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@ARTICLE{Ashton:155430,
author = {Ashton, N. J. and Leuzy, A. and Karikari, T. K. and
Mattsson-Carlgren, N. and Dodich, A. and Boccardi, M. and
Corre, J. and Drzezga, Alexander and Nordberg, A. and
Ossenkoppele, R. and Zetterberg, H. and Blennow, K. and
Frisoni, Giovanni B and Garibotto, V. and Hansson, O.},
title = {{T}he validation status of blood biomarkers of amyloid and
phospho-tau assessed with the 5-phase development framework
for {AD} biomarkers.},
journal = {European journal of nuclear medicine and molecular imaging},
volume = {48},
number = {7},
issn = {1619-7089},
address = {Heidelberg [u.a.]},
publisher = {Springer-Verl.},
reportid = {DZNE-2021-00636},
pages = {2140 - 2156},
year = {2021},
abstract = {The development of blood biomarkers that reflect
Alzheimer's disease (AD) pathophysiology (phosphorylated tau
and amyloid-β) has offered potential as scalable tests for
dementia differential diagnosis and early detection. In
2019, the Geneva AD Biomarker Roadmap Initiative included
blood biomarkers in the systematic validation of AD
biomarkers.A panel of experts convened in November 2019 at a
two-day workshop in Geneva. The level of maturity (fully
achieved, partly achieved, preliminary evidence, not
achieved, unsuccessful) of blood biomarkers was assessed
based on the Biomarker Roadmap methodology and discussed
fully during the workshop which also evaluated cerebrospinal
fluid (CSF) and positron emission tomography (PET)
biomarkers.Plasma p-tau has shown analytical validity (phase
2 primary aim 1) and first evidence of clinical validity
(phase 3 primary aim 1), whereas the maturity level for Aβ
remains to be partially achieved. Full and partial
achievement has been assigned to p-tau and Aβ,
respectively, in their associations to ante-mortem measures
(phase 2 secondary aim 2). However, only preliminary
evidence exists for the influence of covariates, assay
comparison and cut-off criteria.Despite the relative infancy
of blood biomarkers, in comparison to CSF biomarkers, much
has already been achieved for phases 1 through 3 - with
p-tau having greater success in detecting AD and predicting
disease progression. However, sufficient data about the
effect of covariates on the biomarker measurement is
lacking. No phase 4 (real-world performance) or phase 5
(assessment of impact/cost) aim has been tested, thus not
achieved.},
subtyp = {Review Article},
keywords = {Alzheimer Disease: diagnostic imaging / Amyloid
beta-Peptides / Biomarkers / Humans / Peptide Fragments /
Tomography, X-Ray Computed / tau Proteins / Alzheimer’s
disease (Other) / Aβ40 (Other) / Aβ42 (Other) / Blood
(Other) / P-tau (Other) / Strategic roadmap (Other) /
Amyloid beta-Peptides (NLM Chemicals) / Biomarkers (NLM
Chemicals) / Peptide Fragments (NLM Chemicals) / tau
Proteins (NLM Chemicals)},
cin = {AG Boccardi / Rostock / Greifswald common},
ddc = {610},
cid = {I:(DE-2719)5000062 / I:(DE-2719)6000017},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:33677733},
pmc = {pmc:PMC8175325},
doi = {10.1007/s00259-021-05253-y},
url = {https://pub.dzne.de/record/155430},
}