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tau蛋白正电子发射断层扫描(tau-PET)在临床实践和试验中的未来作用专家调查。

Survey among experts on the future role of tau-PET in clinical practice and trials.

作者信息

Vermeiren Marie R, Calandri Ismael L, van der Flier Wiesje M, van de Giessen Elsmarieke, Ossenkoppele Rik

机构信息

Alzheimer Center Amsterdam, Neurology Vrije Universiteit Amsterdam Amsterdam UMC Amsterdam The Netherlands.

Radiology & Nuclear Medicine Vrije Universiteit Amsterdam, Amsterdam UMC Amsterdam The Netherlands.

出版信息

Alzheimers Dement (Amst). 2024 Nov 22;16(4):e70033. doi: 10.1002/dad2.70033. eCollection 2024 Oct-Dec.

Abstract

BACKGROUND

Recent advancements in Alzheimer's disease (AD) biomarker research and clinical trials prompt reflection on the value and consequently appropriate use of tau positron emission tomography (tau-PET) in the future.

METHODS

We conducted an online survey among dementia and PET experts worldwide to investigate the anticipated future role of tau-PET in clinical practice and trials.

RESULTS

Two hundred sixty-eight dementia experts, comprising 143 clinicians and 121 researchers, covering six continents participated. The vast majority (90%) fostered a positive attitude toward the added value of tau-PET in clinical practice, particularly for staging, diagnosing, monitoring, and prognostication in a cognitively impaired memory clinic population. Experts anticipated an important role for tau-PET for participant selection (76%-100%) and measuring endpoints (75%-97%), in both anti-amyloid and anti-tau drug trials.

DISCUSSION

Our global survey study shows that dementia experts envision an important role for tau-PET in the future, both in clinical practice and in drug trials, beyond current guidelines and practices.

HIGHLIGHTS

Dementia experts envision an important role for tau-PET in the future.Experts indicate that a tau-PET scan could influence patient management.Experts anticipate the utility of tau-PET for participant selection and endpoints in drug trials.There is a gap between the anticipated usefulness of tau-PET and current clinical practices.

摘要

背景

阿尔茨海默病(AD)生物标志物研究和临床试验的最新进展促使人们思考tau正电子发射断层扫描(tau-PET)未来的价值及合理应用。

方法

我们在全球范围内对痴呆症和PET专家进行了一项在线调查,以探讨tau-PET在临床实践和试验中预期的未来作用。

结果

来自六大洲的268名痴呆症专家参与了调查,其中包括143名临床医生和121名研究人员。绝大多数(90%)对tau-PET在临床实践中的附加价值持积极态度,特别是在认知功能受损的记忆门诊人群的分期、诊断、监测和预后方面。专家们预计tau-PET在抗淀粉样蛋白和抗tau药物试验中对参与者选择(76%-100%)和测量终点(75%-97%)将发挥重要作用。

讨论

我们的全球调查研究表明,痴呆症专家预计tau-PET在未来的临床实践和药物试验中都将发挥重要作用,超越当前的指南和实践。

要点

痴呆症专家预计tau-PET在未来将发挥重要作用。专家们指出,tau-PET扫描可能会影响患者管理。专家们预计tau-PET在药物试验中对参与者选择和终点的效用。tau-PET的预期有用性与当前临床实践之间存在差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ef/11582687/8f3b2e32d0f4/DAD2-16-e70033-g004.jpg

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