Use of the CDR® plus NACC FTLD in mild FTLD: Data from the ARTFL/LEFFTDS consortium
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Introduction: Behavior/Comportment/Personality (BEHAV) and Language (LANG) domains were added to the Clinical Dementia Rating (CDR®) for improving evaluation of patients with frontotemporal lobar degeneration (FTLD) (CDR® plus NACC FTLD). Methods: We analyzed the CDR® plus NACC FTLD among participants from the baseline visit of the Advancing Research and Treatment for Frontotemporal Lobar Degeneration/Longitudinal Evaluation of Familial Frontotemporal Dementia Subjects Consortium. Results: The CDR® plus NACC FTLD was able to detect early symptoms in the mildly impaired participants who were rated as CDR® sum of boxes (CDR®‐SB) = 0. The CDR®‐SB was not sensitive, particularly in participants with mild nonfluent/agrammatic primary progressive aphasia. Participants with familial and sporadic behavioral variant FTD exhibited similar CDR® plus NACC FTLD profiles except that language impairment was more frequent in participants with mild sporadic behavioral variant FTD. Adding the BEHAV and/or LANG domains to the CDR®‐SB significantly enhanced discriminatory power in differentiating among the FTLD spectrum disorders. Discussion: The BEHAV and LANG domains enable the CDR® plus NACC FTLD to capture early symptomatology of FTLD.
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Use of newly developed psychometric measures for characterizing all stages of symptoms in familial FTD research will facilitate the discovery and validation of early FTD biomarkers.
“Use of newly developed psychometric measures for characterizing all stages of symptoms (e.g., FTLD‐Clinical Dementia Rating, Multidomain Impairment Rating) in familial FTD research will facilitate the discovery and validation of early FTD biomarkers. 51 , 127”
From New developments of biofluid‐based biomarkers for routine diagnosis and disease trajectories in frontotemporal dementia (2022) · cites this paper as [127]
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Functional Disabilities and Psychiatric Symptoms in Primary Progressive Aphasia
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Preclinical and Prodromal Frontotemporal Dementia: Challenges and Opportunities
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Brain Metabolic Profile in Presymptomatic GRN Carriers Throughout a 5-Year Follow-up
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Network Connectivity Alterations across the MAPT Mutation Clinical Spectrum
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Prodromal language impairment in genetic frontotemporal dementia within the GENFI cohort
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Portuguese version of the CDR plus NACC FTLD: Validation studies
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Self-citationClinical Trial Development in Frontotemporal Lobar Degeneration
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MRI ‐ DTI Biomarkers Along the Continuum of Behavioral Variant Frontotemporal Dementia
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Integrating a motor domain enhances disease severity scales in an FTD‐ALS spectrum cohort
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Theme 11 - Cognitive and Psychological Assessment and Support
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Self-citationLanguage Impairment in the Genetic Forms of Behavioural Variant Frontotemporal DementiaPreprint
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Symptomatic progression of frontotemporal dementia with the TARDBP I383V variant
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Self-citationPlasma Biomarkers and Clinical Outcomes in Early-Onset Dementia
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Diagnosis and management of frontotemporal dementia: a narrative review
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TDP-43–Associated Neurodegenerative Disease Conceptualization and Integrated Staging
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Self-citation
- Authors
- Miyagawa, T., Brushaber, D., Syrjanen, J., Kremers, W., Fields, J., Forsberg, L. K., Heuer, H. W., Knopman, D., Kornak, J., Boxer, A., Rosen, H., Boeve, B., & on Behalf of the ARTFL/LEFFTDS Consortium
- Affiliations
- Mayo Clinic (US)
- University of California, San Francisco (US)
- Corresponding author
- Boeve, Bradley
- ORCID
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2020-01
- Volume
- 16
- Issue
- 1
- Pages
- 79-90
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- PMC
- PMC6949373
- OpenAlex
- W2970934901
- Cited by
- 92
- References
- 34
- Citations by year
- 2026: 12 · 2025: 10 · 2024: 14 · 2023: 13 · 2022: 16 · 2021: 21 · 2020: 4 · 2019: 2
- FWCI
- 8.56
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Alzheimer s & Dementia (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (U01 AG045390)
- Centers for Disease Control and Prevention
- Bristol-Myers Squibb
- Avid Radiopharmaceuticals
- Novartis
- Pfizer
- Wyeth
- Huntington's Disease Society of America
- New York State Department of Health (1510130358)
- Biogen
- AbbVie
- Eli Lilly and Company
- AstraZeneca
- Roche
- Genentech
- Canadian Institutes of Health Research
- Alzheimer Society of B.C.
- BrightFocus Foundation
- Alzheimer's Drug Discovery Foundation
- Eisai
- University of California, San Francisco
- Parkinson Study Group
- Parkinsonfonden
- Michael J. Fox Foundation for Parkinson's Research
- Janssen Pharmaceuticals
- Merck
- Alzheimer's Association
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- frontotemporal lobar degeneration
- MeSH terms
- Mental Status and Dementia Tests, Adult, Aged, Behavior, Cross-Sectional Studies, Female, Humans, Language, Middle Aged, Personality, Frontotemporal Lobar Degeneration, Frontotemporal Dementia
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