Recommendations for CSF AD biomarkers in the diagnostic evaluation of dementia

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Documents

  • Anja Hviid Simonsen
  • Sanna-Kaisa Herukka
  • Niels Andreasen
  • Ines Baldeiras
  • Maria Bjerke
  • Kaj Blennow
  • Sebastiaan Engelborghs
  • Giovanni B Frisoni
  • Tomasz Gabryelewicz
  • Samantha Galluzzi
  • Ron Handels
  • Milica G Kramberger
  • Agnieszka Kulczyńska
  • Jose Luis Molinuevo
  • Barbara Mroczko
  • Agneta Nordberg
  • Catarina Resende Oliveira
  • Markus Otto
  • Juha O Rinne
  • Uroš Rot
  • Esen Saka
  • Hilkka Soininen
  • Hanne Struyfs
  • Silvia Suardi
  • Pieter Jelle Visser
  • Bengt Winblad
  • Henrik Zetterberg

This article presents recommendations, based on the Grading of Recommendations, Assessment, Development, and Evaluation method, for the clinical application of cerebrospinal fluid (CSF) amyloid-β1-42, tau, and phosphorylated tau in the diagnostic evaluation of patients with dementia. The recommendations were developed by a multidisciplinary working group based on the available evidence and consensus from focused discussions for (i) identification of Alzheimer's disease (AD) as the cause of dementia, (ii) prediction of rate of decline, (iii) cost-effectiveness, and (iv) interpretation of results. The working group found sufficient evidence to support a recommendation to use CSF AD biomarkers as a supplement to clinical evaluation, particularly in uncertain and atypical cases, to identify or exclude AD as the cause of dementia. Because of insufficient evidence, it was uncertain whether CSF AD biomarkers outperform imaging biomarkers. Operational recommendations for the interpretation of ambiguous CSF biomarker results were also provided.

Original languageEnglish
JournalAlzheimer's & Dementia
Volume13
Issue number3
Pages (from-to)274-284
Number of pages11
ISSN1552-5260
DOIs
Publication statusPublished - Mar 2017

    Research areas

  • Alzheimer Disease/cerebrospinal fluid, Amyloid beta-Peptides/cerebrospinal fluid, Biomarkers/cerebrospinal fluid, Databases, Bibliographic/statistics & numerical data, Humans, Peptide Fragments/cerebrospinal fluid, tau Proteins/cerebrospinal fluid

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