Evidence map›Paper›PMID 41834096›Full record

ArticleAnnals of neurology2026

Temporal Modeling of Amyloid and Tau Trajectories in Alzheimer's Disease Using PET and Plasma Biomarkers.

Christopher A Brown, Katheryn A Q Cousins, Magdalena Korecka, Emily McGrew, Alice Chen-Plotkin, John A Detre, Corey T McMillan, Edward B Lee, Sandhitsu R Das, Dawn Mechanic-Hamilton and 5 more

Abstract read
In one paragraph

Article in Annals of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Do amyloid trajectories reach a ceiling? Evidence from iterative approximation and simulation.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Christopher A BrownDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-2057-3976
Katheryn A Q CousinsDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-1879-2766
Magdalena KoreckaDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Emily McGrewDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Alice Chen-PlotkinDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
John A DetreDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Corey T McMillanDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Edward B LeeDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Sandhitsu R DasDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Dawn Mechanic-HamiltonDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Paul A YushkevichDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Ilya M NasrallahDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Leslie M ShawDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-7650-1210
Alzheimer's Disease Neuroimaging Initiative
David A WolkDepartment of Neurology, University of Pennsylvania, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to compare positron emission tomography (PET) and plasma-based temporal modeling of amyloid and tau biomarkers in Alzheimer's disease.

methodsLongitudinal amyloid PET (n = 1,097, mean age ± SD = 72.5 ± 7.38 year, 51.4% male),

resultsPlasma and PET models generated similar results for estimated amyloid and tau onset, with stronger model agreement for tau (r = 0.88[0.86, 0.89], t = 57.4, p < 0.001) than amyloid (r = 0.75[0.72, 0.77], t = 37.4, p < 0.001) onset. Accuracy of estimated onset compared to actual onset was high within modality (mean absolute error [MAE] ≤ 2.03) with slightly greater error (MAE 3.09-3.42) when comparing across modalities (ie, plasma to PET). For both plasma and PET, earlier tau onset was associated with younger amyloid onset, female sex, and ≥1 apolipoprotein (ApoE) ε4 allele. Earlier dementia onset after tau was associated with later tau onset for both plasma and PET, while male sex was associated with shorter tau to dementia gap in plasma models.

interpretationTemporal modeling of plasma biomarkers provides comparable information to PET-based models, particularly for tau onset age, and can serve as a widely accessible tool for clinical assessment of biological disease severity. ANN NEUROL 2026;99:1438-1451.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesPositron-Emission Tomographytau ProteinsAgedAged, 80 and overBiomarkersFemaleHumansLongitudinal StudiesMaleAmyloid beta-PeptidesBiomarkerstau Proteins

Identifiers

PMID41834096
PMCPMC13206525

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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.