Skip to main content

Advertisement

Log in

Confirmation rate of blinded 99mTc-SPECT compared to neurochemical dementia biomarkers in CSF in patients with Alzheimer disease

  • Dementias - Short Communication
  • Published:
Journal of Neural Transmission Aims and scope Submit manuscript

Abstract

In Alzheimer disease, CSF biomarkers and nuclear imaging are of particular interest. Many studies investigated only one technique, limiting comparison. Here, in 76 patients blinded 99mTc-SPECT was compared to CSF. Sensitivity of CSF was 92%; and 51% for SPECT. Specificity favored SPECT (90 vs. 80%). Both techniques showed no coherence (p = 0.17–0.47). Our results confirm that CSF biomarkers show higher sensitivity. SPECT has higher specificity and can also be used for other dementias without established CSF biomarkers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  • Ashford JW, Shih WJ, Coupal J, Shetty R, Schneider A, Cool C, Aleem A, Kiefer VH, Mendiondo MS, Schmitt FA (2000) Single SPECT measures of cerebral cortical perfusion reflect time-index estimation of dementia severity in Alzheimer’s disease. J Nucl Med 41(1):57–64

    CAS  PubMed  Google Scholar 

  • Dougall NJ, Bruggink S, Ebmeier KP (2004) Systematic review of the diagnostic accuracy of 99 mTc-HMPAO-SPECT in dementia. Am J Geriatr Psychiatry 12(6):554–570

    PubMed  Google Scholar 

  • Fink GR (2008) Herausforderungen in der Diagnostik demenzieller Erkrankungen. Fortschr Neurol Psychiatr 76(8):445–446

    Article  CAS  PubMed  Google Scholar 

  • Hansson O, Zetterberg H, Buchhave P, Londos E, Blennow K, Minthon L (2006) Association between CSF biomarkers and incipient Alzheimer’s disease in patients with mild cognitive impairment: a follow-up study. Lancet Neurol 5(3):228–234

    Article  CAS  PubMed  Google Scholar 

  • Jobst KA, Barnetson LP, Shepstone BJ (1998) Accurate prediction of histologically confirmed Alzheimer’s disease and the differential diagnosis of dementia: the use of nincds-adrda and DSM-III-R criteria, SPECT, X-ray CT, and apo e4 in medial temporal lobe dementias. Oxford project to investigate memory and aging. Int Psychogeriatr 10(3):271–302

    Article  CAS  PubMed  Google Scholar 

  • Lewczuk P, Esselmann H, Bibl M, Beck G, Maler JM, Otto M, Kornhuber J, Wiltfang J (2004a) Tau protein phosphorylated at threonine 181 in csf as a neurochemical biomarker in Alzheimer’s disease: original data and review of the literature. J Mol Neurosci 23(1–2):115–122

    Article  CAS  PubMed  Google Scholar 

  • Lewczuk P, Esselmann H, Otto M, Maler JM, Henkel AW, Henkel MK, Eikenberg O, Antz C, Krause WR, Reulbach U, Kornhuber J, Wiltfang J (2004b) Neurochemical diagnosis of Alzheimer’s dementia by csf abeta42, abeta42/abeta40 ratio and total tau. Neurobiol Aging 25(3):273–281

    Article  CAS  PubMed  Google Scholar 

  • Lewczuk P, Kornhuber J, Vanderstichele H, Vanmechelen E, Esselmann H, Bibl M, Wolf S, Otto M, Reulbach U, Kolsch H, Jessen F, Schroder J, Schonknecht P, Hampel H, Peters O, Weimer E, Perneczky R, Jahn H, Luckhaus C, Lamla U, Supprian T, Maler JM, Wiltfang J (2008) Multiplexed quantification of dementia biomarkers in the CSF of patients with early dementias and MCI: a multicenter study. Neurobiol Aging 29(6):812–818

    Article  CAS  PubMed  Google Scholar 

  • Lewczuk P, Zimmermann R, Wiltfang J, Kornhuber J (2009) Neurochemical dementia diagnostics: a simple algorithm for interpretation of the CSF biomarkers. J Neural Transm 116(9):1163–1167

