Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility System

Abstract Introduction Therapeutic strategies targeting protein aggregations are ready for clinical trials in atypical parkinsonian disorders. Therefore, there is an urgent need for neuroimaging biomarkers to help with the early detection of neurodegenerative processes, the early differentiation of t...

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Main Authors: Thilo vanEimeren, Angelo Antonini, Daniela Berg, Nico Bohnen, Roberto Ceravolo, Alexander Drzezga, Günter U. Höglinger, Makoto Higuchi, Stephane Lehericy, Simon Lewis, Oury Monchi, Peter Nestor, Matej Ondrus, Nicola Pavese, María Cecilia Peralta, Paola Piccini, José Ángel Pineda‐Pardo, Irena Rektorová, María Rodríguez‐Oroz, Axel Rominger, Klaus Seppi, A. Jon Stoessl, Alessandro Tessitore, Stephane Thobois, Valtteri Kaasinen, Gregor Wenning, Hartwig R. Siebner, Antonio P. Strafella, James B. Rowe, MDS Neuroimaging Study Group and the JPND Working Group ASAP‐SynTau
Format: Article
Language:English
Published: Wiley 2019-12-01
Series:Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Subjects:
Online Access:https://doi.org/10.1016/j.dadm.2019.01.011
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author Thilo vanEimeren
Angelo Antonini
Daniela Berg
Nico Bohnen
Roberto Ceravolo
Alexander Drzezga
Günter U. Höglinger
Makoto Higuchi
Stephane Lehericy
Simon Lewis
Oury Monchi
Peter Nestor
Matej Ondrus
Nicola Pavese
María Cecilia Peralta
Paola Piccini
José Ángel Pineda‐Pardo
Irena Rektorová
María Rodríguez‐Oroz
Axel Rominger
Klaus Seppi
A. Jon Stoessl
Alessandro Tessitore
Stephane Thobois
Valtteri Kaasinen
Gregor Wenning
Hartwig R. Siebner
Antonio P. Strafella
James B. Rowe
MDS Neuroimaging Study Group and the JPND Working Group ASAP‐SynTau
author_facet Thilo vanEimeren
Angelo Antonini
Daniela Berg
Nico Bohnen
Roberto Ceravolo
Alexander Drzezga
Günter U. Höglinger
Makoto Higuchi
Stephane Lehericy
Simon Lewis
Oury Monchi
Peter Nestor
Matej Ondrus
Nicola Pavese
María Cecilia Peralta
Paola Piccini
José Ángel Pineda‐Pardo
Irena Rektorová
María Rodríguez‐Oroz
Axel Rominger
Klaus Seppi
A. Jon Stoessl
Alessandro Tessitore
Stephane Thobois
Valtteri Kaasinen
Gregor Wenning
Hartwig R. Siebner
Antonio P. Strafella
James B. Rowe
MDS Neuroimaging Study Group and the JPND Working Group ASAP‐SynTau
author_sort Thilo vanEimeren
collection DOAJ
description Abstract Introduction Therapeutic strategies targeting protein aggregations are ready for clinical trials in atypical parkinsonian disorders. Therefore, there is an urgent need for neuroimaging biomarkers to help with the early detection of neurodegenerative processes, the early differentiation of the underlying pathology, and the objective assessment of disease progression. However, there currently is not yet a consensus in the field on how to describe utility of biomarkers for clinical trials in atypical parkinsonian disorders. Methods To promote standardized use of neuroimaging biomarkers for clinical trials, we aimed to develop a conceptual framework to characterize in more detail the kind of neuroimaging biomarkers needed in atypical parkinsonian disorders, identify the current challenges in ascribing utility of these biomarkers, and propose criteria for a system that may guide future studies. Results As a consensus outcome, we describe the main challenges in ascribing utility of neuroimaging biomarkers in atypical parkinsonian disorders, and we propose a conceptual framework that includes a graded system for the description of utility of a specific neuroimaging measure. We included separate categories for the ability to accurately identify an intention‐to‐treat patient population early in the disease (Early), to accurately detect a specific underlying pathology (Specific), and the ability to monitor disease progression (Progression). Discussion We suggest that the advancement of standardized neuroimaging in the field of atypical parkinsonian disorders will be furthered by a well‐defined reference frame for the utility of biomarkers. The proposed utility system allows a detailed and graded description of the respective strengths of neuroimaging biomarkers in the currently most relevant areas of application in clinical trials.
