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Table 5 Diagnostic value of cerebrospinal fluid biomarkers in differential diagnosis of prion disease

From: The CSF neurofilament light signature in rapidly progressive neurodegenerative dementias

 

Prion disease vs. other NDs

Atypical prion disease vs. other a/rpNDs

AUC

 

Cutoff

Sensitivity (%)

Specificity (%)

AUC

 

Cutoff

Sensitivity (%)

Specificity (%)

NfL

0.926 ± 0.016

>

5016 pg/ml

89.2

83.4

0.839 ± 0.040

>

4500 pg/ml

85.5

75

t-tau

0.939 ± 0.014

>

1100 pg/ml

89.2

84.1

0.722 ± 0.048

>

1100 pg/ml

74.5

57.1

t-tau/p-tau

0.982 ± 0.009

>

14.0

96.2

95.4

0.930 ± 0.028

>

14.0

89.1

89.3

NfL/p-tau

0.904 ± 0.019

>

113.0

87.7

83.4

0.866 ± 0.039

>

95.0

89.1

82.1

 

Prion disease vs. AD

Atypical prion disease vs. a/rpAD

 

AUC

 

Cutoff

Sensitivity (%)

Specificity (%)

AUC

 

Cutoff

Sensitivity (%)

Specificity (%)

NfL

0.981 ± 0.007

>

4363 pg/ml

94.3

94.5

0.946 ± 0.021

>

4363 pg/ml

86.4

91.9

t-tau

0.901 ± 0.021

>

1100 pg/ml

89.1

69.9

0.654 ± 0.057

>

1100 pg/ml

75.9

48.6

t-tau/p-tau

0.986 ± 0.008

>

14.0

94.7

95.9

0.958 ± 0.022

>

14.0

89.3

94.6

NfL/p-tau

0.994 ± 0.004

>

60.0

96.2

95.9

0.989 ± 0.007

>

60.0

92.9

97.3

  1. Abbreviations: AD Alzheimer’s disease, a/rp Atypical/rapidly progressive, ND Neurodegenerative dementia, NfL Neurofilament light chain protein, p-tau Phosphorylated tau protein, t-tau Total tau protein, > greater than