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Table 1 Study data

From: The performance of plasma amyloid beta measurements in identifying amyloid plaques in Alzheimer’s disease: a literature review

Assay type

Study

Clinical study

Cohort size (average age)

Distribution of CN/MCI/AD

Amyloid positive rate

AUC (95% CI) of plasma Aβ42/40 in classifying amyloid PET status

PET tracer (amyloid status cut-off)

AUC (95% CI) of plasma Aβ42/40 in classifying amyloid CSF status

CSF amyloid status cut-off

Correlation

Sensitivity

Specificity

Plasma status cut-off as plasma Aβ42/40 ratio

IP-MS

Nakamura et al. 2018 [17]

(Discovery cohort)

National Center for Geriatrics and Gerontology (NCGG)

n=121 (74.0 years)

62/30/29

41.3% by PET

0.967 (0.942–0.992) a

PiB (1.4)

-

-

For PET, Pearson’s r a= 0.767

0.960

0.873

3.93% a

(Validation cohort)

Australian Imaging, Biomarkers and Lifestyle Flagship Study of Aging (AIBL)

n=252 (74.2 years)

156/67/29

54.3% by PET

PiB: 0.889 (0.825–0.952) a

Overall: 0.837 (0.787–0.887) a

PiB (1.40), FMM (0.55), Florbetapir (1.05)

-

-

For PET, Pearson’s r a=

PiB: 0.601

FMM: 0.540

Florbetapir: 0.466

PiB: 0.733

Overall: 0.657

PiB: 0.922

Overall: 0.896

3.62% a

ECL

Yamashita et al. 2022 [38]

(Discovery cohort)

MissionAD

n=197 (71.1 years)

MCI due to AD/mild AD

157/40

50.8% by PET

0.941 (0.910–0.973)

FMM, Florbetapir, Florbetaben (based on visual read)

-

-

For PET, Spearman’s r b= −0.75

0.96 (0.90–0.99)

0.84 (0.75–0.90)

10.2%

(Validation cohort)

MissionAD

n=200 (70.8 years)

MCI due to AD/mild AD

160/40

50.0% by PET

0.868 (0.816–0.920)

FMM, Florbetapir, Florbetaben (based on visual read)

-

-

For PET, Spearman’s r b= −0.73

0.88 (0.80–0.94)

0.72 (0.62–0.81)

10.2%

IP-MS

Ovod et al. 2017 [7]

Knight Alzheimer’s Disease Research Center (ADRC)

n=41

(76.2 years)

27/14 c

43.9% by PET/CSF c

0.887

PiB

-

-

For CSF, r=0.699

-

-

12.43%

ELISA

Pérez-Grijalba et al. 2019 [25]

AB255 Study

n=59 (72.7 years)

39/20/0

30.5% by PET

0.881 (0.779–0.982)

PiB (1.4)

-

-

For PET, Spearman’s r= −0.464

0.778

0.875

10.49%

IP-MS

Schindler et al. 2019 [18]

Clinical study from Washington University in St. Louis

n=158 (63.7 years)

CDR 0/0.5/1 d:

148/9/1

27.2% by PET

0.88 (0.82–0.93)

PiB (1.42), Florbetapir (1.22)

-

-

For PET, Spearman’s r= −0.55 (−0.65 to −0.43)

0.88 (0.75–0.96)

0.76 (0.67–0.83)

12.18%

ECL

Palmqvist et al. 2022 [40]

Panel A+

n=227 (66.5 years)

32/106/89 e

48.5% by CSF

-

-

0.87 (0.82–0.91)

0.047 f

For CSF, Spearman’s r= 0.64

-

-

-

 

BioFINDER-1

n=693 (72.4 years)g

461/232/0

(174 of CU participants had SCD)

41.8% by CSF

0.85 (0.79–0.90)

FMM (1.42)

0.83 (0.80–0.86)

0.066 f

For CSF, Spearman’s r= 0.40

-

-

-

IP-MS

Hu et al. 2022 [33]

MissionAD

n=437 (72.4 years)

0/411/17 e

(9 with no criteria met)

49.7% by PET

0.86 (0.82–0.89)

Florbetapir, Florbetaben (Centiloid>25)

-

-

-

0.90 (0.86–0.94)

0.71 (0.65–0.77)

9.2%

IP-MS

Schindler et al. 2022 [30]

Knight ADRC

n=152 (68.4 years) h

CDR 0/0.5/1 d:

138/9/5

32.5% by CSF

-

-

0.86 (0.79–0.92)

0.0673 f

For CSF, Spearman’s r= 0.61 (0.50–0.70)

0.86

0.73

9.95%

 

Knight ADRC

n=103 (68.4 years) h

CDR 0/0.5/1 d:

99/3/1

25.2% by PET

0.86 (0.77–0.95)

PiB (1.42), Florbetapir (1.19)

-

-

For PET, Spearman’s r= −0.44 (−0.58 to −0.27)

0.85

0.71

9.85%

Multiple

Janelidze et al. 2021 [22]

(Validation cohort)

Alzheimer’s Disease Neuroimaging Initiative (ADNI)

n=122 (72.4 years)

