Diagnostic accuracy of research criteria for prodromal frontotemporal dementia
BACKGROUND: The Genetic Frontotemporal Initiative Staging Group has proposed clinical criteria for the diagnosis of prodromal frontotemporal dementia (FTD), termed mild cognitive and/or behavioral and/or motor impairment (MCBMI). The objective of the study was to validate the proposed research crite...
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| creator | Benussi, Alberto Premi, Enrico Grassi, Mario Alberici, Antonella Cantoni, Valentina Gazzina, Stefano Archetti, Silvana Gasparotti, Roberto Fumagalli, Giorgio G Bouzigues, Arabella Russell, Lucy L Samra, Kiran Cash, David M Bocchetta, Martina Todd, Emily G Convery, Rhian S Swift, Imogen Sogorb-Esteve, Aitana Heller, Carolin van Swieten, John C Jiskoot, Lize C Seelaar, Harro Sanchez-Valle, Raquel Moreno, Fermin Laforce, Jr Robert Graff, Caroline Synofzik, Matthis Galimberti, Daniela Rowe, James B Masellis, Mario Tartaglia, Maria Carmela Finger, Elizabeth Vandenberghe, Rik Mendonca, Alexandre Tiraboschi, Pietro Butler, Chris R Santana, Isabel Gerhard, Alexander Le Ber, Isabelle Pasquier, Florence Ducharme, Simon Levin, Johannes Sorbi, Sandro Otto, Markus Padovani, Alessandro Rohrer, Jonathan D Borroni, Barbara |
| description | BACKGROUND: The Genetic Frontotemporal Initiative Staging Group has proposed clinical criteria for the diagnosis of prodromal frontotemporal dementia (FTD), termed mild cognitive and/or behavioral and/or motor impairment (MCBMI). The objective of the study was to validate the proposed research criteria for MCBMI-FTD in a cohort of genetically confirmed FTD cases against healthy controls. METHODS: A total of 398 participants were enrolled, 117 of whom were carriers of an FTD pathogenic variant with mild clinical symptoms, while 281 were non-carrier family members (healthy controls (HC)). A subgroup of patients underwent blood neurofilament light (NfL) levels and anterior cingulate atrophy assessment. RESULTS: The core clinical criteria correctly classified MCBMI vs HC with an AUC of 0.79 (p < 0.001), while the addition of either blood NfL or anterior cingulate atrophy significantly increased the AUC to 0.84 and 0.82, respectively (p < 0.001). The addition of both markers further increased the AUC to 0.90 (p < 0.001). CONCLUSIONS: The proposed MCBMI criteria showed very good classification accuracy for identifying the prodromal stage of FTD. |
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The objective of the study was to validate the proposed research criteria for MCBMI-FTD in a cohort of genetically confirmed FTD cases against healthy controls. METHODS: A total of 398 participants were enrolled, 117 of whom were carriers of an FTD pathogenic variant with mild clinical symptoms, while 281 were non-carrier family members (healthy controls (HC)). A subgroup of patients underwent blood neurofilament light (NfL) levels and anterior cingulate atrophy assessment. RESULTS: The core clinical criteria correctly classified MCBMI vs HC with an AUC of 0.79 (p < 0.001), while the addition of either blood NfL or anterior cingulate atrophy significantly increased the AUC to 0.84 and 0.82, respectively (p < 0.001). The addition of both markers further increased the AUC to 0.90 (p < 0.001). CONCLUSIONS: The proposed MCBMI criteria showed very good classification accuracy for identifying the prodromal stage of FTD.