Investigating reliable amyloid accumulation in Centiloids: Results from the AMYPAD Prognostic and Natural History Study

INTRODUCTION To support clinical trial designs focused on early interventions, our study determined reliable early amyloid‐β (Aβ) accumulation based on Centiloids (CL) in pre‐dementia populations. METHODS A total of 1032 participants from the Amyloid Imaging to Prevent Alzheimer's Disease–Progn...

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Veröffentlicht in:Alzheimer's & dementia 2024-05, Vol.20 (5), p.3429-3441
Hauptverfasser: Bollack, Ariane, Collij, Lyduine E., García, David Vállez, Shekari, Mahnaz, Altomare, Daniele, Payoux, Pierre, Dubois, Bruno, Grau‐Rivera, Oriol, Boada, Mercè, Marquié, Marta, Nordberg, Agneta, Walker, Zuzana, Scheltens, Philip, Schöll, Michael, Wolz, Robin, Schott, Jonathan M., Gismondi, Rossella, Stephens, Andrew, Buckley, Christopher, Frisoni, Giovanni B., Hanseeuw, Bernard, Visser, Pieter Jelle, Vandenberghe, Rik, Drzezga, Alexander, Yaqub, Maqsood, Boellaard, Ronald, Gispert, Juan Domingo, Markiewicz, Pawel, Cash, David M., Farrar, Gill, Barkhof, Frederik
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container_end_page 3441
container_issue 5
container_start_page 3429
container_title Alzheimer's & dementia
container_volume 20
creator Bollack, Ariane
Collij, Lyduine E.
García, David Vállez
Shekari, Mahnaz
Altomare, Daniele
Payoux, Pierre
Dubois, Bruno
Grau‐Rivera, Oriol
Boada, Mercè
Marquié, Marta
Nordberg, Agneta
Walker, Zuzana
Scheltens, Philip
Schöll, Michael
Wolz, Robin
Schott, Jonathan M.
Gismondi, Rossella
Stephens, Andrew
Buckley, Christopher
Frisoni, Giovanni B.
Hanseeuw, Bernard
Visser, Pieter Jelle
Vandenberghe, Rik
Drzezga, Alexander
Yaqub, Maqsood
Boellaard, Ronald
Gispert, Juan Domingo
Markiewicz, Pawel
Cash, David M.
Farrar, Gill
Barkhof, Frederik
description INTRODUCTION To support clinical trial designs focused on early interventions, our study determined reliable early amyloid‐β (Aβ) accumulation based on Centiloids (CL) in pre‐dementia populations. METHODS A total of 1032 participants from the Amyloid Imaging to Prevent Alzheimer's Disease–Prognostic and Natural History Study (AMYPAD‐PNHS) and Insight46 who underwent [18F]flutemetamol, [18F]florbetaben or [18F]florbetapir amyloid‐PET were included. A normative strategy was used to define reliable accumulation by estimating the 95th percentile of longitudinal measurements in sub‐populations (NPNHS = 101/750, NInsight46 = 35/382) expected to remain stable over time. The baseline CL threshold that optimally predicts future accumulation was investigated using precision‐recall analyses. Accumulation rates were examined using linear mixed‐effect models. RESULTS Reliable accumulation in the PNHS was estimated to occur at >3.0 CL/year. Baseline CL of 16 [12,19] best predicted future Aβ‐accumulators. Rates of amyloid accumulation were tracer‐independent, lower for APOE ε4 non‐carriers, and for subjects with higher levels of education. DISCUSSION Our results support a 12–20 CL window for inclusion into early secondary prevention studies. Reliable accumulation definition warrants further investigations.
