RT Journal Article T1 In vivo staging of regional amyloid deposition predicts functional conversion in the preclinical and prodromal phases of Alzheimer's disease. A1 Teipel, Stefan J A1 Dyrba, Martin A1 Chiesa, Patrizia A A1 Sakr, Fatemah A1 Jelistratova, Irina A1 Lista, Simone A1 Vergallo, Andrea A1 Lemercier, Pablo A1 Cavedo, Enrica A1 Habert, Marie Odile A1 Dubois, Bruno A1 Hampel, Harald A1 Grothe, Michel J A1 INSIGHT-preAD study group and for the Alzheimerś Disease Neuroimaging Initiative, K1 Amyloid K1 Dementia K1 Longitudinal study K1 MCI K1 Subjective cognitive decline AB We tested the usefulness of a regional amyloid staging based on amyloid sensitive positron emission tomography to predict conversion to cognitive impairment and dementia in preclinical and prodromal Alzheimer's disease (AD). We analyzed 884 cases, including normal controls, and people with subjective cognitive decline or mild cognitive impairment (MCI), from the Alzheimer's Disease Neuroimaging Initiative with a maximum follow-up of 6 years and 318 cases with subjective memory complaints with a maximum follow-up time of three years from the INveStIGation of AlzHeimer's PredicTors cohort (INSIGHT-preAD study). Cox regression showed a significant association of regional amyloid stages with time to conversion from a cognitively normal to an MCI, and from an MCI to a dementia status. The most advanced amyloid stages identified very-high-risk groups of conversion. All results were robustly replicated across the independent samples. These findings indicate the usefulness of regional amyloid staging for identifying preclinical and prodromal AD cases at very high risk of conversion for future amyloid targeted trials. YR 2020 FD 2020-03-17 LK http://hdl.handle.net/10668/15374 UL http://hdl.handle.net/10668/15374 LA en DS RISalud RD Apr 8, 2025