Evidence map›Paper›PMID 20603484›Full record

ArticleNeurology2010

Alzheimer disease identification using amyloid imaging and reserve variables: proof of concept.

C M Roe, M A Mintun, N Ghoshal, M M Williams, E A Grant, D S Marcus, J C Morris

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02141971 (Down Syndrome Biomarker Initiative), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02141971 completednot on this mapstarted 2013, after this paper: background citation

Down Syndrome Biomarker Initiative: A Natural History Study of Alzheimer's Disease in Down Syndrome (Pilot Study)

TypeobservationalSponsorMichael RafiiRan2013 to 2017Enrolled12ConditionsDown Syndrome, Alzheimer's Disease
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Cognitive Reserve in Healthy Aging and Alzheimer's Disease: A Meta-Analysis of fMRI Studies.American journal of Alzheimer's disease and other dementias · 2016
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. A European multicentre PET study of fibrillar amyloid in Alzheimer's disease.European journal of nuclear medicine and molecular imaging · 2013
    Article
  14. Review
  15. Article
  16. Education and occupation provide reserve in both ApoE ε4 carrier and noncarrier patients with probable Alzheimer's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2012
    Article
  17. Article
  18. Cardiac sympathetic neuroimaging in dementia with lewy bodies.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2012
    Article
  19. Brain imaging in Alzheimer disease.Cold Spring Harbor perspectives in medicine · 2012
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

C M RoeAlzheimer's Disease Research Center, Department of Neurology, Washington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO 63110, USA. cathyr@wustl.edu
M A Mintun
N Ghoshal
M M Williams
E A Grant
D S Marcus
J C Morris

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
NATIONAL ALZHEIMERS COORDINATING CENTER (NACC)U01AG016976 · NIA · UNIVERSITY OF WASHINGTON · PI KUKULL, WALTER ANTHONY · 1999 to 2020
$72.8M
Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI Carlos Cruchaga · 1985 to 2026
$69.5M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI FAGAN, ANNE · 1985 to 2019
$52.1M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
TRACER METHODSP50NS006833 · NINDS · WASHINGTON UNIVERSITY · PI POWERS, WILLIAM J · 1985 to 2010
$12.9M
Genetic Consortium for Late Onset Alzheimer's DiseaseU24AG026395 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P · 2005 to 2009
$10.1M
THE XNAT IMAGING INFORMATICS PLATFORMR01EB009352 · NIBIB · WASHINGTON UNIVERSITY · PI Daniel Scott Marcus · 2009 to 2026
$9.3M
Washington University Institute of Clinical and Translational Sciences (KL2)KL2RR024994 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$8.6M
NCATS NIH HHS UL1 TR000448NCI NIH HHS P30 CA091842NCI NIH HHS U54CA136398-02NCRR NIH HHS 1K12RR024994NCRR NIH HHS 1U24RR02573601NCRR NIH HHS 1U24RR026057NCRR NIH HHS 1UL1RR024992NCRR NIH HHS 1UL1RR024992-01NCRR NIH HHS 5K12RR023249-03NCRR NIH HHS KL2RR024994NCRR NIH HHS UL1 RR024992NIA NIH HHS 1RC1AG036045-01NIA NIH HHS 1U01AG032438-02NIA NIH HHS 2P01 AG03991-26NIA NIH HHS 5 R01 AG15928-02NIA NIH HHS 5U01AG03243802NIA NIH HHS P01 AG003991NIA NIH HHS P01AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P01AG026276NIA NIH HHS P01-AG03991NIA NIH HHS P01AG03991NIA NIH HHS P50 AG005681NIA NIH HHS P50AG005681NIA NIH HHS P50 AG005681-22NIA NIH HHS P50-AG05681NIA NIH HHS P50AG05681NIA NIH HHS R01AG16335NIA NIH HHS U01 AG016976NIA NIH HHS U01AG016976NIA NIH HHS U01AG024904NIA NIH HHS U01AG032438NIA NIH HHS U24AG026395NIBIB NIH HHS 1R01EB009352NIBIB NIH HHS 5U54EB00514905NIDCD NIH HHS R01 DC009095-03NIDDK NIH HHS 3 R01 DK063202-03S1NIMHD NIH HHS 1RC2MD004750-01NINDS NIH HHS 1R01NS055963-01NINDS NIH HHS 2P30NS048056-06NINDS NIH HHS P30 NS048056NINDS NIH HHS P30-NS048056NINDS NIH HHS P30 NS048056-01NINDS NIH HHS P50 NS006833NINDS NIH HHS P50NS006833NINDS NIH HHS R01NS066905-01NINDS NIH HHS T32 NS007205
6 · The paper itself

Abstract

objectiveSeveral factors may influence the relationship between Alzheimer disease (AD) lesions and the expression of dementia, including those related to brain and cognitive reserve. Other factors may confound the association between AD pathology and dementia. We tested whether factors thought to influence the association of AD pathology and dementia help to accurately identify dementia of the Alzheimer type (DAT) when considered together with amyloid imaging.

methodsParticipants with normal cognition (n = 180) and with DAT (n = 25), aged 50 years or older, took part in clinical, neurologic, and psychometric assessments. PET with the Pittsburgh compound B (PiB) tracer was used to measure brain amyloid, yielding a mean cortical binding potential (MCBP) reflecting PiB uptake. Logistic regression was used to generate receiver operating characteristic curves, and the areas under those curves (AUC), to compare the predictive accuracy of using MCBP alone vs MCBP together with other variables selected using a stepwise selection procedure to identify participants with DAT vs normal cognition.

resultsThe AUC resulting from MCBP alone was 0.84 (95% confidence interval [CI] = 0.73-0.94; cross-validated AUC = 0.80, 95% CI = 0.68-0.92). The AUC for the predictive equation generated by a stepwise model including education, normalized whole brain volume, physical health rating, gender, and use of medications that may interfere with cognition was 0.94 (95% CI = 0.90-0.98; cross-validated AUC = 0.91, 95% CI = 0.85-0.96), an improvement (p = 0.025) over that yielded using MCBP alone.

conclusionResults suggest that factors reported to influence associations between AD pathology and dementia can improve the predictive accuracy of amyloid imaging for the identification of symptomatic AD.

Indexed as

AmyloidAgedAlzheimer DiseaseFemaleHumansMaleMiddle AgedPositron-Emission TomographyRetrospective StudiesAmyloid

Identifiers

PMID20603484
PMCPMC2906402

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.