</description><identifier>ISSN: 1758-9193</identifier><identifier>EISSN: 1758-9193</identifier><language>eng</language><publisher>BMC</publisher><ispartof>ALZHEIMERS RESEARCH & THERAPY, 2024-01, Vol.16 (1)</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,316,781,785,27864</link.rule.ids></links><search><creatorcontrib>Benussi, Alberto</creatorcontrib><creatorcontrib>Premi, Enrico</creatorcontrib><creatorcontrib>Grassi, Mario</creatorcontrib><creatorcontrib>Alberici, Antonella</creatorcontrib><creatorcontrib>Cantoni, Valentina</creatorcontrib><creatorcontrib>Gazzina, Stefano</creatorcontrib><creatorcontrib>Archetti, Silvana</creatorcontrib><creatorcontrib>Gasparotti, Roberto</creatorcontrib><creatorcontrib>Fumagalli, Giorgio G</creatorcontrib><creatorcontrib>Bouzigues, Arabella</creatorcontrib><creatorcontrib>Russell, Lucy L</creatorcontrib><creatorcontrib>Samra, Kiran</creatorcontrib><creatorcontrib>Cash, David M</creatorcontrib><creatorcontrib>Bocchetta, Martina</creatorcontrib><creatorcontrib>Todd, Emily G</creatorcontrib><creatorcontrib>Convery, Rhian S</creatorcontrib><creatorcontrib>Swift, Imogen</creatorcontrib><creatorcontrib>Sogorb-Esteve, Aitana</creatorcontrib><creatorcontrib>Heller, Carolin</creatorcontrib><creatorcontrib>van Swieten, John C</creatorcontrib><creatorcontrib>Jiskoot, Lize C</creatorcontrib><creatorcontrib>Seelaar, Harro</creatorcontrib><creatorcontrib>Sanchez-Valle, Raquel</creatorcontrib><creatorcontrib>Moreno, Fermin</creatorcontrib><creatorcontrib>Laforce, Jr Robert</creatorcontrib><creatorcontrib>Graff, Caroline</creatorcontrib><creatorcontrib>Synofzik, Matthis</creatorcontrib><creatorcontrib>Galimberti, Daniela</creatorcontrib><creatorcontrib>Rowe, James B</creatorcontrib><creatorcontrib>Masellis, Mario</creatorcontrib><creatorcontrib>Tartaglia, Maria Carmela</creatorcontrib><creatorcontrib>Finger, Elizabeth</creatorcontrib><creatorcontrib>Vandenberghe, Rik</creatorcontrib><creatorcontrib>Mendonca, Alexandre</creatorcontrib><creatorcontrib>Tiraboschi, Pietro</creatorcontrib><creatorcontrib>Butler, Chris R</creatorcontrib><creatorcontrib>Santana, Isabel</creatorcontrib><creatorcontrib>Gerhard, Alexander</creatorcontrib><creatorcontrib>Le Ber, Isabelle</creatorcontrib><creatorcontrib>Pasquier, Florence</creatorcontrib><creatorcontrib>Ducharme, Simon</creatorcontrib><creatorcontrib>Levin, Johannes</creatorcontrib><creatorcontrib>Sorbi, Sandro</creatorcontrib><creatorcontrib>Otto, Markus</creatorcontrib><creatorcontrib>Padovani, Alessandro</creatorcontrib><creatorcontrib>Rohrer, Jonathan D</creatorcontrib><creatorcontrib>Borroni, Barbara</creatorcontrib><title>Diagnostic accuracy of research criteria for prodromal frontotemporal dementia</title><title>ALZHEIMERS RESEARCH & THERAPY</title><description>BACKGROUND: The Genetic Frontotemporal Initiative Staging Group has proposed clinical criteria for the diagnosis of prodromal frontotemporal dementia (FTD), termed mild cognitive and/or behavioral and/or motor impairment (MCBMI). The objective of the study was to validate the proposed research criteria for MCBMI-FTD in a cohort of genetically confirmed FTD cases against healthy controls. METHODS: A total of 398 participants were enrolled, 117 of whom were carriers of an FTD pathogenic variant with mild