The diagnosis of mild cognitive impairment due to Alzheimer's disease: Recommendations from the National Institute on Aging‐Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease

Диагностика легких когнитивных нарушений вследствие болезни Альцгеймера: Рекомендации рабочих групп Национального института по проблемам старения и Ассоциации по болезни Альцгеймера по руководящим принципам диагностики болезни Альцгеймера
Steven T. DeKosky, Nick C. Fox, María C. Carrillo, Bill Thies, Creighton H. Phelps, Marilyn S. Albert, Bruno Dubois, Dennis W. Dickson, David M. Holtzman, Howard Feldman, Ronald C. Petersen, William J. Jagust, Anthony Gamst, Peter J. Snyder
2011-04-22

cerebrospinal fluid biomarkerscore clinical criteriaimaging biomarkersmild cognitive impairment due to Alzheimer's diseaseresearch criteria with biomarkers
The National Institute on Aging and the Alzheimer's Association charged a workgroup with the task of developing criteria for the symptomatic predementia phase of Alzheimer's disease (AD), referred to in this article as mild cognitive impairment due to AD. The workgroup developed the following two sets of criteria: (1) core clinical criteria that could be used by healthcare providers without access to advanced imaging techniques or cerebrospinal fluid analysis, and (2) research criteria that could be used in clinical research settings, including clinical trials. The second set of criteria incorporate the use of biomarkers based on imaging and cerebrospinal fluid measures. The final set of criteria for mild cognitive impairment due to AD has four levels of certainty, depending on the presence and nature of the biomarker findings. Considerable work is needed to validate the criteria that use biomarkers and to standardize biomarker analysis for use in community settings.
1
Final criteria specify four levels of diagnostic certainty based on presence and nature of biomarker findings.
2
Research criteria incorporate biomarkers from imaging and cerebrospinal fluid to increase diagnostic specificity.
3
Two sets of criteria were developed: core clinical criteria for use without advanced imaging or CSF analysis, and research criteria for clinical research including trials.
4
Validation and standardization of biomarker-based criteria and analyses are needed before wide community use.
5
Workgroup defined diagnostic criteria for mild cognitive impairment (MCI) due to Alzheimer’s disease (AD) targeting the symptomatic predementia phase.

Mild cognitive impairment due to Alzheimer's disease (the symptomatic predementia phase of AD)

Diagnostic criteria and levels of diagnostic certainty, including core clinical criteria and research criteria that incorporate imaging and cerebrospinal fluid biomarkers, and their validation/standardization

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2011-04-22
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Authors
Steven T. DeKosky
Nick C. Fox
María C. Carrillo
Bill Thies
Creighton H. Phelps
Marilyn S. Albert
Bruno Dubois
Dennis W. Dickson
David M. Holtzman
Howard Feldman
Ronald C. Petersen
William J. Jagust
Anthony Gamst
Peter J. Snyder
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