Evidence map›Paper›PMID 42075835›Full record

ReviewPharmaceuticals (Basel, Switzerland)2026

Drug-Induced Amyloid-Related Imaging Abnormalities: A Neurovascular Perspective on Risk Assessment.

Marialuisa Zedde, Mattia Losa, Andrea Donniaquio, Ilaria Gandoglia, Massimo Del Sette, Luca Roccatagliata, Fabrizio Piazza, Matteo Pardini, Rosario Pascarella

Abstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Marialuisa ZeddeStroke Unit, Neurology Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy.ORCID 0000-0001-7530-818X
Mattia Losa"The Inflammatory Cerebral Amyloid Angiopathy and Alzheimer's Disease Biomarkers" Study Group of the SINDem (Italian Neurological Society for Dementia), 20145 Milan, Italy.ORCID 0009-0008-2942-1307
Andrea DonniaquioE.O. Ospedali Galliera, 16128 Genoa, Italy.ORCID 0000-0002-9353-8314
Ilaria GandogliaNeurology Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.ORCID 0000-0003-4429-914X
Massimo Del SetteNeurology Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Luca RoccatagliataNeurology Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Fabrizio Piazza"The Inflammatory Cerebral Amyloid Angiopathy and Alzheimer's Disease Biomarkers" Study Group of the SINDem (Italian Neurological Society for Dementia), 20145 Milan, Italy.ORCID 0000-0002-3385-3224
Matteo PardiniDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genoa, 16132 Genoa, Italy.
Rosario Pascarella"The Inflammatory Cerebral Amyloid Angiopathy and Alzheimer's Disease Biomarkers" Study Group of the SINDem (Italian Neurological Society for Dementia), 20145 Milan, Italy.ORCID 0000-0002-0512-9298

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-amyloid therapies (AAT) are reshaping the therapeutic landscape of Alzheimer's disease (AD), yet their implementation remains constrained by the risk of amyloid-related imaging abnormalities (ARIA). Although the ARIA phenomenon is well recognized, most available evidence stems from clinical trial safety reports framed predominantly from a dementia-oriented perspective, with relatively limited integration of vascular neurology principles.

methodsIn this narrative review, we examine drug-induced ARIA through a neurovascular lens, highlighting how cerebrovascular comorbidity, particularly cerebral amyloid angiopathy (CAA), influences the risk and severity of ARIA.

resultsWe critically evaluated how CAA comorbidity has been assessed in randomized controlled trials, focusing on exclusion criteria, imaging thresholds, and the resulting implications for external validity. Finally, we evaluated current approaches to ARIA risk stratification and proposed a more integrative framework that combines vascular imaging markers, APOE ε4 genotype, and key clinical comorbidities.

conclusionsA more tailored patient selection and monitoring strategies may ultimately improve real-world outcomes and optimize resources in the era of AAT.

Indexed as

Alzheimer’s diseaseamyloid-related imaging abnormalitiesanti-amyloid therapyapoEARIAbiomarkerscerebral amyloid angiopathycortical superficial siderosisFLAIRGREmicrobleedsMRISWI

Identifiers

PMID42075835
PMCPMC13118832

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.