clinical symptoms, while 281 were non-carrier family members (healthy controls (HC)). A subgroup of patients underwent blood neurofilament light (NfL) levels and anterior cingulate atrophy assessment. RESULTS: The core clinical criteria correctly classified MCBMI vs HC with an AUC of 0.79 (p < 0.001), while the addition of either blood NfL or anterior cingulate atrophy significantly increased the AUC to 0.84 and 0.82, respectively (p < 0.001). The addition of both markers further increased the AUC to 0.90 (p < 0.001). CONCLUSIONS: The proposed MCBMI criteria showed very good classification accuracy for identifying the prodromal stage of FTD.</description><issn>1758-9193</issn><issn>1758-9193</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>FZOIL</sourceid><recordid>eNqVjDsLwjAURoMoWKv_IbOgpE2fsw-cnNzDJb3VaNuUm1T03-vg4KjTdw4cvhELojwtVmVUyvEXT9nMuasQWRYXScCOWwPnzjpvNAetBwL95LbmhA6B9IVrMh7JAK8t8Z5sRbaFhtdkO289tr2lt1bYYucNzNmkhsbh4rMhW-53p81hdRsaHO7Yqcr1oFHFQqVCqCguk1jlMs1LKUO2_jlW_uHlX-8vQhxR4w</recordid><startdate>20240112</startdate><enddate>20240112</enddate><creator>Benussi, Alberto</creator><creator>Premi, Enrico</creator><creator>Grassi, Mario</creator><creator>Alberici, Antonella</creator><creator>Cantoni, Valentina</creator><creator>Gazzina, Stefano</creator><creator>Archetti, Silvana</creator><creator>Gasparotti, Roberto</creator><creator>Fumagalli, Giorgio G</creator><creator>Bouzigues, 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Alexander</creator><creator>Le Ber, Isabelle</creator><creator>Pasquier, Florence</creator><creator>Ducharme, Simon</creator><creator>Levin, Johannes</creator><creator>Sorbi, Sandro</creator><creator>Otto, Markus</creator><creator>Padovani, Alessandro</creator><creator>Rohrer, Jonathan D</creator><creator>Borroni, Barbara</creator><general>BMC</general><scope>FZOIL</scope></search><sort><creationdate>20240112</creationdate><title>Diagnostic accuracy of research criteria for prodromal frontotemporal dementia</title><author>Benussi, Alberto ; Premi, Enrico ; Grassi, Mario ; Alberici, Antonella ; Cantoni, Valentina ; Gazzina, Stefano ; Archetti, Silvana ; Gasparotti, Roberto ; Fumagalli, Giorgio G ; Bouzigues, Arabella ; Russell, Lucy L ; Samra, Kiran ; Cash, David M ; Bocchetta, Martina ; Todd, Emily G ; Convery, Rhian S ; Swift, Imogen ; Sogorb-Esteve, Aitana ; Heller, Carolin ; van Swieten, John C ; Jiskoot, Lize C ; Seelaar, Harro ; Sanchez-Valle, Raquel ; Moreno, Fermin ; Laforce, Jr 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Robert</creatorcontrib><creatorcontrib>Graff, Caroline</creatorcontrib><creatorcontrib>Synofzik, Matthis</creatorcontrib><creatorcontrib>Galimberti, Daniela</creatorcontrib><creatorcontrib>Rowe, James B</creatorcontrib><creatorcontrib>Masellis, Mario</creatorcontrib><creatorcontrib>Tartaglia, Maria Carmela</creatorcontrib><creatorcontrib>Finger, Elizabeth</creatorcontrib><creatorcontrib>Vandenberghe, Rik</creatorcontrib><creatorcontrib>Mendonca, Alexandre</creatorcontrib><creatorcontrib>Tiraboschi, Pietro</creatorcontrib><creatorcontrib>Butler, Chris R</creatorcontrib><creatorcontrib>Santana, Isabel</creatorcontrib><creatorcontrib>Gerhard, Alexander</creatorcontrib><creatorcontrib>Le