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PET med amyloidligander bör ikke anvendes rutinemaessigt i tidlig diagnostik af Alzheimers sygdom - en gennemgang af et Cochranereview
Engelsk titel: PET with amyloid ligands should not be applied routinely in early diagnostics of Alzheimer’s disease Läs online Författare: Hasselbalch, Steen Gregers Språk: Dan Antal referenser: 9 Dokumenttyp: Artikel UI-nummer: 15087591

Tidskrift

Ugeskrift for Laeger 2015;177(16)1515-7 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Recent diagnostic criteria for Alzheimer’s disease incorporate biomarkers in order to increase the diagnostic accuracy. In a recent Cochrane review the ligand 11C-PiB showed a high sensitivity, but low specificity for detecting patients with mild cognitive impairment who would develop Alzheimer’s dementia. Given the evolution of Alzheimer pathology, these findings are not surprising. With current limited treatment options for MCI, 11C-PiB-PET cannot be recommended for routine use in MCI and should be used only in selected cases where a positive scan will alter management.