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Table 1 Biomarker profiles and classification according to the research diagnostic criteria for AD

From: Research diagnostic criteria for Alzheimer’s disease: findings from the LipiDiDiet randomized controlled trial

Criteria

Biomarker profile

IWG-1—trial eligibility criteria

 No prodromal AD

Normal CSF Aβ, t-tau, p-tau, MTA, FDG-PET

 Prodromal AD

Abnormal CSF Aβ, t-tau, p-tau, MTA, and/or FDG-PET

IWG-2

 No prodromal AD

Normal CSF Aβ + normal/abnormal CSF t-tau, p-tau, MTA

 Prodromal AD

Abnormal CSF Aβ + abnormal CSF t-tau and/or p-tau

NIA-AA 2011

 Low AD likelihood

Normal CSF Aβ + normal CSF t-tau, p-tau, and MTA

 Isolate amyloid pathology

Abnormal CSF Aβ + normal CSF t-tau, p-tau, and MTA

 Suspected non-AD pathology (SNAP)

Normal CSF Aβ + abnormal CSF t-tau, p-tau, and/or MTA

 High AD likelihood

Abnormal CSF Aβ + abnormal CSF t-tau, p-tau, and/or MTA

 Intermediate AD likelihood

CSF biomarkers not available, abnormal MTA

 Inconclusive/uninformative

CSF biomarkers not available, normal MTA

NIA-AA 2018

 Normal AD biomarkers (A−T−N−)

Normal CSF Aβ + normal CSF t-tau, p-tau, and MTA

 Alzheimer’s pathologic change (A+T−N−)

Abnormal CSF Aβ + normal CSF t-tau, p-tau, and MTA

 Non-Alzheimer’s pathologic change (A−T+N±, A−T−N+)

Normal CSF Aβ + abnormal CSF p-tau, t-tau, and/or MTA

 Alzheimer’s and concomitant suspected non-Alzheimer’s pathologic change (A+T−N+)

Abnormal CSF Aβ + normal CSF p-tau + abnormal CSF t-tau and/or MTA

 AD (A+T+N±)

Abnormal CSF Aβ + abnormal CSF p-tau + normal/abnormal CSF t-tau and/or MTA

  1. Abnormal CSF Aβ defined as Aβ42 < 450 pg/ml and/or Aβ42/40 × 10 < 1; abnormal CSF t-tau > 350 pg/ml; abnormal CSF p-tau > 60 pg/ml; abnormal MTA visual rating ≥ 1
  2. Abbreviations: Aβ, β-amyloid; AD, Alzheimer’s disease; CSF, cerebrospinal fluid; FDG-PET, fluoro-deoxy-glucose-positron emission tomography; IWG, International Working Group; MTA, medial temporal lobe atrophy, visual rating; NIA-AA, National Institute on Aging-Alzheimer’s Association; p-tau, phosphorylated tau at threonine 181; SNAP, suspected non-AD pathology; t-tau, total tau