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Alzheimers Dement (Amst). 2015 Nov 02;1(4):440-446. doi: 10.1016/j.dadm.2015.10.001. eCollection 2015 Dec.

Using florbetapir positron emission tomography to explore cerebrospinal fluid cut points and gray zones in small sample sizes.

Alzheimer's & dementia (Amsterdam, Netherlands)

Philip S J Weston, Ross W Paterson, Marc Modat, Ninon Burgos, Manuel J Cardoso, Nadia Magdalinou, Manja Lehmann, John C Dickson, Anna Barnes, Jamshed B Bomanji, Irfan Kayani, David M Cash, Sebastien Ourselin, Jamie Toombs, Michael P Lunn, Catherine J Mummery, Jason D Warren, Martin N Rossor, Nick C Fox, Henrik Zetterberg, Jonathan M Schott

Affiliations

  1. Dementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, London, UK.
  2. Dementia Research Centre, Department of Neurodegenerative Disease, UCL Institute of Neurology, London, UK; Transitional Imaging Group, Centre for Medical Image Computing, University College London, London, UK.
  3. Transitional Imaging Group, Centre for Medical Image Computing, University College London, London, UK.
  4. Reta Lila Weston Institute of Neurological Studies, Department of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
  5. Institute of Nuclear Medicine, University College London Hospitals, London, UK.
  6. MRC Centre for Neuromuscular Disease, Department of Molecular Neuroscience, UCL Institute of Neurology, University College London, London, UK.
  7. MRC Centre for Neuromuscular Disease, Department of Molecular Neuroscience, UCL Institute of Neurology, University College London, London, UK; Clinical Neurochemistry Laboratory, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.

PMID: 26835507 PMCID: PMC4691234 DOI: 10.1016/j.dadm.2015.10.001

Abstract

INTRODUCTION: We aimed to assess the feasibility of determining Alzheimer's disease cerebrospinal fluid (CSF) cut points in small samples through comparison with amyloid positron emission tomography (PET).

METHODS: Twenty-three individuals (19 patients, four controls) had CSF measures of amyloid beta (Aβ)

RESULTS: Seventeen of 23 were amyloid-positive on visual reads, and 14 of 23 at an SUVR of ≥1.1. There was concordance (positive/negative on both measures) in 20 of 23, of whom 19 of 20 were correctly classified at an Aβ

DISCUSSION: Comparing amyloid PET and CSF biomarkers provides a means of assessing CSF cut points in vivo, and can be applied to small sample sizes. CSF tau/Aβ

Keywords: Amyloid PET; Aβ; Cerebrospinal fluid; Cut points; Diagnosis; Phosphorylated tau; Tau

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