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Background::According to the amyloid, tau, neurodegeneration research framework classification, amyloid and tau positive (A+T+) mild cognitive impairment (MCI) individuals are defined as prodromal Alzheimer disease. This study was designed to compare the clinical and biomarker features between A+T+MCI individuals who progressed to progressive MCI (pMCI) and those who remained stable MCI (sMCI), and to identify relevant baseline clinical biomarker and features that could be used to predict progression to dementia within 2 years.Methods::We stratified 197 A+T+MCI individuals into pMCI ( n = 64) and sMCI ( n = 133) over 2 years. Demographics and cognitive assessment scores, cerebrospinal fluid (CSF), and neuroimaging biomarkers ( 18F-florbetapir positron emission tomography mean standardized uptake value ratios [SUVR] and structural magnetic resonance imaging [MRI]) were compared between pMCI and sMCI at baseline, 12- and 24-month follow-up. Logistic regression models then were used to evaluate

作者:Wei Hong-Chun;Li Bing;Ng Kok Pin;Fu Qing-Xi;Dong Sheng-Jie;Ba Mao-Wen;Kong Min

来源:中华医学杂志英文版 2021 年 134卷 14期

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作者:
Wei Hong-Chun;Li Bing;Ng Kok Pin;Fu Qing-Xi;Dong Sheng-Jie;Ba Mao-Wen;Kong Min
来源:
中华医学杂志英文版 2021 年 134卷 14期
标签:
Alzheimer disease Mild cognitive impairment Amyloid and tau positive mild cognitive impairment Dementia Alzheimer disease Mild cognitive impairment Amyloid and tau positive mild cognitive impairment Dementia
Background::According to the amyloid, tau, neurodegeneration research framework classification, amyloid and tau positive (A+T+) mild cognitive impairment (MCI) individuals are defined as prodromal Alzheimer disease. This study was designed to compare the clinical and biomarker features between A+T+MCI individuals who progressed to progressive MCI (pMCI) and those who remained stable MCI (sMCI), and to identify relevant baseline clinical biomarker and features that could be used to predict progression to dementia within 2 years.Methods::We stratified 197 A+T+MCI individuals into pMCI ( n = 64) and sMCI ( n = 133) over 2 years. Demographics and cognitive assessment scores, cerebrospinal fluid (CSF), and neuroimaging biomarkers ( 18F-florbetapir positron emission tomography mean standardized uptake value ratios [SUVR] and structural magnetic resonance imaging [MRI]) were compared between pMCI and sMCI at baseline, 12- and 24-month follow-up. Logistic regression models then were used to evaluate