Ber, Isabelle</creatorcontrib><creatorcontrib>Pasquier, Florence</creatorcontrib><creatorcontrib>Ducharme, Simon</creatorcontrib><creatorcontrib>Levin, Johannes</creatorcontrib><creatorcontrib>Sorbi, Sandro</creatorcontrib><creatorcontrib>Otto, Markus</creatorcontrib><creatorcontrib>Padovani, Alessandro</creatorcontrib><creatorcontrib>Rohrer, Jonathan D</creatorcontrib><creatorcontrib>Borroni, Barbara</creatorcontrib><collection>Lirias (KU Leuven Association)</collection><jtitle>ALZHEIMERS RESEARCH & THERAPY</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benussi, Alberto</au><au>Premi, Enrico</au><au>Grassi, Mario</au><au>Alberici, Antonella</au><au>Cantoni, Valentina</au><au>Gazzina, Stefano</au><au>Archetti, Silvana</au><au>Gasparotti, Roberto</au><au>Fumagalli, Giorgio G</au><au>Bouzigues, Arabella</au><au>Russell, Lucy L</au><au>Samra, Kiran</au><au>Cash, David M</au><au>Bocchetta, Martina</au><au>Todd, Emily G</au><au>Convery, Rhian S</au><au>Swift, Imogen</au><au>Sogorb-Esteve, Aitana</au><au>Heller, Carolin</au><au>van Swieten, John C</au><au>Jiskoot, Lize C</au><au>Seelaar, Harro</au><au>Sanchez-Valle, Raquel</au><au>Moreno, Fermin</au><au>Laforce, Jr Robert</au><au>Graff, Caroline</au><au>Synofzik, Matthis</au><au>Galimberti, Daniela</au><au>Rowe, James B</au><au>Masellis, Mario</au><au>Tartaglia, Maria Carmela</au><au>Finger, Elizabeth</au><au>Vandenberghe, Rik</au><au>Mendonca, Alexandre</au><au>Tiraboschi, Pietro</au><au>Butler, Chris R</au><au>Santana, Isabel</au><au>Gerhard, Alexander</au><au>Le Ber, Isabelle</au><au>Pasquier, Florence</au><au>Ducharme, Simon</au><au>Levin, Johannes</au><au>Sorbi, Sandro</au><au>Otto, Markus</au><au>Padovani, Alessandro</au><au>Rohrer, Jonathan D</au><au>Borroni, Barbara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic accuracy of research criteria for prodromal frontotemporal dementia</atitle><jtitle>ALZHEIMERS RESEARCH & THERAPY</jtitle><date>2024-01-12</date><risdate>2024</risdate><volume>16</volume><issue>1</issue><issn>1758-9193</issn><eissn>1758-9193</eissn><abstract>BACKGROUND: The Genetic Frontotemporal Initiative Staging Group has proposed clinical criteria for the diagnosis of prodromal frontotemporal dementia (FTD), termed mild cognitive and/or behavioral and/or motor impairment (MCBMI). The objective of the study was to validate the proposed research criteria for MCBMI-FTD in a cohort of genetically confirmed FTD cases against healthy controls. METHODS: A total of 398 participants were enrolled, 117 of whom were carriers of an FTD pathogenic variant with mild clinical symptoms, while 281 were non-carrier family members (healthy controls (HC)). A subgroup of patients underwent blood neurofilament light (NfL) levels and anterior cingulate atrophy assessment. RESULTS: The core clinical criteria correctly classified MCBMI vs HC with an AUC of 0.79 (p < 0.001), while the addition of either blood NfL or anterior cingulate atrophy significantly increased the AUC to 0.84 and 0.82, respectively (p < 0.001). The addition of both markers further increased the AUC to 0.90 (p < 0.001). CONCLUSIONS: The proposed MCBMI criteria showed very good classification accuracy for identifying the prodromal stage of FTD.</abstract><pub>BMC</pub><oa>free_for_read</oa></addata></record> |
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| title | Diagnostic accuracy of research criteria for prodromal frontotemporal dementia |
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