    Article  CAS  PubMed  Google Scholar 

  • Lewczuk P, Kamrowski-Kruck H, Peters O, Heuser I, Jessen F, Popp J, Bürger K, Hampel H, Frölich L, Wolf S, Prinz B, Jahn H, Luckhaus C, Perneczky R, Hüll M, Schröder J, Kessler H, Pantel J, Gertz HJ, Klafki HW, Kölsch H, Reulbach U, Esselmann H, Maler JM, Bibl M, Kornhuber J, Wiltfang J (2010) Soluble amyloid precursor proteins in the cerebrospinal fluid as novel potential biomarkers of Alzheimer’s disease: a multicenter study. Mol Psychiatry 15(2):138–145

    Google Scholar 

  • Lobotesis K, Fenwick JD, Phipps A, Ryman A, Swann A, Ballard C, McKeith IG, O’Brien JT (2001) Occipital hypoperfusion on spect in dementia with lewy bodies but not ad. Neurology 56(5):643–649

    CAS  PubMed  Google Scholar 

  • Merhof D, Markiewicz PJ, Platsch G, Declerck J, Weih M, Kornhuber J, Kuwert T, Matthews JC, Herholz K (2010) Optimized data preprocessing for multivariate analysis applied to (99m)tc-ecd spect data sets of Alzheimer’s patients and asymptomatic controls. J Cereb Blood Flow Metab (Epub ahead of print)

  • Okamura N, Arai H, Maruyama M, Higuchi M, Matsui T, Tanji H, Seki T, Hirai H, Chiba H, Itoh M, Sasaki H (2002) Combined analysis of CSF Tau levels and [(123)i]iodoamphetamine spect in mild cognitive impairment: implications for a novel predictor of Alzheimer’s disease. Am J Psychiatry 159(3):474–476

    Article  PubMed  Google Scholar 

  • Rodda J, Okello A, Edison P, Dannhauser T, Brooks DJ, Walker Z (2010) (11)C-PIB PET in subjective cognitive impairment. Eur Psychiatry 25(2):123–125

    Article  CAS  PubMed  Google Scholar 

  • Shih WJ, Ashford JW, Coupal JJ, Ryo YU, Stipp VV, Magoun SL, Gross K (1999) Consecutive brain SPECT surface three-dimensional displays show progression of cerebral cortical abnormalities in Alzheimer’s disease. Clin Nucl Med 24(10):773–777

    Article  PubMed  Google Scholar 

  • Tsolaki M, Sakka V, Gerasimou G, Dimacopoulos N, Chatzizisi O, Fountoulakis KN, Kyriazis G, Papanastasiou J, Kazis A (2001) Correlation of rCBF (SPECT), CSF Tau, and cognitive function in patients with dementia of the Alzheimer’s type, other types of dementia, and control subjects. Am J Alzheimers Dis Other Demen 16(1):21–31

    Article  CAS  PubMed  Google Scholar 

  • Wallesch CW (2007) Verbesserte Demenzdiagnostik - und wie weiter? Fortschr Neurol Psychiatr 75(12):691–693

    Article  PubMed  Google Scholar 

  • Weih M, Sulimma A-K, Lehfeld H, Niklewski G, Sonnenberg M, Richter-Schmidinger T, Alexopoulos P, Grässel E, Kornhuber J (2009) Vergleich der Therapiekonstanz von zwei regional benachbarten Gedächtnissprechstunden mit unterschiedlicher Struktur. Fortschr Neurol Psychiatr 77(4):212–217

    Article  CAS  PubMed  Google Scholar 

  • Zimmermann R, Beck G, Knispel S, Maler JM, Weih M, Wiltfang J, Kornhuber J, Lewczuk P (2010) Intrathecal IgG synthesis in patients with alterations in the neurochemical dementia diagnostics. J Alzheimers Dis 19(4):1199–1203

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Markus Weih.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schmidt, D., Zimmermann, R., Lewczuk, P. et al. Confirmation rate of blinded 99mTc-SPECT compared to neurochemical dementia biomarkers in CSF in patients with Alzheimer disease. J Neural Transm 117, 1111–1114 (2010). https://doi.org/10.1007/s00702-010-0459-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00702-010-0459-7

Keywords

Navigation