doi_str_mv 10.1002/alz.13761
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METHODS A total of 1032 participants from the Amyloid Imaging to Prevent Alzheimer's Disease–Prognostic and Natural History Study (AMYPAD‐PNHS) and Insight46 who underwent [18F]flutemetamol, [18F]florbetaben or [18F]florbetapir amyloid‐PET were included. A normative strategy was used to define reliable accumulation by estimating the 95th percentile of longitudinal measurements in sub‐populations (NPNHS = 101/750, NInsight46 = 35/382) expected to remain stable over time. The baseline CL threshold that optimally predicts future accumulation was investigated using precision‐recall analyses. Accumulation rates were examined using linear mixed‐effect models. RESULTS Reliable accumulation in the PNHS was estimated to occur at &gt;3.0 CL/year. Baseline CL of 16 [12,19] best predicted future Aβ‐accumulators. Rates of amyloid accumulation were tracer‐independent, lower for APOE ε4 non‐carriers, and for subjects with higher levels of education. DISCUSSION Our results support a 12–20 CL window for inclusion into early secondary prevention studies. Reliable accumulation definition warrants further investigations.</description><identifier>ISSN: 1552-5260</identifier><identifier>ISSN: 1552-5279</identifier><identifier>EISSN: 1552-5279</identifier><identifier>DOI: 10.1002/alz.13761</identifier><identifier>PMID: 38574374</identifier><language>eng</language><publisher>United States: Alzheimer's Association / Wiley</publisher><subject>Aged ; Alzheimer Disease - diagnostic imaging ; Alzheimer Disease - metabolism ; Alzheimer's ; amyloid ; Amyloid beta-Peptides - metabolism ; Aniline Compounds ; Benzothiazoles ; Brain - diagnostic imaging ; Brain - metabolism ; Centiloid ; Clinical Medicine ; Female ; Geriatrics ; Geriatrik ; Humans ; Klinisk medicin ; Life Sciences ; longitudinal PET ; Longitudinal Studies ; Male ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Middle Aged ; Neurosciences ; Neurovetenskaper ; Positron-Emission Tomography ; Prognosis ; quantification ; reliable accumulation ; Stilbenes</subject><ispartof>Alzheimer's &amp; dementia, 2024-05, Vol.20 (5), p.3429-3441</ispartof><rights>2024 The Authors. published by Wiley Periodicals LLC on behalf of Alzheimer's Association.</rights><rights>2024 The Authors. 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METHODS A total of 1032 participants from the Amyloid Imaging to Prevent Alzheimer's Disease–Prognostic and Natural History Study (AMYPAD‐PNHS) and Insight46 who underwent [18F]flutemetamol, [18F]florbetaben or [18F]florbetapir amyloid‐PET were included. A normative strategy was used to define reliable accumulation by estimating the 95th percentile of longitudinal measurements in sub‐populations (NPNHS = 101/750, NInsight46 = 35/382) expected to remain stable over time. The baseline CL threshold that optimally predicts future accumulation was investigated using precision‐recall analyses. Accumulation rates were examined using linear mixed‐effect models. RESULTS Reliable accumulation in the PNHS was estimated to occur at &gt;3.0 CL/year. Baseline CL of 16 [12,19] best predicted future Aβ‐accumulators. Rates of amyloid accumulation were tracer‐independent, lower for APOE ε4 non‐carriers, and for subjects with higher levels of education. DISCUSSION Our results support a 12–20 CL window for inclusion into early secondary prevention studies. 