Alzheimer Disease/cerebrospinal fluid, COST-EFFECTIVENESS, Bibliographic/statistics & numerical data, Databases, Bibliographic/statistics & numerical data, ALZHEIMERS-DISEASE DIAGNOSIS, PHOSPHORYLATED TAU, Diagnosis, GRADING QUALITY, CRITERIA, Health Policy, Alzheimer's disease, Psychiatry and Mental health, GRADE, Peptide fragments - cerebrospinal fluid, Biomarkers - cerebrospinal fluid, Peptide Fragments/cerebrospinal fluid, Clinical Neurology, CSF, tau Proteins, ta3112, /dk/atira/pure/researchoutput/pubmedpublicationtype/D016454, Databases, Cellular and Molecular Neuroscience, Developmental Neuroscience, Alzheimer Disease, Journal Article, MANAGEMENT, Humans, Biomarkers/cerebrospinal fluid, bibliographic - statistics & numerical data, METAANALYSIS, Amyloid beta-Peptides, tau Proteins/cerebrospinal fluid, Alzheimer's disease; Biomarkers; CSF; Diagnosis; GRADE; Recommendations, Databases, Bibliographic, Amyloid beta-Peptides/cerebrospinal fluid, ta3124, Peptide Fragments, Tau proteins - cerebrospinal fluid, Amyloid beta-peptides - cerebrospinal fluid, 616.89, Alzheimer disease - diagnosis, Human medicine, /dk/atira/pure/researchoutput/pubmedpublicationtype/D016428, Geriatrics and Gerontology, Biomarkers, CEREBROSPINAL-FLUID TAU, ddc: ddc:616.89

  • BIP!
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    selected citations
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    130
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 1%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 1%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
130
Top 1%
Top 10%
Top 1%
Green
hybrid