Evidence map›Paper›PMID 29756163›Full record

ReviewEuropean journal of nuclear medicine and molecular imaging2018

Diagnostic utility of 18F-Fluorodeoxyglucose positron emission tomography (FDG-PET) in asymptomatic subjects at increased risk for Alzheimer's disease.

Alexander Drzezga, Daniele Altomare, Cristina Festari, Javier Arbizu, Stefania Orini, Karl Herholz, Peter Nestor, Federica Agosta, Femke Bouwman, Flavio Nobili and 4 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in European journal of nuclear medicine and molecular imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  4. Generation of ConventionalMedicina (Kaunas, Lithuania) · 2023
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  10. Comparison of [Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
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  14. Consequences of Metabolic Disruption in Alzheimer's Disease Pathology.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2019
    Review
  15. Review
  16. Clinical utility of FDG-PET for the differential diagnosis among the main forms of dementia.European journal of nuclear medicine and molecular imaging · 2018
    Review
  17. Article
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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

14 authors at 8 institutions in 8 countries.

Alexander DrzezgaDepartment of Nuclear Medicine, University Hospital of Cologne, University of Cologne and German Center for Neurodegenerative Diseases (DZNE), Kerpener Str. 62, 50937, Cologne, Germany. alexander.drzezga@uk-koeln.de.ORCID http://orcid.org/0000-0001-6018-716X
Daniele AltomareLANE - Laboratory of Alzheimer's Neuroimaging & Epidemiology, IRCCS S. Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Cristina FestariLANE - Laboratory of Alzheimer's Neuroimaging & Epidemiology, IRCCS S. Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Javier ArbizuDepartment of Nuclear Medicine, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain.
Stefania OriniAlzheimer Operative Unit, IRCCS S. Giovanni di Dio, Fatebenefratelli, Brescia, Italy.
Karl HerholzInstitute of Brain, Behaviour and Mental Health, Wolfson Molecular Imaging Centre, The University of Manchester, Manchester, UK.
Peter NestorGerman Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany.
Federica AgostaNeuroimaging Research Unit, Institute of Experimental Neurology, Division of Neuroscience, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Femke BouwmanDepartment of Neurology & Alzheimer Center, Amsterdam Neuroscience, VU University Medical Center, Amsterdam, the Netherlands.
Flavio NobiliDepartment of Neuroscience (DINOGMI), University of Genoa and Polyclinic IRCCS San Martino-IST, Genoa, Italy. flaviomariano.nobili@hsanmartino.it.
Zuzana WalkerDivision of Psychiatry & Essex Partnership University NHS Foundation Trust, University College London, London, UK.
Giovanni Battista FrisoniLANE - Laboratory of Alzheimer's Neuroimaging & Epidemiology, IRCCS S. Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Marina BoccardiLANE - Laboratory of Alzheimer's Neuroimaging & Epidemiology, IRCCS S. Giovanni di Dio Fatebenefratelli, Brescia, Italy.
EANM-EAN Task Force for the Prescription of FDG-PET for Dementing Neurodegenerative Disorders
Centro San Giovanni di Dio Fatebenefratelli · ITUniversity of Geneva · CHVita-Salute San Raffaele University · ITAmsterdam Neuroscience · NLGerman Center for Neurodegenerative Diseases · DESouth Essex Partnership University Foundation NHS Trust · GBUniversity of Cologne · DEUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the clinical utility of 18F-Fluorodeoxyglucose positron emission tomography (FDG-PET) for detection of early signs of neurodegeneration in conditions of increased risk for Alzheimer's disease (AD) as defined by: subjective cognitive decline (SCD), evidence of cerebral amyloid-pathology, apolipoprotein E (APOE) ε4-positive genotype, or autosomal dominant forms of AD (ADAD) in asymptomatic stages.

methodsA comprehensive literature search was conducted using the PICO model to extract evidence from relevant studies. An expert panel then voted using the Delphi method on three different diagnostic scenarios.

resultsThe level of empirical study evidence for the use of FDG-PET to detect meaningful early signs of neurodegeneration was considered to be poor for ADAD and lacking for SCD and asymptomatic persons at risk, based on APOE ε4-positive genotype or cerebral amyloid pathology. Consequently, and consistent with current diagnostic criteria, panelists decided not to recommend routine clinical use of FDG-PET in these situations and to currently mainly reserve it for research purposes.

conclusionCurrently, there is limited evidence on which to base recommendations regarding the clinical routine use of FDG-PET to detect diagnostically meaningful early signs of neurodegeneration in asymptomatic subjects with ADAD, with APOE ε4-positive genotype, or with cerebral amyloid pathology, and in subjects with SCD. Future prospective studies are warranted and in part already ongoing, aiming to assess the added value of FDG-PET in this context beyond research applications.

Indexed as

Positron-Emission TomographyAlzheimer DiseaseApolipoproteins EBrainFluorodeoxyglucose F18Genetic Predisposition to DiseaseHumansProspective StudiesRadiopharmaceuticalsApolipoproteins EFluorodeoxyglucose F18RadiopharmaceuticalsADADAlzheimer’s diseaseAmyloidosisAPOEFDG-PETPSEN1SCD

Identifiers

PMID29756163
OpenAlexW2800561544

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.