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Collij, Lyduine E. ; García, David Vállez ; Shekari, Mahnaz ; Altomare, Daniele ; Payoux, Pierre ; Dubois, Bruno ; Grau‐Rivera, Oriol ; Boada, Mercè ; Marquié, Marta ; Nordberg, Agneta ; Walker, Zuzana ; Scheltens, Philip ; Schöll, Michael ; Wolz, Robin ; Schott, Jonathan M. ; Gismondi, Rossella ; Stephens, Andrew ; Buckley, Christopher ; Frisoni, Giovanni B. ; Hanseeuw, Bernard ; Visser, Pieter Jelle ; Vandenberghe, Rik ; Drzezga, Alexander ; Yaqub, Maqsood ; Boellaard, Ronald ; Gispert, Juan Domingo ; Markiewicz, Pawel ; Cash, David M. ; Farrar, Gill ; Barkhof, Frederik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5551-a466bffdf7121ca03d812c9721df12d22dfb42211f836f1ecefafd07690045ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Alzheimer Disease - diagnostic imaging</topic><topic>Alzheimer Disease - metabolism</topic><topic>Alzheimer's</topic><topic>amyloid</topic><topic>Amyloid beta-Peptides - metabolism</topic><topic>Aniline Compounds</topic><topic>Benzothiazoles</topic><topic>Brain - diagnostic imaging</topic><topic>Brain - metabolism</topic><topic>Centiloid</topic><topic>Clinical Medicine</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Geriatrik</topic><topic>Humans</topic><topic>Klinisk medicin</topic><topic>Life Sciences</topic><topic>longitudinal PET</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical and Health Sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Neurovetenskaper</topic><topic>Positron-Emission Tomography</topic><topic>Prognosis</topic><topic>quantification</topic><topic>reliable accumulation</topic><topic>Stilbenes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bollack, Ariane</creatorcontrib><creatorcontrib>Collij, Lyduine E.</creatorcontrib><creatorcontrib>García, David Vállez</creatorcontrib><creatorcontrib>Shekari, Mahnaz</creatorcontrib><creatorcontrib>Altomare, Daniele</creatorcontrib><creatorcontrib>Payoux, Pierre</creatorcontrib><creatorcontrib>Dubois, Bruno</creatorcontrib><creatorcontrib>Grau‐Rivera, Oriol</creatorcontrib><creatorcontrib>Boada, Mercè</creatorcontrib><creatorcontrib>Marquié, Marta</creatorcontrib><creatorcontrib>Nordberg, Agneta</creatorcontrib><creatorcontrib>Walker, Zuzana</creatorcontrib><creatorcontrib>Scheltens, Philip</creatorcontrib><creatorcontrib>Schöll, Michael</creatorcontrib><creatorcontrib>Wolz, Robin</creatorcontrib><creatorcontrib>Schott, Jonathan M.</creatorcontrib><creatorcontrib>Gismondi, Rossella</creatorcontrib><creatorcontrib>Stephens, Andrew</creatorcontrib><creatorcontrib>Buckley, Christopher</creatorcontrib><creatorcontrib>Frisoni, Giovanni B.</creatorcontrib><creatorcontrib>Hanseeuw, Bernard</creatorcontrib><creatorcontrib>Visser, Pieter Jelle</creatorcontrib><creatorcontrib>Vandenberghe, Rik</creatorcontrib><creatorcontrib>Drzezga, Alexander</creatorcontrib><creatorcontrib>Yaqub, Maqsood</creatorcontrib><creatorcontrib>Boellaard, Ronald</creatorcontrib><creatorcontrib>Gispert, Juan Domingo</creatorcontrib><creatorcontrib>Markiewicz, Pawel</creatorcontrib><creatorcontrib>Cash, David M.</creatorcontrib><creatorcontrib>Farrar, Gill</creatorcontrib><creatorcontrib>Barkhof, Frederik</creatorcontrib><creatorcontrib>AMYPAD consortium</creatorcontrib><creatorcontrib>AMYPAD Consortium</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><collection>SWEPUB Lunds universitet full text</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Lunds universitet</collection><collection>SwePub Articles full text</collection><jtitle>Alzheimer's &amp; dementia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bollack, Ariane</au><au>Collij, Lyduine E.</au><au>García, David Vállez</au><au>Shekari, Mahnaz</au><au>Altomare, Daniele</au><au>Payoux, Pierre</au><au>Dubois, Bruno</au><au>Grau‐Rivera, Oriol</au><au>Boada, Mercè</au><au>Marquié, Marta</au><au>Nordberg, Agneta</au><au>Walker, Zuzana</au><au>Scheltens, Philip</au><au>Schöll, Michael</au><au>Wolz, Robin</au><au>Schott, Jonathan M.</au><au>Gismondi, Rossella</au><au>Stephens, Andrew</au><au>Buckley, Christopher</au><au>Frisoni, Giovanni B.</au><au>Hanseeuw, Bernard</au><au>Visser, Pieter Jelle</au><au>Vandenberghe, Rik</au><au>Drzezga, Alexander</au><au>Yaqub, Maqsood</au><au>Boellaard, Ronald</au><au>Gispert, Juan Domingo</au><au>Markiewicz, Pawel</au><au>Cash, David M.