Evidence map›Paper›PMID 28932894›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Additive value of amyloid-PET in routine cases of clinical dementia work-up after FDG-PET.

Matthias Brendel, Jonas Schnabel, Sonja Schönecker, Leonie Wagner, Eva Brendel, Johanna Meyer-Wilmes, Marcus Unterrainer, Andreas Schildan, Marianne Patt, Catharina Prix and 10 more

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Article in European journal of nuclear medicine and molecular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. A Biomarker-Based Classification of Corticobasal Syndrome.Movement disorders : official journal of the Movement Disorder Society · 2026
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  4. A Case Report of Early-Onset Alzheimer's Disease UsingDiagnostics (Basel, Switzerland) · 2023
    Article
  5. Clinical Impact of PET WithFrontiers in neurology · 2021
    Article
  6. Review
  7. 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

20 authors at 5 institutions in 1 country.

Matthias BrendelDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
Jonas SchnabelDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
Sonja SchöneckerDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Leonie WagnerDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
Eva BrendelDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
Johanna Meyer-WilmesDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
Marcus UnterrainerDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
Andreas SchildanDepartment of Nuclear Medicine, University of Leipzig, Leipzig, Germany.
Marianne PattDepartment of Nuclear Medicine, University of Leipzig, Leipzig, Germany.
Catharina PrixDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Nibal AcklDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Cihan CatakInstitute for Stroke and Dementia Research, Klinikum der Universität München, Munich, Germany.
Oliver PogarellDepartment of Psychiatry, University Hospital, LMU Munich, Munich, Germany.
Johannes LevinDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Adrian DanekDepartment of Neurology, University Hospital, LMU Munich, Munich, Germany.
Katharina BuergerInstitute for Stroke and Dementia Research, Klinikum der Universität München, Munich, Germany.
Peter BartensteinDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
Henryk BarthelDepartment of Nuclear Medicine, University of Leipzig, Leipzig, Germany.
Osama SabriDepartment of Nuclear Medicine, University of Leipzig, Leipzig, Germany.
Axel RomingerDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany. axel.rominger@med.uni-muenchen.de.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DELeipzig University · DEMunich Cluster for Systems Neurology · DEGerman Center for Neurodegenerative Diseases · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn recent years, several [

methodsAll subjects were referred in-house with a suspected dementia syndrome due to neurodegenerative disease. After undergoing an FDG-PET exam, the cases were discussed by the interdisciplinary dementia board, where the most likely diagnosis as well as potential differential diagnoses were documented. Because of persistent diagnostic uncertainty, the patients received an additional FBB-PET exam. Results were interpreted visually and classified as amyloid-positive or amyloid-negative, and we then compared the individual clinical diagnoses before and after additional FBB-PET.

resultsA total of 107 patients (mean age 69.4 ± 9.7y) were included in the study. The FBB-PET was rated as amyloid-positive in 65/107. In 83% of the formerly unclear cases, a final diagnosis was reached through FBB-PET, and the most likely prior diagnosis was changed in 28% of cases. The highest impact was observed for distinguishing Alzheimer's dementia (AD) from fronto-temporal dementia (FTLD), where FBB-PET altered the most likely diagnosis in 41% of cases.

conclusionsFBB-PET has a high additive value in establishing a final diagnosis in suspected dementia cases when prior investigations such as FDG-PET are inconclusive. The differentiation between AD and FTLD was particularly facilitated by amyloid-PET, predicting a considerable impact on patient management, especially in the light of upcoming disease-modifying therapies.

Indexed as

Fluorodeoxyglucose F18Positron-Emission TomographyAmyloidDementiaFemaleHumansMaleMiddle AgedAmyloidFluorodeoxyglucose F18[18F]-florbetaben PETAlzheimer’s diseaseClinical routineFDG PETβ-amyloid

Identifiers

PMID28932894
OpenAlexW2754553205

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Registered trials

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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.