Evidence map›Paper›PMID 27662315›Full record

ArticleJournal of Alzheimer's disease : JAD2017

The Role of Single-Subject Brain Metabolic Patterns in the Early Differential Diagnosis of Primary Progressive Aphasias and in Prediction of Progression to Dementia.

Chiara Cerami, Alessandra Dodich, Lucia Greco, Sandro Iannaccone, Giuseppe Magnani, Alessandra Marcone, Elisabetta Pelagallo, Roberto Santangelo, Stefano F Cappa, Daniela Perani

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
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  8. Baseline structural imaging correlates of treatment outcomes in semantic variant primary progressive aphasia.Cortex; a journal devoted to the study of the nervous system and behavior · 2023
    Article
  9. Review
  10. Review
  11. Frontotemporal Dementia and Glucose Metabolism.Frontiers in neuroscience · 2022
    Review
  12. Review
  13. Article
  14. Anomaly detection for the individual analysis of brain PET images.Journal of medical imaging (Bellingham, Wash.) · 2021
    Article
  15. Review
  16. Article
  17. Review
  18. Differential Diagnosis of Apraxia of Speech in Children and Adults: A Scoping Review.Journal of speech, language, and hearing research : JSLHR · 2020
    Article
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  20. Article
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

10 authors at 3 institutions in 1 country.

Chiara CeramiVita-Salute San Raffaele University, Milan, Italy.
Alessandra DodichVita-Salute San Raffaele University, Milan, Italy.
Lucia GrecoVita-Salute San Raffaele University, Milan, Italy.
Sandro IannacconeDivision of Neuroscience, San Raffaele Scientific Institute, Milan, Italy.
Giuseppe MagnaniDepartment of Neurology, San Raffaele Hospital, Milan, Italy.
Alessandra MarconeDepartment of Clinical Neuroscience, San Raffaele Turro Hospital, Milan, Italy.
Elisabetta PelagalloDepartment of Clinical Neuroscience, San Raffaele Turro Hospital, Milan, Italy.
Roberto SantangeloDepartment of Neurology, San Raffaele Hospital, Milan, Italy.
Stefano F CappaDivision of Neuroscience, San Raffaele Scientific Institute, Milan, Italy.
Daniela PeraniVita-Salute San Raffaele University, Milan, Italy.
Vita-Salute San Raffaele University · ITSan Raffaele University of Rome · ITIstituto Universitario di Studi Superiori di Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePrimary progressive aphasia (PPA) is a clinical syndrome due to different neurodegenerative conditions in which an accurate early diagnosis needs to be supported by a reliable diagnostic tool at the individual level. In this study, we investigated in PPA the FDG-PET brain metabolic patterns at the single-subject level, in order to assess the case-to-case variability and its relationship with clinical-neuropsychological findings. MATERIAL AND

methods55 patients (i.e., 11 semantic variant/sv-PPA, 19 non fluent variant/nfv-PPA, 17 logopenic variant/lv-PPA, 3 slowly progressive anarthria/SPA, and 5 mixed PPA/m-PPA) were included. Clinical-neuropsychological information and FDG-PET data were acquired at baseline. A follow-up of 27.4±12.55 months evaluated the clinical progression. Brain metabolism was analyzed using an optimized and validated voxel-based SPM method at the single-subject level.

resultsFDG-PET voxel-wise metabolic assessment revealed specific metabolic signatures characterizing each PPA variant at the individual level, reflecting the underlying neurodegeneration in language networks. Notably, additional dysfunctional patterns predicted clinical progression to specific dementia conditions. In the case of nfv-PPA, a metabolic pattern characterized by involvement of parietal, subcortical and brainstem structures predicted progression to a corticobasal degeneration syndrome or to progressive supranuclear palsy. lv-PPA and sv-PPA cases who progressed to Alzheimer's disease and frontotemporal dementia at the follow-up presented with extended bilateral patterns at baseline. DISCUSSION: Our results indicate that FDG-PET voxel-wise imaging is a valid biomarker for the early differential diagnosis of PPAs and for the prediction of progression to specific dementia condition. This study supports the use of FDG-PET imaging quantitative assessment in clinical settings for a better characterization of PPA individuals and prognostic definition of possible endo-phenotypes.

Indexed as

AgedAphasia, Primary ProgressiveBrainCognitionDementiaDiagnosis, DifferentialDisease ProgressionEarly DiagnosisFemaleFluorodeoxyglucose F18Follow-Up StudiesHumansMaleNeuropsychological TestsPositron-Emission TomographyPrecision MedicineFluorodeoxyglucose F18RadiopharmaceuticalsFDG-PETlogopenic variant of primary progressive aphasianon fluent variant of primary progressive aphasiapositron emission tomographyprimary progressive aphasiasemantic variant of primary progressive aphasia

Identifiers

PMID27662315
PMCPMC5115609
OpenAlexW2522618291

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.