Evidence map›Paper›PMID 34844077›Full record

ArticleNeurobiology of aging2022

Cerebrospinal fluid dynamics and discordant amyloid biomarkers.

Jonathan Graff-Radford, David T Jones, Heather J Wiste, Petrice M Cogswell, Stephen D Weigand, Val Lowe, Benjamin D Elder, Prashanthi Vemuri, Argonde Van Harten, Michelle M Mielke and 5 more

Open access · greenAbstract read
In one paragraph

Article in Neurobiology of aging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

21 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Considerations in the clinical use of amyloid PET and CSF biomarkers for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  7. Article
  8. Amyloid PET detects the deposition of brain Aβ earlier than CSF fluid biomarkers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  9. Revised criteria for diagnosis and staging of Alzheimer's disease: Alzheimer's Association Workgroup.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. sTREM2 in discordant CSF AβAlzheimer's & dementia (Amsterdam, Netherlands)
    Article
  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

15 authors at 4 institutions in 1 country.

Jonathan Graff-RadfordDepartment of Neurology, Mayo Clinic, Rochester, MIN, USA. Electronic address: graff-radford.jonathan@mayo.edu.
David T JonesDepartment of Neurology, Mayo Clinic, Rochester, MIN, USA.
Heather J WisteDepartment of Health Sciences Research, Mayo Clinic, Rochester, MIN, USA.
Petrice M CogswellDepartment of Radiology, Mayo Clinic, Rochester, MIN, USA.
Stephen D WeigandDepartment of Health Sciences Research, Mayo Clinic, Rochester, MIN, USA.
Val LoweDepartment of Radiology, Mayo Clinic, Rochester, MIN, USA.
Benjamin D ElderDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MIN, USA; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MIN, USA.
Prashanthi VemuriDepartment of Radiology, Mayo Clinic, Rochester, MIN, USA.
Argonde Van HartenDepartment of Neurology, Mayo Clinic, Rochester, MIN, USA.
Michelle M MielkeDepartment of Health Sciences Research, Mayo Clinic, Rochester, MIN, USA.
David S KnopmanDepartment of Neurology, Mayo Clinic, Rochester, MIN, USA.
Neill R Graff-RadfordDepartment of Enterprise Application Services, Mayo Clinic, , Rochester, MIN, USA.
Ronald C PetersenDepartment of Neurology, Mayo Clinic, Rochester, MIN, USA.
Clifford R JackDepartment of Radiology, Mayo Clinic, Rochester, MIN, USA.
Jeffrey L GunterDepartment of Neurology, Mayo Clinic, Jacksonville, MIN, USA.
Mayo Clinic in Arizona · USMayo Clinic in Florida · USMayo Clinic · USWinnMed · US

Funding

SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
THE PGRN/TDP-43 AXIS IN ALZHEIMER?S DISEASE AND NEURODEGENERATIONP50AG016574 · NIA · MAYO CLINIC ROCHESTER · PI VEMURI, PRASHANTHI · 1999 to 2018
$36.9M
Research Education ComponentP30AG062677 · NIA · MAYO CLINIC ROCHESTER · PI Walter K. Kremers · 2019 to 2026
$33.5M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
Disease pathways in the population determined by amyloid, tau, and neurodegeneration imaging biomarkersR37AG011378 · NIA · MAYO CLINIC ROCHESTER · PI CLIFFORD R. JACK · 2018 to 2026
$6.8M
Validating the New Criteria for Preclinical Alzheimer's diseaseR01AG041851 · NIA · MAYO CLINIC ROCHESTER · PI JACK, CLIFFORD R., KNOPMAN, DAVID S · 2012 to 2021
$6.3M
Development, Validation, and Application of an Imaging based CVD ScaleR01NS097495 · NINDS · MAYO CLINIC ROCHESTER · PI VEMURI, PRASHANTHI · 2016 to 2020
$2.9M
Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR33AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2020 to 2022
$2.4M
"What is N?" Towards operationalizing neurodegeneration in Alzheimer's and related dementiasRF1AG069052 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, MIELKE, MICHELLE M · 2021 to 2021
$2.4M
Cerebral Microbleeds in the Aging PopulationK76AG057015 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN · 2017 to 2021
$1.2M
NIA NIH HHS K76 AG057015NIA NIH HHS P30 AG062677NIA NIH HHS P50 AG016574NIA NIH HHS R01 AG034676NIA NIH HHS R01 AG041851NIA NIH HHS R33 AG058738NIA NIH HHS R37 AG011378NIA NIH HHS RF1 AG069052NIA NIH HHS U01 AG006786NINDS NIH HHS R01 NS097495
6 · The paper itself

Abstract

Do MRI-based metrics of a CSF-dynamics disorder, disproportionately enlarged subarachnoid-space hydrocephalus (DESH), correlate with discordant amyloid biomarkers (low CSF β-amyloid 1-42, normal Aβ-PET scan)? Individuals ≥50 years from the Mayo Clinic Study of Aging, with MRI, 11C-Pittsburgh compound B (Aβ) PET scans, and CSF phosphorylated-tau protein and Aβ42, were categorized into 4 groups: normal and/or abnormal by CSF β-amyloid 1-42 and Aβ amyloid PET. Within groups, we noted MRI patterns of CSF-dynamics disorders and Aβ-PET accumulation-change rate. One-hundred participants (21%) in the abnormal-CSF and/or normal-PET group had highest DESH-pattern scores and lowest CSF-phosphorylated-tau levels. Among normal amyloid-PET individuals, a 1-unit DESH-pattern score increase correlated with 30%-greater odds of abnormal amyloid CSF after age, and sex adjustment. Mean rate over time of amyloid-PET accumulation in abnormal-CSF and/or normal-PET individuals approximated individuals with normal amyloid values. Adjusting for phosphorylated-tau, abnormal CSF-amyloid and/or normal amyloid-PET individuals had higher mean amyloid-PET accumulation rates than normal individuals. CSF dynamics disorders confound β-amyloid and phosphorylated-tau CSF-biomarker interpretation.

Indexed as

AgedAged, 80 and overAmyloid beta-PeptidesBiomarkersCerebrospinal FluidFemaleHumansHydrocephalusMagnetic Resonance ImagingMaleMiddle AgedPeptide FragmentsPhosphorylationPositron-Emission Tomographytau ProteinsAmyloid beta-Peptidesamyloid beta-protein (1-42)BiomarkersPeptide Fragmentstau ProteinsAlzheimer's diseaseAmyloid PET accumulationBiomarkersDisproportionately enlarged subarachnoid-space hydrocephalus (DESH)Mayo Clinic Study of Aging (MCSA)Normal-pressure hydrocephalus

Identifiers

PMID34844077
PMCPMC8758540
OpenAlexW3210179375

What OpenQuestion holds

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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.