Cited by 236Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsNeuroinflammation and Neurodegeneration Mechanisms

The CERAD Neuropathology Protocol and Consensus Recommendations for the Postmortem Diagnosis of Alzheimer’s Disease: A Commentary

Mirra, S.S·1997·Neurobiology of Aging

Abstract

CERAD, a multicenter longitudinal study, has developed standardized instruments for the evaluation of individuals clinically diagnosed as having Alzheimer's disease (AD). The CERAD neuropathology protocol not only establishes levels of certainty for AD diagnosis, but also records information on other conditions occurring concomitantly with or misdiagnosed as AD. The protocol has been widely adopted because of its relative simplicity, adaptability, and reliability. Indeed, the Consensus principles proposed are, for the most part, consistent with CERAD guidelines. The recommendation that diagnosis rest upon both neuritic plaque and neurofibrillary tangle frequency/distribution in the neocortex, however, is worrisome. This change will eliminate or downgrade many cases now diagnosed as AD with concomitant Parkinson's disease changes. Reclassifying such cases at this time, without compelling pathobiological justification, is premature. Instead, I recommend retention or modest modification of the current CERAD protocol, and propose that neuropathology data available on autopsies of over 200 CERAD dementia subjects be used for testing potential modifications of the diagnostic algorithm.

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Crossref · 10.1016/s0197-4580(97)00058-4

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Authors
Mirra, S. S.
Affiliations
Emory University (US)
Corresponding author
Mirra, S.S
Venue
Neurobiology of Aging
Publisher
Elsevier BV
Published
1997-07
Volume
18
Issue
4
Pages
S91-S94
ISSN
0197-4580 (ISSN-L)
OpenAlex
W2137794576
Cited by
236
References
26
Citations by year
2026: 3 · 2025: 10 · 2024: 6 · 2023: 6 · 2022: 6 · 2021: 6 · 2020: 11 · 2019: 5 · 2018: 14 · 2017: 13 · 2016: 13 · 2015: 12 · 2014: 15 · 2013: 14 · 2012: 19
FWCI
2.29
Type
journal article
Language
en
Open access
closed
Locations
  • Neurobiology of Aging (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
neuritic plaques, neurofibrillary tangles, neocortex, diagnostic algorithm
MeSH terms
Aged, Algorithms, Alzheimer Disease, Brain, Diagnosis, Differential, Diagnostic Errors, Humans, Longitudinal Studies, Parkinson Disease, Severity of Illness Index, Multicenter Studies as Topic, Neurofibrillary Tangles, Guidelines as Topic, Disease Progression

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