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Table 2 ROC analysis of CSF parameters for DLB versus AD

From: Differential diagnostic value of total alpha-synuclein assay in the cerebrospinal fluid between Alzheimer’s disease and dementia with Lewy bodies from the prodromal stage

CSF variables

Number of patients*

Youden index

Associated criterion§

Sensitivity (%)

Specificity (%)

AUC (95% CI)

DLB-(pro+d) vs AD-(pro+d)

 t-α-synuclein

 

0.484

> 139 ng/L

72.3

76.1

0.78 (0.70 to 0.85)

 t-Tau

DLB n = 67

AD n = 65

0.713

> 371 ng/L

89.2

82.1

0.92 (0.86 to 0.96)

 Phospho-Tau181

0.773

> 58 ng/L

90.8

86.6

0.93 (0.87 to 0.97)

 Aβ42

0.490

≤ 838 ng/L

90.8

58.2

0.77 (0.69 to 0.84)

 t-Tau_phospho-Tau_Aβ42¥

 

0.787

> 0.4714

87.7

91.0

0.95 (0.89 to 0.98)

 t-Tau_phospho-Tau_Aβ42_t-α-syn¥

 

0.802

> 0.516

86.2

94.0

0.95 (0.90 to 0.98)

 Aβ40

DLB n = 34

AD n = 25

0.474

> 9563

68.0

79.4

0.70 (0.57 to 0.81)

 Aβ42/Aβ40

0.731

≤ 0.0555

76.0

97.1

0.93 (0.83 to 0.98)

 t-Tau_phospho-Tau_Aβ42/Aβ40¥

 

0.840

> 0.5368

84.0

100

0.95 (0.86 to 0.99)

 t-Tau_phospho-Tau_Aβ42/Aβ40_t-α-syn¥

 

0.840

> 0.5442

84.0

100

0.95 (0.86 to 0.99)

Pro-DLB vs Pro-AD

 t-α-synuclein

 

0.583

> 139 ng/L

81.8

76.5

0.83 (0.73 to 0.90)

 t-Tau

DLB n = 51

AD n = 33

0.701

> 371 ng/L

81.8

88.2

0.89 (0.81 to 0.95)

 Phospho-Tau181

0.800

> 60 ng/L

87.9

92.2

0.92 (0.84 to 0.97)

 Aβ42

0.476

≤ 838 ng/L

84.9

62.8

0.75 (0.64 to 0.84)

 t-Tau_phospho-Tau_Aβ42¥

0.779

> 0.498

81.8

96.1

0.93 (0.86 to 0.98)

 t-Tau_phospho-Tau_Aβ42_t-α-syn¥

 

0.770

> 0.480

84.9

92.2

0.95 (0.88 to 0.98)

 Aβ40

 

0.536

> 9563

75.0

78.6

0.75 (0.60 to 0.87)

 Aβ42/Aβ40

0.777

≤ 0.0529

81.3

96.4

0.94 (0.82 to 0.99)

 t-Tau_phospho-Tau_Aβ42/Aβ40¥

DLB n = 28

AD n = 16

0.875

> 0.5111

87.5

100

0.95 (0.84 to 0.99)

 t-Tau_phospho-Tau_Aβ42/Aβ40_t-α-syn¥

 

0.875

> 0.5148

87.5

100

0.95 (0.83 to 0.99)

DLB-d vs AD-d

 t-α-synuclein

 

0.469

> 92.275 ng/L

90.6

56.3

0.75 (0.60 to 0.86)

 t-Tau

DLB n = 16

AD n = 32

0.750

> 441 ng/L

81.3

93.8

0.94 (0.83 to 0.99)

 phospho-Tau181

0.750

> 56 ng/L

93.8

81.3

0.93 (0.82 to 0.99)

 Aβ42

0.406

≤ 781 ng/L

96.9

43.8

0.73 (0.58 to 0.85)

 t-Tau_phospho-Tau_Aβ42¥

 

0.813

> 0.6032

81.3

100

0.96 (0.86 to 1.00)

 t-Tau_phospho-Tau_Aβ42_t-α-syn¥

 

0.781

> 0.4877

96.9

81.3

0.96 (0.86 to 1.00)

 Aβ40

DLB n = 6

AD n = 9

0.389

> 9183

55.6

83.3

0.65 (0.37 to 0.87)

 Aβ42/Aβ40

0.667

≤ 0.056

66.7

100

0.91 (0.65 to 0.99)

 t-Tau_phospho-Tau_Aβ42/Aβ40¥

 

0.778

> 0.5201

77.8

100

0.93 (0.67 to 1.00)

 t-Tau_phospho-Tau_Aβ42/Aβ40 t-α-syn¥

 

0.889

> 0.5354

88.9

100

0.96 (0.72 to 1.00)

  1. *Due to missing CSF, some patients could not have an Aβ40 assay
  2. Youden index: sensitivity + specificity – 1
  3. §Cut-off associated with the Youden index
  4. ¥Consideration of three or four parameters with a multiple regression