</au><au>Farrar, Gill</au><au>Barkhof, Frederik</au><aucorp>AMYPAD consortium</aucorp><aucorp>AMYPAD Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Investigating reliable amyloid accumulation in Centiloids: Results from the AMYPAD Prognostic and Natural History Study</atitle><jtitle>Alzheimer's &amp; dementia</jtitle><addtitle>Alzheimers Dement</addtitle><date>2024-05</date><risdate>2024</risdate><volume>20</volume><issue>5</issue><spage>3429</spage><epage>3441</epage><pages>3429-3441</pages><issn>1552-5260</issn><issn>1552-5279</issn><eissn>1552-5279</eissn><abstract>INTRODUCTION To support clinical trial designs focused on early interventions, our study determined reliable early amyloid‐β (Aβ) accumulation based on Centiloids (CL) in pre‐dementia populations. METHODS A total of 1032 participants from the Amyloid Imaging to Prevent Alzheimer's Disease–Prognostic and Natural History Study (AMYPAD‐PNHS) and Insight46 who underwent [18F]flutemetamol, [18F]florbetaben or [18F]florbetapir amyloid‐PET were included. A normative strategy was used to define reliable accumulation by estimating the 95th percentile of longitudinal measurements in sub‐populations (NPNHS = 101/750, NInsight46 = 35/382) expected to remain stable over time. The baseline CL threshold that optimally predicts future accumulation was investigated using precision‐recall analyses. Accumulation rates were examined using linear mixed‐effect models. RESULTS Reliable accumulation in the PNHS was estimated to occur at &gt;3.0 CL/year. Baseline CL of 16 [12,19] best predicted future Aβ‐accumulators. Rates of amyloid accumulation were tracer‐independent, lower for APOE ε4 non‐carriers, and for subjects with higher levels of education. DISCUSSION Our results support a 12–20 CL window for inclusion into early secondary prevention studies. Reliable accumulation definition warrants further investigations.</abstract><cop>United States</cop><pub>Alzheimer's Association / Wiley</pub><pmid>38574374</pmid><doi>10.1002/alz.13761</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-2617-3009</orcidid><orcidid>https://orcid.org/0000-0002-0660-0950</orcidid><orcidid>https://orcid.org/0000-0003-3543-3706</orcidid><orcidid>https://orcid.org/0000-0003-1336-6768</orcidid><orcidid>https://orcid.org/0000-0001-6263-1762</orcidid><orcidid>https://orcid.org/0000-0003-3308-3167</orcidid><orcidid>https://orcid.org/0000-0003-1905-8993</orcidid><orcidid>https://orcid.org/0000-0001-7346-8200</orcidid><orcidid>https://orcid.org/0000-0002-3114-0773</orcidid><orcidid>https://orcid.org/0000-0002-9169-7530</orcidid><orcidid>https://orcid.org/0000-0002-6155-0642</orcidid><orcidid>https://orcid.org/0000-0001-7833-616X</orcidid><orcidid>https://orcid.org/0000-0001-5052-6586</orcidid><orcidid>https://orcid.org/0000-0002-3102-6778</orcidid><orcidid>https://orcid.org/0000-0002-4730-5341</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1552-5260
ispartof Alzheimer's & dementia, 2024-05, Vol.20 (5), p.3429-3441
issn 1552-5260
1552-5279
1552-5279
language eng
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source Wiley Online Library - AutoHoldings Journals; MEDLINE; Wiley Online Library Open Access; PubMed Central; SWEPUB Freely available online; PubMed Central Open Access
subjects Aged
Alzheimer Disease - diagnostic imaging
Alzheimer Disease - metabolism
Alzheimer's
amyloid
Amyloid beta-Peptides - metabolism
Aniline Compounds
Benzothiazoles
Brain - diagnostic imaging
Brain - metabolism
Centiloid
Clinical Medicine
Female
Geriatrics
Geriatrik
Humans
Klinisk medicin
Life Sciences
longitudinal PET
Longitudinal Studies
Male
Medical and Health Sciences
Medicin och hälsovetenskap
Middle Aged
Neurosciences
Neurovetenskaper
Positron-Emission Tomography
Prognosis
quantification
reliable accumulation
Stilbenes
title Investigating reliable amyloid accumulation in Centiloids: Results from the AMYPAD Prognostic and Natural History Study
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