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Updated: May 23, 2025

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Beyond binary classification: Comparing three region-based multi-phase Aβ staging systems.

Liang Cui1, Zhen Zhang1, Chu-Chung Huang2,3

  • 1Department of Gerontology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|May 20, 2025
PubMed
Summary
This summary is machine-generated.

This study developed visual staging systems for amyloid-beta (Aβ) deposition in Alzheimer

Keywords:
Alzheimer's diseaseamyloid‐betacognitive functiondefault mode networkdeposition stagehippocampusneurodegenerationplasma biomarkers

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Area of Science:

  • Neuroscience
  • Radiology
  • Biomarkers

Background:

  • Alzheimer's disease (AD) is characterized by amyloid-beta (Aβ) deposition.
  • Current staging systems for Aβ deposition may lack precision in early disease stages.
  • There is a need for refined methods to assess Aβ accumulation and its clinical correlates.

Purpose of the Study:

  • To develop and validate a multi-phase visual staging system for Aβ deposition in AD.
  • To correlate these stages with cognitive function, neurodegeneration, and blood biomarkers.
  • To evaluate the utility of different established staging systems (Villeneuve, Grothe, Mattsson).

Main Methods:

  • Utilized positron emission tomography (PET) imaging to assess Aβ deposition in 1002 participants from the Chinese Preclinical Alzheimer's Disease Study (C-PAS) cohort.
  • Developed three multi-phase Aβ deposition grading systems.
  • Acquired data through neuropsychological testing, peripheral blood biomarker collection, and multimodal neuroimaging.

Main Results:

  • Stage-dependent changes in cognitive function, peripheral blood biomarkers, default mode network (DMN) function, and hippocampal volumes were observed across different Aβ deposition stages.
  • The developed grading systems showed varying sensitivities in detecting clinical manifestations and biomarkers.
  • Visual methods demonstrated sensitivity in detecting early, regional Aβ deposition.

Conclusions:

  • Region-based multi-phase Aβ deposition staging systems are valuable for detecting early pathological changes in AD.
  • These systems aid in understanding disease progression and informing personalized diagnosis and intervention strategies.
  • The study highlights the practical utility of visual staging for early AD detection and management.