51/51/20

48.3% by PET

IP-MS:

0.845 (0.772–0.917)

ECL:

0.740 (0.651–0.829)

SIMOA:

0.685 (0.590–0.781)

IP-MS:

0.662 (0.565–0.758)

SIMOA:

0.634 (0.534–0.734)

Florbetapir (1.11)

-

-

-

-

-

-

(Development cohort)

Biomarkers For Identifying Neurodegenerative Disorders Early and Reliably (BioFINDER)

n=286 (71.6 years)

182/104/0

41.2% by CSF

38.4% by PET

IP-MS:

0.833 (0.787–0.879)

IP-free LC-MS:

0.753 (0.696–0.811)

ECL:

0.727 (0.669–0.784)

ELISA:

0.672 (0.609–0.735)

SIMOA:

0.655 (0.591–0.719)

FMM (1.42)

IP-MS:

0.855 (0.810–0.899)

ECL:

0.778 (0.725–0.832)

IP-free LC-MS:

0.776 (0.721–0.830)

ELISA:

0.697 (0.635–0.758)

SIMOA:

0.687 (0.626-0.748)

0.059 i

For CSF, Spearman’s r b=

IP-MS: 0.66

ECL: 0.48

ELISA: 0.36

SIMOA: 0.31

IP-free LC-MS: 0.46

-

-

-

IP-MS

Li et al. 2022 [31]

AIBL

n=183 (74.2 years)

71/66/46

57.4% by PET

0.84 (0.78–0.90)

PiB, FMM, Florbetapir (Centiloid>25)

-

-

-

0.90 (0.82–0.95)

0.69 (0.58–0.79)

12.3%

 

BioFINDER

n=100 (71.1 years)

28/51/0 (SMC or SCD=21)

50.0% by PET

0.83 (0.75–0.91)

FMM (1.42)

0.81 (0.73–0.89)

0.066 i

For CSF, Spearman’s r= 0.59 (0.45–0.71)

For PET, Spearman’s r = −0.52 (−0.65 to −0.35)

0.74 (0.60–0.85)

0.78 (0.64–0.88)

12.3%

 

ADNI

n=182 (72.5 years)

71/86/0 (SMC or SCD=25)

48.9% by PET

0.82 (0.76–0.89)

Florbetapir (1.11)

0.92 (0.84–1)

0.064 i

For CSF, Spearman’s r = 0.60 (0.31–0.79)

For PET, Spearman’s r= −0.57 (−0.66 to −0.46)

0.73 (0.63–0.82)

0.84 (0.75–0.91)

12.5%

SIMOA

Tanaka et al. 2021 [37]

Recruited from the memory clinic at the National University Hospital, Singapore

n=68 (74.5 years)

14/0/15

(CIND=30, VaD=9)

33.8% by PET

0.816 (0.704–0.900)

PiB (visually interpreted)

-

-

For PET, Pearson’s r= 0.123

0.696

0.889

-

Multiple

Keshavan et al. 2021 [24]

Insight 46

n=441 (70.7 years)

410/7/0

(24 with prior neurological condition)

18.6% by PET

IP-MS:

0.817 (0.770–0.864)

SIMOA:

0.62 (0.548–0.691)

Florbetapir (0.61)

-

-

-

IP-MS:

0.866

SIMOA:

0.451

IP-MS:

0.719

SIMOA:

0.780

IP-MS:

9.5%

SIMOA:

5.8%

Multiple

Zicha et al. 2022 [28]

ADNI

n=121 (77.9 years)

49/54/18

49.6% by PET

IP-MS:

0.814 (0.736–0.892)

0.715 (0.625–0.805)

ECL:

0.710 (0.617–0.803)

SIMOA:

0.661 (0.563–0.760)

0.645 (0.545–0.745)

IP-MS:

0.643 (0.542–0.743)

Florbetapir (1.11)

-

-

For PET, Spearman’s r j

IP-MS: −0.533

−0.369

ECL: −0.390

SIMOA: −0.293

−0.329

IP-MS:

−0.242

-

-

-

IP-MS

West et al. 2021 [32]

Clinical studies from University of Wisconsin, the Banner Alzheimer’s Institute, University of Florida, Washington University School of Medicine, and Precision for Medicine

n=414 (70.0 years) k

-

39% by PET/CSF l

0.81 (0.77–0.85)

PiB, Florbetapir, Florbetaben k

-

-

-

-

-

9.75%

IP-MS

Tosun et al. 2021 [29]

ADNI

n=173 (72.5 years)

87/86/0

48.0% by PET

0.80 (0.65–0.94) m

0.87 (0.75–0.99) n

Florbetapir (1.11)

-

-

-

0.64 m

0.79 n

0.77 m

0.75 n

-

IP-MS

Kaneko et al. 2014 [21]

NCGG

n=62 (74.1 years)

33/12/17

64.5% by PET

0.798

PiB (Scored by nuclear medicine physicians)

-

-

For PET, Pearson’s r= −0.316

0.750

0.773

 

ECL

Palmqvist et al. 2019 [39]

(Development cohort)

BioFINDER

n=842 (72 years)