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spelling doaj.art-83200e5382d4469d880f974cffe591af2022-12-22T01:37:13ZengWileyAlzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring2352-87292019-12-0111130130910.1016/j.dadm.2019.01.011Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility SystemThilo vanEimeren0Angelo Antonini1Daniela Berg2Nico Bohnen3Roberto Ceravolo4Alexander Drzezga5Günter U. Höglinger6Makoto Higuchi7Stephane Lehericy8Simon Lewis9Oury Monchi10Peter Nestor11Matej Ondrus12Nicola Pavese13María Cecilia Peralta14Paola Piccini15José Ángel Pineda‐Pardo16Irena Rektorová17María Rodríguez‐Oroz18Axel Rominger19Klaus Seppi20A. Jon Stoessl21Alessandro Tessitore22Stephane Thobois23Valtteri Kaasinen24Gregor Wenning25Hartwig R. Siebner26Antonio P. Strafella27James B. Rowe28MDS Neuroimaging Study Group and the JPND Working Group ASAP‐SynTau29Multimodal NeuroimagingDepartment of Nuclear MedicineMedical Faculty and University Hospital, University of CologneCologneGermanyDepartment of NeuroscienceUniversity of PaduaPaduaItalyDepartment of Neurology, UKSH, Campus KielChristian‐Albrechts‐UniversityKielGermanyDivision of Nuclear Medicine, Department of RadiologyUniversity of Michigan, and VAMCAnn ArborMIUSADepartment of Clinical and Experimental MedicineUniversity of PisaPisaItalyMultimodal NeuroimagingDepartment of Nuclear MedicineMedical Faculty and University Hospital, University of CologneCologneGermanyGerman Centre for Neurodegenerative Diseases (DZNE), and Technical University MunichDepartment of NeurologyMunichGermanyNational Institutes for Quantum and Radiological Science and TechnologyChibaJapanInstitut du Cerveau et de la Moelle épinière – ICM, Centre de NeuroImagerie de Recherche – CENIR, ICM Team “Movement Investigations and Therapeutics”, Sorbonne Universités, Inserm U1127, CNRS UMRParisFranceBrain & Mind Centre, Sydney Medical School, University of SydneySydneyNSWAustraliaDepartment of Clinical NeurosciencesHotchkiss Brain Institute, University of CalgaryCalgaryAlbertaCanadaQueensland Brain Institute, University of QueenslandBrisbaneQLDAustraliaAXON Neuroscience CRM Services SEBratislavaSlovak RepublicNewcastle Magnetic Resonance Centre & Positron Emission Tomography Centre, Newcastle UniversityNewcastle upon TyneUnited KingdomCenter for Medical Education and Clinical ResearchSection of NeurologyBuenos AiresArgentinaDepartment of MedicineImperial College LondonLondonUnited KingdomhmCINAC, University Hospital HM Puerta del Sur, CEU‐San Pablo UniversityMóstolesMadridSpainFirst Department of Neurology – Faculty of Medicine and CEITEC MUMasaryk UniversityBrnoCzech RepublicDepartment of NeurologyClinica Universidad de NavarraPamplonaSpainDepartment of Nuclear Medicine, InselspitalUniversitätsspital BernBernSwitzerlandDepartment of NeurologyMedical University of InnsbruckInnsbruckAustriaPacific Parkinson's Research Centre, University of British ColumbiaVancouverCanadaDepartment of Medical, Surgery, Neurological, Metabolic and Aging SciencesUniversity of Campania“L. Vanvitelli”Caserta CEItalyUniversité de Lyon, Université Claude Bernard Lyon 1Faculté de Medecine Lyon Sud Charles MerieuxLyonFranceDepartment of NeurologyUniversity of TurkuTurkuFinlandDivision of Clinical Neurology, Department of NeurologyMedical University of InnsbruckInnsbruckAustriaDanish Research Centre for Magnetic Resonance, Copenhagen University Hospital HvidovreHvidovreDenmarkE.J. Safra Parkinson Disease Program, Toronto Western Hospital & Krembil Research Institute, UHNTorontoOntarioCanadaDepartment of