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@ARTICLE{Krtvelyessy:281123,
author = {Körtvelyessy, Peter and Arslan, Burak and Nietiet, Jonah
and Leithner, Christoph and Hühnchen, Petra and Böhmerle,
Wolfgang and Endres, Matthias and Ploner, Christoph J and
Audebert, Heiner and Hahn, Katrin and Meyer, Thomas and
Lüschow, Andreas and Weiss, Claudia and Biztan,
Lisa-Valerie and Spethmann, Sebastian and Graw, Adriaan J
and Unterwalder, Nadine and Meisel, Christian and Ashton,
Nicholas J and Blennow, Kaj and Zetterberg, Henrik and
Göschel, Laura},
title = {{T}he expanding clinical utility of blood neurofilament
light chain (b{N}f{L}): a multi-disciplinary diagnostic
tool.},
journal = {Journal of the neurological sciences},
volume = {478},
issn = {0022-510X},
address = {Amsterdam [u.a.]},
publisher = {Elsevier Science},
reportid = {DZNE-2025-01082},
pages = {123669},
year = {2025},
abstract = {The protein neurofilament light chain in blood (bNfL) has
become a valuable biomarker in the diagnosis, monitoring,
and prognosis of neurological diseases. However, its
potential use beyond neurology in routine clinical practice
remains unexplored. This study aimed to examine the clinical
utility of bNfL by investigating its expanding use (i)
assessing its integration into in- and outpatient routine
practice, (ii) both within and outside of academic
hospitals, and (iii) across different medical disciplines
and various departments.This study examined data from two
large clinical chemistry laboratories that provide bNfL
measurements for the clinical routine: Labor Berlin,
Germany, and the Clinical Neurochemistry Laboratory at
Sahlgrenska University Hospital, Sweden. Together, this
large-scale retrospective study acquired data on bNfL
measurements from n = 22,122 individuals during the years
2021 to 2023.Our findings revealed that (i) outpatient
clinics and (ii) non-academic healthcare settings are
gradually integrating bNfL into their routine practice and
(iii) its use has expanded across an increasing number of
medical disciplines over time, indicating its growing
importance as a diagnostic tool, beyond neurology. Notably,
departments such as cardiology, hematology/oncology and
intensive care units increasingly incorporated bNfL into
their clinical repertoire.This study underscores the
developing impact of easily accessible bNfL on clinical
routine, not only enhancing neurologists' diagnostic tools
but also offering valuable insights into diverse medical
fields, in- and outside the academic environment.},
keywords = {Neurofilament light chain (Other) / Neurology (Other) /
Real world data (Other) / Serum (Other)},
cin = {AG Düzel / AG Endres},
ddc = {610},
cid = {I:(DE-2719)5000006 / I:(DE-2719)1811005},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40912227},
doi = {10.1016/j.jns.2025.123669},
url = {https://pub.dzne.de/record/281123},
}