513/265/64

43.7% by CSF

-

-

0.77 (0.74–0.81)

0.059 i

For CSF, Spearman’s r= 0.476

0.75 (0.68–0.80)

0.72 (0.65–0.77)

6.5%

SIMOA

Vergallo et al. 2019 [35]

INSIGHT-preAD

n=276 (76.8 years)

276 with SMC

26.4% by PET

0.794 a

Florbetapir (0.7918)

-

-

-

0.781

0.749

5.61% a

IP-MS

Hu et al. 2022 [33]

Plasma Test for Amyloidosis Risk Screening (PARIS)

n=249 (74.6 years)

0/172/77

64.7% by PET

0.79 (0.73–0.85)

Florbetapir, Florbetaben, FMM (analyzed by radiologists)

-

-

-

0.85

0.63

8.9%

Multiple

De Meyer et al. 2020 [36]

Flemish Prevent AD Cohort KU Leuven (F-PACK) & Biomarker-based adaptive development in Alzheimer’s disease (BioAdaptAD)

n=199 (70 years)

161/38/0

19.1% by PET

SIMOA:

0.79 (0.73–0.85)

ELISA:

0.78 (0.72–0.84)

FMM (1.38), Florbetaben (1.29)

-

-

For PET, Spearman’s r=

SIMOA: −0.32

ELISA: −0.32

For CSF, Spearman’s r b,o=

SIMOA: 0.29

ELISA: 0.41

SIMOA:

0.74 (0.57–0.87)

ELISA:

0.78 (0.62–0.90)

SIMOA:

0.80 (0.72–0.86)

ELISA:

0.75 (0.68–0.82)

SIMOA:

23.0%

ELISA:

15.9%

IP-free LC-MS

Janelidze et al. 2022 [34]

BioFINDER-1

n=381 (71.6 years) h, p

241/140/0

43.1% by CSF

42.5% by PET

0.788 (0.729–0.847) m

0.771 (0.687–0.856) n

FMM (0.74)

0.790 (0.730–0.851) m

0.714 (0.628–0.801) n

0.091 q

-

-

-

-

 

BioFINDER-2

n=514 (66.2 years) h, r

350/164/0

33.1% by CSF

31.7% by PET

0.752 (0.691–0.814) m

0.670 (0.585–0.755) n

FMM (0.69)

0.786 (0.732–0.841) m

0.703 (0.621–0.784) n

0.0752 s

-

-

-

-

SIMOA

Verberk et al. 2018 [20]

Subjective Cognitive Impairment Cohort (SCIENCe) Project

n=248 (61.0 years)

248 with SCD

23% by CSF

-

-

0.77 (0.69–0.84)

CSF Aβ42 used t:

813pg/mL

For CSF, Pearson’s r= 0.38

0.76

0.75

4.5%

 

SCIENCe Project

n=69

69 with SCD

33% by PET

0.68 (0.55–0.82)

Florbetaben, Florbetapir, FMM, PiB

(Scored by a nuclear medicine physician)

-

-

-

0.70

0.78

4.4%

  1. Abbreviations: PiB Pittsburgh compound B, FMM [18F]flutemetamol, CN cognitively normal, CU cognitively unimpaired, MCI mild cognitive impairment, CDR Clinical Dementia Rating, SMC significant memory concern, SCD subjective cognitive decline, CIND cognitive impairment no dementia, VaD vascular dementia
  2. aStudy reports plasma Aβ40/42; converted cut-off to plasma Aβ42/40 for table
  3. bValues for a subset of cohort
  4. cn=27 CN (CDR=0), n=14 not CN (CDR>0). PET was used when available and CSF Aβ42 concentration otherwise
  5. dCDR=0 is CN, CDR=0.5 is very mild dementia, and CDR=1 is mild dementia
  6. eAD refers to mild AD
  7. fMeasured with a chemiluminescent enzyme immunoassay using a fully automated platform
  8. gPET scans available for n=461, CSF measures available for all
  9. hMedian age is listed (not average)
  10. iMeasured by Elecsys immunoassays
  11. jCorrelation values for each assay are listed in the order corresponding to the AUC values
  12. kCohorts were from many different sites with no standardized criteria for clinical diagnoses. Each cohort had different PET SUVR cut-off values: 1.47 for PiB and florbetapir in cohort 3, 1.11 for florbetapir and 1.4 for florbetaben in cohort 5, and 1.42 for PiB and florbetapir in cohort 6 (PET status was binarized for cohort 4, cut-offs were not available for CSF determination of amyloid positivity). Values in the table are for the overall cohort
  13. lFor amyloid status, PET was used when available and CSF Aβ42/40 concentration otherwise, measured by ELISA or MS methods based on site
  14. mFor CU participants
  15. nFor MCI participants
  16. oCorrelation with CSF Aβ42/total-tau
  17. pPET scans available for n=360, CSF measures available for all
  18. qMeasured by Euroimmun ELISA assays
  19. rPET scans available for n=498, CSF measures available for all
  20. sMeasured by Meso Scale Discovery immunoassays
  21. tMeasured by Innotest ELISAs