Evidence map›Paper›PMID 30244387›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2019

Amyloid burden identifies neuropsychological phenotypes at increased risk of progression to Alzheimer's disease in mild cognitive impairment patients.

Andrea Ciarmiello, Antonio Tartaglione, Elisabetta Giovannini, Mattia Riondato, Giampiero Giovacchini, Ornella Ferrando, Marina De Biasi, Chiara Passera, Elena Carabelli, Antonio Mannironi and 3 more

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

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

13 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Discovery and validation of plasma proteomic biomarkers relating to brain amyloid burden by SOMAscan assay.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2019
    Article
  11. Article
  12. Review
  13. 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

13 authors.

Andrea CiarmielloNuclear Medicine Department, S. Andrea Hospital, 19124, La Spezia, Italy. andrea.ciarmiello@asl5.liguria.it.ORCID 0000-0002-6579-656X
Antonio TartaglioneMemory Laboratory CNS-ONLUS, 19124, La Spezia, Italy.
Elisabetta GiovanniniNuclear Medicine Department, S. Andrea Hospital, 19124, La Spezia, Italy.
Mattia RiondatoNuclear Medicine Department, S. Andrea Hospital, 19124, La Spezia, Italy.
Giampiero GiovacchiniNuclear Medicine Department, S. Andrea Hospital, 19124, La Spezia, Italy.
Ornella FerrandoMedical Physics Department, S. Andrea Hospital, 19124, La Spezia, Italy.
Marina De BiasiMemory Laboratory CNS-ONLUS, 19124, La Spezia, Italy.
Chiara PasseraMemory Laboratory CNS-ONLUS, 19124, La Spezia, Italy.
Elena CarabelliDepartment of Neurology, S. Andrea Hospital, 19124, La Spezia, Italy.
Antonio MannironiDepartment of Neurology, S. Andrea Hospital, 19124, La Spezia, Italy.
Franca FoppianoMedical Physics Department, S. Andrea Hospital, 19124, La Spezia, Italy.
Bruno AlfanoBiostructure and Bioimaging Institute, National Research Council, 80145, Naples, Italy.
Luigi MansiInteruniversitary Research Center for Sustainable Development (CIRPS), 00038, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe extent of amyloid burden associated with cognitive impairment in amnestic mild cognitive impairment is unknown. The primary aim of the study was to determine the extent to which amyloid burden is associated to the cognitive impairment. The secondary objective was to test the relationship between amyloid accumulation and memory or cognitive impairment. MATERIALS AND

methodsIn this prospective study 66 participants with amnestic mild cognitive impairment underwent clinical, neuropsychological and PET amyloid imaging tests. Composite scores assessing memory and non-memory domains were used to identify two clinical classes of neuropsychological phenotypes expressing different degree of cognitive impairment. Detection of amyloid status and definition of optimal amyloid ± cutoff for discrimination relied on unsupervised k-means clustering method.

resultsThreshold for identifying low and high amyloid retention groups was of SUVr = 1.3. Aß + participants showed poorer global cognitive and episodic memory performance than subjects with low amyloid deposition. Aß positivity significantly identified individuals with episodic memory impairment with a sensitivity and specificity of 80 and 79%, (χ2 = 21.48; P < 0.00001). Positive and negative predictive values were 82 and 76%, respectively. Amyloid deposition increased linearly as function of memory impairment with a rate of 0.13/ point of composite memory score (R = -44, P = 0.0003).

conclusionThe amyloid burden of SUVr = 1.3 allows early identification of subjects with episodic memory impairment which might predict progression from MCI to Alzheimer's disease.

trial registrationEudraCT 2015-001184-39.

Indexed as

Disease ProgressionPhenotypeAgedAlzheimer DiseaseAmyloidCognitive DysfunctionCross-Sectional StudiesFemaleHumansMaleMemoryMiddle AgedNeuropsychological TestsRiskAmyloidBeta-amyloidCognitive trajectoryMemory performanceMild cognitive impairmentPET imaging

Identifiers

PMID30244387
PMCPMC6333718

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.