Boccardi, Marina, Dodich, Alessandra, Albanese, Emiliano, Gayet-Ageron, Angele ORCID: 0000-0002-6164-9693, Festari, Cristina, Ashton, Nicholas J., Bischof, Gerard N., Chiotis, Konstantinos ORCID: 0000-0002-5679-0297, Leuzy, Antoine, Wolters, Emma E., Walter, Martin A., Rabinovici, Gil D., Carrillo, Maria, Drzezga, Alexander ORCID: 0000-0001-6018-716X, Hansson, Oskar ORCID: 0000-0001-8467-7286, Nordberg, Agneta, Ossenkoppele, Rik, Villemagne, Victor L., Winblad, Bengt, Frisoni, Giovanni B. and Garibotto, Valentina (2021). The strategic biomarker roadmap for the validation of Alzheimer's diagnostic biomarkers: methodological update. Eur. J. Nucl. Med. Mol. Imaging, 48 (7). S. 2070 - 2086. NEW YORK: SPRINGER. ISSN 1619-7089

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Abstract

Background The 2017 Alzheimer's disease (AD) Strategic Biomarker Roadmap (SBR) structured the validation of AD diagnostic biomarkers into 5 phases, systematically assessing analytical validity (Phases 1-2), clinical validity (Phases 3-4), and clinical utility (Phase 5) through primary and secondary Aims. This framework allows to map knowledge gaps and research priorities, accelerating the route towards clinical implementation. Within an initiative aimed to assess the development of biomarkers of tau pathology, we revised this methodology consistently with progress in AD research. Methods We critically appraised the adequacy of the 2017 Biomarker Roadmap within current diagnostic frameworks, discussed updates at a workshop convening the Alzheimer's Association and 8 leading AD biomarker research groups, and detailed the methods to allow consistent assessment of aims achievement for tau and other AD diagnostic biomarkers. Results The 2020 update applies to all AD diagnostic biomarkers. In Phases 2-3, we admitted a greater variety of study designs (e.g., cross-sectional in addition to longitudinal) and reference standards (e.g., biomarker confirmation in addition to clinical progression) based on construct (in addition to criterion) validity. We structured a systematic data extraction to enable transparent and formal evidence assessment procedures. Finally, we have clarified issues that need to be addressed to generate data eligible to evidence-to-decision procedures. Discussion This revision allows for more versatile and precise assessment of existing evidence, keeps up with theoretical developments, and helps clinical researchers in producing evidence suitable for evidence-to-decision procedures. Compliance with this methodology is essential to implement AD biomarkers efficiently in clinical research and diagnostics.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Boccardi, MarinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dodich, AlessandraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Albanese, EmilianoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gayet-Ageron, AngeleUNSPECIFIEDorcid.org/0000-0002-6164-9693UNSPECIFIED
Festari, CristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ashton, Nicholas J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bischof, Gerard N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chiotis, KonstantinosUNSPECIFIEDorcid.org/0000-0002-5679-0297UNSPECIFIED
Leuzy, AntoineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wolters, Emma E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walter, Martin A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rabinovici, Gil D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Carrillo, MariaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Drzezga, AlexanderUNSPECIFIEDorcid.org/0000-0001-6018-716XUNSPECIFIED
Hansson, OskarUNSPECIFIEDorcid.org/0000-0001-8467-7286UNSPECIFIED
Nordberg, AgnetaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ossenkoppele, RikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Villemagne, Victor L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Winblad, BengtUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Frisoni, Giovanni B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Garibotto, ValentinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-606319
DOI: 10.1007/s00259-020-05120-2
Journal or Publication Title: Eur. J. Nucl. Med. Mol. Imaging
Volume: 48
Number: 7
Page Range: S. 2070 - 2086
Date: 2021
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1619-7089
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
Radiology, Nuclear Medicine & Medical ImagingMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/60631

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