Evidence map›Paper›PMID 36357185›Full record

ArticleNeurology2023

Predicting Cognitive Decline in Older Adults Using Baseline Metrics of AD Pathologies, Cerebrovascular Disease, and Neurodegeneration.

Lloyd Prosser, Amy Macdougall, Carole H Sudre, Emily N Manning, Ian B Malone, Phoebe Walsh, Olivia Goodkin, Hugh Pemberton, Frederik Barkhof, Geert Jan Biessels and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Deep survival modeling to predict future cognitive impairment in unimpaired adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Physical activity and the outcome of cognitive trajectory: a machine learning approach.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025
    Article
  9. Biomarker pathway heterogeneity of amyloid-positive individuals.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 2 countries.

Lloyd ProsserFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands. l.prosser@ucl.ac.uk.ORCID 0000-0003-0299-1525
Amy MacdougallFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0002-2900-9602
Carole H SudreFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0001-5753-428X
Emily N ManningFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0002-4505-3611
Ian B MaloneFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0001-7512-7856
Phoebe WalshFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0001-6584-3111
Olivia GoodkinFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0001-9283-9716
Hugh PembertonFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0001-8419-6423
Frederik BarkhofFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0003-3543-3706
Geert Jan BiesselsFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0001-6862-2496
David M CashFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.ORCID 0000-0001-7833-616X
Josephine BarnesFrom the Department of Neurodegenerative Disease (L.P., A.M., C.H.S., E.N.M., I.B.M., P.W., H.P., D.M.C., J.B.), Dementia Research Centre, UCL Queen Square Institute of Neurology, London; Medical Statistics (A.M.), London School of Hygiene and Tropical Medicine; School of Biomedical Engineering and Imaging Sciences (C.H.S.), King's College London; Centre for Medical Image Computing (C.H.S., O.G., H.P., F.B.) and Department of Population Sciences and Experimental Medicine (C.H.S.), MRC Unit for Lifelong Health and Ageing at UCL, University College London, United Kingdom; Department of Radiology and Nuclear Medicine (F.B.), VU University Medical Center, Amsterdam Neuroscience; and Department of Neurology and Neurosurgery (G.J.B.), UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands.
Alzheimer's Disease Neuroimaging Initiative
London School of Hygiene & Tropical Medicine · GBKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDementia is a growing socioeconomic challenge that requires early intervention. Identifying biomarkers that reliably predict clinical progression early in the disease process would better aid selection of individuals for future trial participation. Here, we compared the ability of baseline, single time-point biomarkers (CSF amyloid 1-42, CSF ptau-181, white matter hyperintensities (WMH), cerebral microbleeds, whole-brain volume, and hippocampal volume) to predict decline in cognitively normal individuals who later converted to mild cognitive impairment (MCI) (CNtoMCI) and those with MCI who later converted to an Alzheimer disease (AD) diagnosis (MCItoAD).

methodsStandardized baseline biomarker data from AD Neuroimaging Initiative 2 (ADNI2)/GO and longitudinal diagnostic data (including ADNI3) were used. Cox regression models assessed biomarkers in relation to time to change in clinical diagnosis using all follow-up time points available. Models were fit for biomarkers univariately and together in a multivariable model. Hazard ratios (HRs) were compared to evaluate biomarkers. Analyses were performed separately in CNtoMCI and MCItoAD groups.

resultsFor CNtoMCI (n = 189), there was strong evidence that higher WMH volume (individual model: HR 1.79, DISCUSSION: Lower hippocampal volume was a consistent predictor of clinical conversion to MCI and AD. CSF and brain volume biomarkers were predictive of conversion to AD from MCI, whereas WMH were predictive of conversion to MCI from cognitively normal. The predictive ability of WMH in the CNtoMCI group may be interpreted as some being on a different pathologic pathway, such as vascular cognitive impairment.

Indexed as

Alzheimer DiseaseCerebrovascular DisordersCognitive DysfunctionAgedAmyloid beta-PeptidesBiomarkersDisease ProgressionHumanstau ProteinsAmyloid beta-PeptidesBiomarkerstau Proteins

Identifiers

PMID36357185
PMCPMC9984210
OpenAlexW4308770246

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.