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The role of biological markers in the early and differential diagnosis of Alzheimer’s disease

  • A. Kurz
  • M. Riemenschneider
  • A. Drzezga
  • N. Lautenschlager
Part of the Journal of Neural Transmission. Supplementa book series (NEURAL SUPPL, volume 62)

Abstract

Biological markers can be used to identify the neurodegenerative process of Alzheimer’s disease (AD) and to differentiate it from other brain diseases which may cause similar symptoms. Structural imaging can detect atrophic changes which are largely non-specific and provide little diagnostic information in single patients. Increasing atrophy upon repeated measurement is much more specific to AD. Functional imaging can demonstrate regional alterations of cerebral blood flow and metabolism but is not sufficiently sensitive at the stage of mild dementia. The measurement of neuronal proteins in the cerebrospinal fluid including tau, phospho-tau, and Bamyloid, achieve high diagnostic sensitivity and specificity even at the stage of pre-dementia. Genetic tests for mutations in the amyloid precursor and presenilin genes are applicable in very few cases. Apolipoprotein E genotyping is not useful as a diagnostic test. With respect to the limitations of biological markers clinical expertise will continue to be an essential element of the early and differential diagnosis of AD.

Keywords

Positron Emission Tomography Mild Cognitive Impairment Alzheimer Disease Mild Dementia Temporal Atrophy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Wien 2002

Authors and Affiliations

  • A. Kurz
    • 1
  • M. Riemenschneider
    • 1
  • A. Drzezga
    • 2
  • N. Lautenschlager
    • 3
  1. 1.Departments of PsychiatryTechnical University MünchenMünchenFederal Republic of Germany
  2. 2.Department of Nuclear MedicineTechnische Universität MünchenFederal Republic of Germany
  3. 3.Department of Psychiatry and Behavioural ScienceUniversity of Western AustraliaAustralia

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