期刊
ALZHEIMERS & DEMENTIA
卷 11, 期 7, 页码 815-822出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jalz.2015.05.010
关键词
Alzheimer's Disease Neuroimaging Initiative; Autopsy consent; Neuropathology; Lewy body; Comorbidity; Pathology heat map
资金
- ADNI (National Institutes of Health) [U01 AG024904]
- NIA, NIBIB
- Canadian Institutes of Health Research
- Charles F. and Joanne Knight Alzheimer's Research Initiative of the Washington University Alzheimer's Disease Research Center [P50 AG05681, P01 AG03991]
- DIAN from the National Institute on Aging [UF1 AG032438]
- Fred Simmons and Olga Mohan
- German Center for Neurodegenerative Diseases (DZNE)
Introduction: The Alzheimer's Disease Neuroimaging Initiative Neuropathology Core (ADNI-NPC) facilitates brain donation, ensures standardized neuropathologic assessments, and maintains a tissue resource for research. Methods: The ADNI-NPC coordinates with performance sites to promote autopsy consent, facilitate tissue collection and autopsy administration, and arrange sample delivery to the NPC, for assessment using National Institute on Aging-Alzheimer's Association neuropathologic diagnostic criteria. Results: The ADNI-NPC has obtained 45 participant specimens, and neuropathologic assessments have been completed in 36 to date. Challenges in obtaining consent at some sites have limited the voluntary autopsy rate to 58%. Among assessed cases, clinical diagnostic accuracy for Alzheimer disease (AD) is 97%; however, 58% of cases show neuropathologic comorbidities. Discussion: Challenges facing autopsy consent and coordination are largely resource related. The neuropathologic assessments indicate that ADNI's clinical diagnostic accuracy for AD is high; however, many AD cases have comorbidities that may impact the clinical presentation, course, and imaging and biomarker results. These neuropathologic data permit multimodal and genetic studies of these comorbidities to improve diagnosis and provide etiologic insights. (C) 2015 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.
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