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  • CSF biomarkers for the diff...
    Ewers, Michael; Mattsson, Niklas; Minthon, Lennart; Molinuevo, José L; Antonell, Anna; Popp, Julius; Jessen, Frank; Herukka, Sanna-Kaisa; Soininen, Hilka; Maetzler, Walter; Leyhe, Thomas; Bürger, Katharina; Taniguchi, Miyako; Urakami, Katsuya; Lista, Simone; Dubois, Bruno; Blennow, Kaj; Hampel, Harald

    Alzheimer's & dementia, November 2015, Letnik: 11, Številka: 11
    Journal Article

    Abstract Introduction The aim of this study was to test the diagnostic value of cerebrospinal fluid (CSF) beta-amyloid (Aβ1–42 ), phosphorylated tau, and total tau (tau) to discriminate Alzheimer's disease (AD) dementia from other forms of dementia. Methods A total of 675 CSF samples collected at eight memory clinics were obtained from healthy controls, AD dementia, subjective memory impairment, mild cognitive impairment, vascular dementia, Lewy body dementia (LBD), fronto-temporal dementia (FTD), depression, or other neurological diseases. Results CSF Aβ1–42 showed the best diagnostic accuracy among the CSF biomarkers. At a sensitivity of 85%, the specificity to differentiate AD dementia against other diagnoses ranged from 42% (for LBD, 95% confidence interval or CI = 32–62) to 77% (for FTD, 95% CI = 62–90). Discussion CSF Aβ1–42 discriminates AD dementia from FTD, but shows significant overlap with other non-AD forms of dementia, possibly reflecting the underlying mixed pathologies.