Evidence map›Paper›PMID 29387532›Full record

ArticleNeuroImage. Clinical2018

FDG-PET and CSF biomarker accuracy in prediction of conversion to different dementias in a large multicentre MCI cohort.

Silvia Paola Caminiti, Tommaso Ballarini, Arianna Sala, Chiara Cerami, Luca Presotto, Roberto Santangelo, Federico Fallanca, Emilia Giovanna Vanoli, Luigi Gianolli, Sandro Iannaccone and 3 more

2 registry-linked trialsAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 77 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 2 pooled it
–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.

NCT03755362 naterminatednot on this mapstarted 2019, after this paper: background citation

Treatment of Periodontitis to Prevent Dementia in Older Adults With Asymptomatic Carotid Artery Stenosis and Mild Cognitive Impairment

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2019 to 2021Enrolled26ConditionsCarotid Stenosis, Mild Cognitive Impairment, PeriodontitisArmsStandard Treatment, Intensive Treatment
NCT04229186 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Pilot Study About Extra Virgin Oil "Coratina" (Evoo-c) in Mild Cognitive Impairment (MCI) and Alzheimer's Disease (AD) Patients (EVOO-c in MCI/AD)

TypeinterventionalSponsorUniversity of Bari Aldo MoroRan2020 to 2022Enrolled24ConditionsNeurodegenerative DiseasesArmsEVOO-C, ROO
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Article
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  9. Nuclear medicine and molecular imaging · 2025
    Article
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  12. Article
  13. Blood-derived APLP1Science advances · 2025
    Article
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  16. Alterations of the blood-brain barrier during aging.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Review
  17. Article
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17 more citing papers are in PubMed but not listed here.

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.

Silvia Paola CaminitiVita-Salute San Raffaele University, Milan, Italy; Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Tommaso BallariniDivision of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Arianna SalaVita-Salute San Raffaele University, Milan, Italy; Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Chiara CeramiDivision of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy; Clinical Neuroscience Department, San Raffaele Turro Hospital, Milan, Italy.
Luca PresottoDivision of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Roberto SantangeloDepartment of Neurology and INSPE, San Raffaele Scientific Institute, Milan, Italy.
Federico FallancaNuclear Medicine Unit, IRCCS San Raffaele Hospital, Milan, Italy.
Emilia Giovanna VanoliNuclear Medicine Unit, IRCCS San Raffaele Hospital, Milan, Italy.
Luigi GianolliNuclear Medicine Unit, IRCCS San Raffaele Hospital, Milan, Italy.
Sandro IannacconeClinical Neuroscience Department, San Raffaele Turro Hospital, Milan, Italy.
Giuseppe MagnaniDepartment of Neurology and INSPE, San Raffaele Scientific Institute, Milan, Italy.
Daniela PeraniVita-Salute San Raffaele University, Milan, Italy; Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Milan, Italy; Nuclear Medicine Unit, IRCCS San Raffaele Hospital, Milan, Italy. Electronic address: perani.daniela@hsr.it.
BIOMARKAPD Project

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aims: In this multicentre study in clinical settings, we assessed the accuracy of optimized procedures for FDG-PET brain metabolism and CSF classifications in predicting or excluding the conversion to Alzheimer's disease (AD) dementia and non-AD dementias. Methods: We included 80 MCI subjects with neurological and neuropsychological assessments, FDG-PET scan and CSF measures at entry, all with clinical follow-up. FDG-PET data were analysed with a validated voxel-based SPM method. Resulting single-subject SPM maps were classified by five imaging experts according to the disease-specific patterns, as "typical-AD", "atypical-AD" (i.e. posterior cortical atrophy, asymmetric logopenic AD variant, frontal-AD variant), "non-AD" (i.e. behavioural variant FTD, corticobasal degeneration, semantic variant FTD; dementia with Lewy bodies) or "negative" patterns. To perform the statistical analyses, the individual patterns were grouped either as "AD dementia vs. non-AD dementia (all diseases)" or as "FTD vs. non-FTD (all diseases)". Aβ42, total and phosphorylated Tau CSF-levels were classified dichotomously, and using the Erlangen Score algorithm. Multivariate logistic models tested the prognostic accuracy of FDG-PET-SPM and CSF dichotomous classifications. Accuracy of Erlangen score and Erlangen Score aided by FDG-PET SPM classification was evaluated. Results: The multivariate logistic model identified FDG-PET "AD" SPM classification (Expβ = 19.35, 95% C.I. 4.8-77.8, p < 0.001) and CSF Aβ42 (Expβ = 6.5, 95% C.I. 1.64-25.43, p < 0.05) as the best predictors of conversion from MCI to AD dementia. The "FTD" SPM pattern significantly predicted conversion to FTD dementias at follow-up (Expβ = 14, 95% C.I. 3.1-63, p < 0.001). Overall, FDG-PET-SPM classification was the most accurate biomarker, able to correctly differentiate either the MCI subjects who converted to AD or FTD dementias, and those who remained stable or reverted to normal cognition (Expβ = 17.9, 95% C.I. 4.55-70.46, p < 0.001). Conclusions: Our results support the relevant role of FDG-PET-SPM classification in predicting progression to different dementia conditions in prodromal MCI phase, and in the exclusion of progression, outperforming CSF biomarkers.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseAmyloid beta-PeptidesBiomarkersBrainCognitive DysfunctionDisease ProgressionFemaleFluorodeoxyglucose F18Frontotemporal DementiaHumansMaleMiddle AgedNeuropsychological TestsPhosphorylationAmyloid beta-PeptidesBiomarkersFluorodeoxyglucose F18tau ProteinsAD, Alzheimer's diseaseAlzheimer's disease dementiaaMCI, single-domain amnestic mild cognitive impairmentAUC, area under curvebvFTD, behavioral variant of frontotemporal dementiaCBD, corticobasal degenerationCDR, Clinical Dementia RatingClinical settingCSF, cerebrospinal fluidDLB, dementia with Lewy bodiesEANM, European Association of Nuclear MedicineErlangen ScoreFDG, fluorodeoxyglucoseFrontotemporal dementiaFTD, frontotemporal dementiaLR-, negative likelihood ratioLR+, positive likelihood ratioMCI, mild cognitive impairmentmd aMCI, multi-domain amnestic mild cognitive impairmentmd naMCI, multi-domain non-amnestic mild cognitive impairmentnaMCI, single-domain non-amnestic mild cognitive impairmentPET, positron emission tomographyPrognosisPSP, progressive supranuclear palsyp-tau, phosphorylated taut-tau, total tau

Identifiers

PMID29387532
PMCPMC5790816

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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 Socratic graph.