Free and Cued Selective Reminding Test – accuracy for the differential diagnosis of Alzheimer's and neurodegenerative diseases: a large-scale biomarker-characterized monocenter cohort study (ClinAD)

Abstract Introduction The International Working Group recommended the Free and Cued Selective Reminding Test (FCSRT) as a sensitive detector of the amnesic syndrome of the hippocampal type in typical Alzheimer's disease (AD). But does it differentiate AD from other neurodegenerative diseases? M...

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Veröffentlicht in:Alzheimer's & dementia 2017-08, Vol.13 (8), p.913-923
Hauptverfasser: Teichmann, Marc, Epelbaum, Stéphane, Samri, Dalila, Levy Nogueira, Marcel, Michon, Agnès, Hampel, Harald, Lamari, Foudil, Dubois, Bruno
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container_end_page 923
container_issue 8
container_start_page 913
container_title Alzheimer's & dementia
container_volume 13
creator Teichmann, Marc
Epelbaum, Stéphane
Samri, Dalila
Levy Nogueira, Marcel
Michon, Agnès
Hampel, Harald
Lamari, Foudil
Dubois, Bruno
description Abstract Introduction The International Working Group recommended the Free and Cued Selective Reminding Test (FCSRT) as a sensitive detector of the amnesic syndrome of the hippocampal type in typical Alzheimer's disease (AD). But does it differentiate AD from other neurodegenerative diseases? Methods We assessed the FCSRT and cerebrospinal fluid (CSF) AD biomarkers in 992 cases. Experts, blinded to biomarker data, attributed in 650 cases a diagnosis of typical AD, frontotemporal dementia, posterior cortical atrophy, Lewy body disease, progressive supranuclear palsy, corticobasal syndrome, primary progressive aphasias, “subjective cognitive decline,” or depression. Results The FCSRT distinguished typical AD from all other conditions with a sensitivity of 100% and a specificity of 75%. Non-AD neurodegenerative diseases with positive AD CSF biomarkers (“atypical AD”) did not have lower FCSRT scores than those with negative biomarkers. Discussion The FCSRT is a reliable tool for diagnosing typical AD among various neurodegenerative diseases. At an individual level, however, its specificity is not absolute. Our findings also widen the spectrum of atypical AD to multiple neurodegenerative conditions.
doi_str_mv 10.1016/j.jalz.2016.12.014
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dementia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Teichmann, Marc</au><au>Epelbaum, Stéphane</au><au>Samri, Dalila</au><au>Levy Nogueira, Marcel</au><au>Michon, Agnès</au><au>Hampel, Harald</au><au>Lamari, Foudil</au><au>Dubois, Bruno</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Free and Cued Selective Reminding Test – accuracy for the differential diagnosis of Alzheimer's and neurodegenerative diseases: a large-scale biomarker-characterized monocenter cohort study (ClinAD)</atitle><jtitle>Alzheimer's &amp; dementia</jtitle><addtitle>Alzheimers Dement</addtitle><date>2017-08</date><risdate>2017</risdate><volume>13</volume><issue>8</issue><spage>913</spage><epage>923</epage><pages>913-923</pages><issn>1552-5260</issn><eissn>1552-5279</eissn><abstract>Abstract Introduction The International Working Group recommended the Free and Cued Selective Reminding Test (FCSRT) as a sensitive detector of the amnesic syndrome of the hippocampal type in typical Alzheimer's disease (AD). But does it differentiate AD from other neurodegenerative diseases? Methods We assessed the FCSRT and cerebrospinal fluid (CSF) AD biomarkers in 992 cases. Experts, blinded to biomarker data, attributed in 650 cases a diagnosis of typical AD, frontotemporal dementia, posterior cortical atrophy, Lewy body disease, progressive supranuclear palsy, corticobasal syndrome, primary progressive aphasias, “subjective cognitive decline,” or depression. Results The FCSRT distinguished typical AD from all other conditions with a sensitivity of 100% and a specificity of 75%. Non-AD neurodegenerative diseases with positive AD CSF biomarkers (“atypical AD”) did not have lower FCSRT scores than those with negative biomarkers. Discussion The FCSRT is a reliable tool for diagnosing typical AD among various neurodegenerative diseases. At an individual level, however, its specificity is not absolute. 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subjects Aged
Alzheimer's disease
Assessment of memory disorders
Biomarkers - cerebrospinal fluid
Cohort Studies
Cues
Dementia
Diagnosis, Differential
Female
Humans
Life Sciences
Male
Memory
Mental Status and Dementia Tests
Neurodegenerative diseases
Neurodegenerative Diseases - cerebrospinal fluid
Neurodegenerative Diseases - diagnosis
Neurodegenerative Diseases - psychology
Neurology
Neurons and Cognition
Neuropsychological Tests
Reproducibility of Results
Sensitivity and Specificity
title Free and Cued Selective Reminding Test – accuracy for the differential diagnosis of Alzheimer's and neurodegenerative diseases: a large-scale biomarker-characterized monocenter cohort study (ClinAD)
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