Evidence map›Paper›PMID 42159654›Full record

ArticleEuropean journal of neurology2026

CSF Biomarker Profile of Cerebral Amyloid Angiopathy: Diagnostic Performance and Imaging Correlates in a Hospital-Based Neurology Cohort.

Aida Fernández-Lebrero, Joan Jiménez-Balado, Greta García-Escobar, José Contador, Isabel Estraguès-Gázquez, Laia Peraferrer-Montesinos, Antoni Suárez-Pérez, Rosa María Manero-Borràs, Brigitte Beltrán, Ludovica Gramegna and 7 more

Abstract read
In one paragraph

Article in European journal 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. 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

17 authors.

Aida Fernández-LebreroHospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0002-2097-4430
Joan Jiménez-BaladoHospital del Mar Research Institute, Barcelona, Spain.
Greta García-EscobarHospital del Mar Research Institute, Barcelona, Spain.
José ContadorHospital del Mar Research Institute, Barcelona, Spain.
Isabel Estraguès-GázquezHospital del Mar Research Institute, Barcelona, Spain.
Laia Peraferrer-MontesinosServei de Neurologia, Hospital del Mar, Barcelona, Spain.
Antoni Suárez-PérezHospital del Mar Research Institute, Barcelona, Spain.
Rosa María Manero-BorràsServei de Neurologia, Hospital del Mar, Barcelona, Spain.
Brigitte BeltránNeuroradiology Department, Hospital del Mar, Barcelona, Spain.
Ludovica GramegnaNeuroradiology Department, Hospital del Mar, Barcelona, Spain.
Ana Rodríguez CampelloHospital del Mar Research Institute, Barcelona, Spain.
Abel Palacio-GiliHospital del Mar Research Institute, Barcelona, Spain.
Oriol GrauHospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0002-4730-5341
Marc Suárez-CalvetHospital del Mar Research Institute, Barcelona, Spain.
Angel OisHospital del Mar Research Institute, Barcelona, Spain.
Albert Puig-PijoanHospital del Mar Research Institute, Barcelona, Spain.
Irene Navalpotro-GómezHospital del Mar Research Institute, Barcelona, Spain.

Funding

European Research Area Network on Cardiovascular Diseases ERA-CVD_JTC2020-015Instituto de Salud Carlos III
6 · The paper itself

Abstract

backgroundCerebral amyloid angiopathy (CAA) frequently co-occurs with Alzheimer's disease (AD), complicating diagnosis in patients with cognitive impairment. The CSF biomarker profile of CAA remains poorly understood, particularly with AD co-pathology. We aimed to characterize CSF biomarkers in CAA, assess diagnostic accuracy, and examine associations with neuroimaging markers.

methodsWe included 261 participants from a hospital-based cohort, recruited from memory clinic outpatients and neurology inpatients. Groups comprised healthy controls (HC, n = 35), CAA without AD co-pathology (CAA-nonAD, n = 27), CAA with AD co-pathology (CAA-AD, n = 30), and AD (n = 169). CSF Aβ40, Aβ42, p-tau181, and t-tau were quantified using automated immunoassays. Group differences were tested using ANCOVA adjusted for age and sex. ROC analyses with 10-fold cross-validation and bootstrapping assessed diagnostic performance. Associations between CSF biomarkers and CAA-related MRI markers were examined using ANCOVA.

resultsAβ40 concentrations were lower in CAA-nonAD and CAA-AD compared to AD and HC (p-value

conclusionsCSF Aβ40 and Aβ42 provide complementary diagnostic value for identifying CAA, both in isolation and with AD co-pathology. Reduced Aβ40 is associated with greater CAA-related vascular burden, supporting its role as a marker of vascular amyloid pathology.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesCerebral Amyloid AngiopathyPeptide Fragmentstau ProteinsAgedAged, 80 and overBiomarkersCohort StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedAmyloid beta-Peptidesamyloid beta-protein (1-40)amyloid beta-protein (1-42)BiomarkersPeptide Fragmentstau ProteinsAlzheimer's diseaseamyloid‐βbiomarkercerebral amyloid angiopathydiagnosis

Identifiers

PMID42159654
PMCPMC13240097

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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.