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dc.rights.licenseopenen_US
dc.contributor.authorACKLEY, Sarah
dc.contributor.authorCALMASINI, Camilla
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBOUTELOUP, Vincent
dc.contributor.authorHILL-JARRETT, Tanisha G
dc.contributor.authorSWINNERTON, Kaitlin N
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCHENE, Genevieve
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDUFOUIL, Carole
dc.contributor.authorGLYMOUR, M M
dc.date.accessioned2024-09-20T12:40:43Z
dc.date.available2024-09-20T12:40:43Z
dc.date.issued2024-03-26
dc.identifier.issn1526-632Xen_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/201712
dc.description.abstractEnGlobal amyloid-PET is associated with cognition and cognitive decline, but most research on this association does not account for past cognitive information. We assessed the prognostic benefit of amyloid-PET measures for future cognition when prior cognitive assessments are available, evaluating the added value of amyloid measures beyond information on multiple past cognitive assessments. The French MEMENTO cohort (a cohort of outpatients from French research memory centers to improve knowledge on Alzheimer disease and related disorders) includes older outpatients with incipient cognitive changes, but no dementia diagnosis at inclusion. Global amyloid burden was assessed using positron emission tomography (amyloid-PET) for a subset of participants; semiannual cognitive testing was subsequently performed. We predicted mini-mental state examination (MMSE) scores using demographic characteristics (age, sex, marital status, and education) alone or in combination with information on prior cognitive measures. The added value of amyloid burden as a predictor in these models was evaluated with percent reduction of the mean squared error (MSE). All models were conducted separately for evaluating the added value of dichotomous amyloid positivity status compared with a continuous amyloid-standardized uptake-value ratio. Our analytic sample comprised 510 individuals who underwent amyloid-PET scans with at least 4 MMSE assessments. The mean age at the PET scan was 71.6 (standard deviation 7.4) years; 60.7% were female. The median follow-up was 4.6 years (interquartile range: 0.9 years). Adding amyloid burden when adjusting for only demographic characteristics reduced the MSE of predictions by 5.08% (95% CI 0.97%-10.86%) and 12.64% (95% CI 3.35%-25.28%) for binary and continuous amyloid, respectively. If the model included 1 past MMSE measure, the MSE improvement was 3.51% (95% CI 1.01%-7.28%) when adding binary amyloid and 8.83% (95% CI 2.63%-16.37%) when adding continuous amyloid. Improvements in model fit were smaller with the addition of amyloid burden when more than 1 past cognitive assessment was included. For all models incorporating past cognitive assessments, differences in predictions amounted to a fraction of 1 MMSE point on average. In a clinical setting, global amyloid burden did not appreciably improve cognitive predictions when past cognitive assessments were available. ClinicalTrials.gov Identifier: NCT02164643.
dc.language.isoENen_US
dc.subject.enHumans
dc.subject.enFemale
dc.subject.enMale
dc.subject.enAmyloid beta-Peptides
dc.subject.enCognition
dc.subject.enAmyloid
dc.subject.enCognitive Dysfunction
dc.subject.enPositron-Emission Tomography
dc.subject.enAlzheimer Disease
dc.subject.enAmyloidogenic Proteins
dc.title.enContribution of Global Amyloid-PET Imaging for Predicting Future Cognition in the MEMENTO Cohort
dc.title.alternativeNeurologyen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1212/WNL.0000000000208054en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed38412412en_US
bordeaux.journalNeurologyen_US
bordeaux.pagee208054en_US
bordeaux.volume102en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue6en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDFondation Plan Alzheimeren_US
bordeaux.identifier.funderIDFujirebio Europeen_US
bordeaux.identifier.funderIDAvid Radiopharmaceuticalsen_US
bordeaux.identifier.funderIDGE Healthcareen_US
bordeaux.import.sourcepubmed
hal.identifierhal-04703924
hal.version1
hal.date.transferred2024-09-20T12:40:45Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Neurology&rft.date=2024-03-26&rft.volume=102&rft.issue=6&rft.spage=e208054&rft.epage=e208054&rft.eissn=1526-632X&rft.issn=1526-632X&rft.au=ACKLEY,%20Sarah&CALMASINI,%20Camilla&BOUTELOUP,%20Vincent&HILL-JARRETT,%20Tanisha%20G&SWINNERTON,%20Kaitlin%20N&rft.genre=article


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