Clinical NeurosciencesUniversity of CambridgeCambridgeUnited KingdomMultimodal NeuroimagingDepartment of Nuclear MedicineMedical Faculty and University Hospital, University of CologneCologneGermanyAbstract Introduction Therapeutic strategies targeting protein aggregations are ready for clinical trials in atypical parkinsonian disorders. Therefore, there is an urgent need for neuroimaging biomarkers to help with the early detection of neurodegenerative processes, the early differentiation of the underlying pathology, and the objective assessment of disease progression. However, there currently is not yet a consensus in the field on how to describe utility of biomarkers for clinical trials in atypical parkinsonian disorders. Methods To promote standardized use of neuroimaging biomarkers for clinical trials, we aimed to develop a conceptual framework to characterize in more detail the kind of neuroimaging biomarkers needed in atypical parkinsonian disorders, identify the current challenges in ascribing utility of these biomarkers, and propose criteria for a system that may guide future studies. Results As a consensus outcome, we describe the main challenges in ascribing utility of neuroimaging biomarkers in atypical parkinsonian disorders, and we propose a conceptual framework that includes a graded system for the description of utility of a specific neuroimaging measure. We included separate categories for the ability to accurately identify an intention‐to‐treat patient population early in the disease (Early), to accurately detect a specific underlying pathology (Specific), and the ability to monitor disease progression (Progression). Discussion We suggest that the advancement of standardized neuroimaging in the field of atypical parkinsonian disorders will be furthered by a well‐defined reference frame for the utility of biomarkers. The proposed utility system allows a detailed and graded description of the respective strengths of neuroimaging biomarkers in the currently most relevant areas of application in clinical trials.https://doi.org/10.1016/j.dadm.2019.01.011BiomarkerTrialsPSPMSACBDCBS
spellingShingle Thilo vanEimeren
Angelo Antonini
Daniela Berg
Nico Bohnen
Roberto Ceravolo
Alexander Drzezga
Günter U. Höglinger
Makoto Higuchi
Stephane Lehericy
Simon Lewis
Oury Monchi
Peter Nestor
Matej Ondrus
Nicola Pavese
María Cecilia Peralta
Paola Piccini
José Ángel Pineda‐Pardo
Irena Rektorová
María Rodríguez‐Oroz
Axel Rominger
Klaus Seppi
A. Jon Stoessl
Alessandro Tessitore
Stephane Thobois
Valtteri Kaasinen
Gregor Wenning
Hartwig R. Siebner
Antonio P. Strafella
James B. Rowe
MDS Neuroimaging Study Group and the JPND Working Group ASAP‐SynTau
Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility System
Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Biomarker
Trials
PSP
MSA
CBD
CBS
title Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility System
title_full Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility System
title_fullStr Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility System
title_full_unstemmed Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility System
title_short Neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders: Proposal for a Neuroimaging Biomarker Utility System
title_sort neuroimaging biomarkers for clinical trials in atypical parkinsonian disorders proposal for a neuroimaging biomarker utility system
topic Biomarker
Trials
PSP
MSA
CBD
CBS
url https://doi.org/10.1016/j.dadm.2019.01.011
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