关于 tau-PET 在临床实践和试验中的未来作用的专家调查。

IF 4 Q1 CLINICAL NEUROLOGY Alzheimer''s and Dementia: Diagnosis, Assessment and Disease Monitoring Pub Date : 2024-11-22 eCollection Date: 2024-10-01 DOI:10.1002/dad2.70033
Marie R Vermeiren, Ismael L Calandri, Wiesje M van der Flier, Elsmarieke van de Giessen, Rik Ossenkoppele
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引用次数: 0

摘要

背景:阿尔茨海默病(AD)生物标志物研究和临床试验的最新进展促使人们思考tau正电子发射断层扫描(tau-PET)的价值以及未来的适当使用:我们对全球痴呆症和PET专家进行了在线调查,以了解tau-PET未来在临床实践和试验中的预期作用:共有 268 名痴呆症专家参加了调查,其中包括 143 名临床医生和 121 名研究人员,遍布六大洲。绝大多数专家(90%)对tau-PET在临床实践中的附加值持积极态度,尤其是在认知障碍记忆门诊人群的分期、诊断、监测和预后方面。专家们预计,在抗淀粉样蛋白和抗tau药物试验中,tau-PET将在参与者选择(76%-100%)和终点测量(75%-97%)方面发挥重要作用:讨论:我们的全球调查研究表明,痴呆症专家们认为tau-PET在未来的临床实践和药物试验中将发挥重要作用,超越目前的指南和实践:专家指出,tau-PET扫描可影响患者管理。专家预计,tau-PET可用于药物试验中的参与者选择和终点检测。
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Survey among experts on the future role of tau-PET in clinical practice and trials.

Background: Recent advancements in Alzheimer's disease (AD) biomarker research and clinical trials prompt reflection on the value and consequently appropriate use of tau positron emission tomography (tau-PET) in the future.

Methods: We conducted an online survey among dementia and PET experts worldwide to investigate the anticipated future role of tau-PET in clinical practice and trials.

Results: Two hundred sixty-eight dementia experts, comprising 143 clinicians and 121 researchers, covering six continents participated. The vast majority (90%) fostered a positive attitude toward the added value of tau-PET in clinical practice, particularly for staging, diagnosing, monitoring, and prognostication in a cognitively impaired memory clinic population. Experts anticipated an important role for tau-PET for participant selection (76%-100%) and measuring endpoints (75%-97%), in both anti-amyloid and anti-tau drug trials.

Discussion: Our global survey study shows that dementia experts envision an important role for tau-PET in the future, both in clinical practice and in drug trials, beyond current guidelines and practices.

Highlights: Dementia experts envision an important role for tau-PET in the future.Experts indicate that a tau-PET scan could influence patient management.Experts anticipate the utility of tau-PET for participant selection and endpoints in drug trials.There is a gap between the anticipated usefulness of tau-PET and current clinical practices.

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来源期刊
CiteScore
7.80
自引率
7.50%
发文量
101
审稿时长
8 weeks
期刊介绍: Alzheimer''s & Dementia: Diagnosis, Assessment & Disease Monitoring (DADM) is an open access, peer-reviewed, journal from the Alzheimer''s Association® that will publish new research that reports the discovery, development and validation of instruments, technologies, algorithms, and innovative processes. Papers will cover a range of topics interested in the early and accurate detection of individuals with memory complaints and/or among asymptomatic individuals at elevated risk for various forms of memory disorders. The expectation for published papers will be to translate fundamental knowledge about the neurobiology of the disease into practical reports that describe both the conceptual and methodological aspects of the submitted scientific inquiry. Published topics will explore the development of biomarkers, surrogate markers, and conceptual/methodological challenges. Publication priority will be given to papers that 1) describe putative surrogate markers that accurately track disease progression, 2) biomarkers that fulfill international regulatory requirements, 3) reports from large, well-characterized population-based cohorts that comprise the heterogeneity and diversity of asymptomatic individuals and 4) algorithmic development that considers multi-marker arrays (e.g., integrated-omics, genetics, biofluids, imaging, etc.) and advanced computational analytics and technologies.
期刊最新文献
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