The biomarker-based diagnosis of Alzheimer's disease. 2-lessons from oncology

TitleThe biomarker-based diagnosis of Alzheimer's disease. 2-lessons from oncology
Publication TypeJournal Article
Year of Publication2017
AuthorsBoccardi M., Gallo V., Yasui Y., Vineis P., Padovani A., Mosimann U., Giannakopoulos P., Gold G., Dubois B., Jack C.R, Winblad B., Frisoni G.B, Albanese E., Alzheimer's BGeneva Tas
JournalNeurobiology of Aging
Volume52
Pagination141-152
Date Published2017/04//
Type of Article10.1016/j.neurobiolaging.2017.01.021
ISBN Number1558-1497
KeywordsAlzheimer, Biomarkers, DEMENTIA, Early Diagnosis, Methodology, Validation
Abstract

Biomarkers for the diagnosis of Alzheimer's disease (AD) are not yet validated for use in clinical settings. We aim to provide a methodological framework for their systematic validation, by reference to that developed for oncology biomarkers. As for this discipline, the steps for the systematic validation of AD biomarkers need to target analytical validity, clinical validity, and clinical utility. However, the premises are different from oncology: the nature of disease (neurodegeneration vs. cancer), the purpose (improve diagnosis in clinically affected vs. screening preclinical individuals), and the target population (mild cognitive impairment patients referring to memory clinics vs. general population) lead to important differences, influencing both the design of validation studies and the use of selected biomarkers. This framework is applied within a wider initiative to assess the current available evidence on the clinical validity of biomarkers for AD, for the final aim to identify gaps and research priorities, and to inform coordinated research efforts boosting AD biomarkers research.

Short TitleNeurobiol. Aging