EFNS task force: the use of neuroimaging in the diagnosis of dementia
Open accessAbstract
Background and purpose: The E uropean F ederation of the N eurological S ocieties (EFNS) guidelines on the use of neuroimaging in the diagnosis and management of dementia are designed to revise and expand previous EFNS recommendations for the diagnosis and management of patients with A lzheimer's disease (AD) and to provide an overview of the evidence for the use of neuroimaging techniques in non‐AD dementias, as well as general recommendations that apply to all types of dementia in clinical practice. Methods: The task force working group reviewed evidence from original research articles, meta‐analyses and systematic reviews, published before A pril 2012. The evidence was classified, and consensus recommendations were given and graded according to the EFNS guidance regulations. Results: Structural imaging, which should be performed at least once in the diagnostic work‐up of patients with cognitive impairment, serves to exclude other potentially treatable diseases, to recognize vascular lesions and to identify specific findings to help distinguish different forms of neurodegenerative types of dementia. Although typical cases of dementia may not benefit from routine functional imaging, these tools are recommended in those cases where diagnosis remains in doubt after clinical and structural imaging work‐up and in particular clinical settings. Amyloid imaging is likely to find clinical utility in several fields, including the stratification of patients with mild cognitive impairment into those with and without underlying AD and the evaluation of atypical AD presentations. Conclusions: A number of recommendations and good practice points are made to improve the diagnosis of AD and other dementias.
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Major consensus dementia investigation guidelines all recommend structural brain imaging as part of the investigation of bvFTD.
“Major consensus dementia investigation guidelines all recommend structural brain imaging as part of the investigation of bvFTD (Knopman et al. , 2001; Filippi et al. , 2012; Soucy et al. , 2013).”
From Recommendations to distinguish behavioural variant frontotemporal dementia from psychiatric disorders (2020) · cites this paper as Filippi et al. , 2012
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- Authors
- Filippi, M., Agosta, F., Barkhof, F., Dubois, B., Fox, N. C., Frisoni, G. B., Jack, C. R., Johannsen, P., Miller, B. L., Nestor, P. J., Scheltens, P., Sorbi, S., Teipel, S., Thompson, P. M., & Wahlund, L. ‐.
- Affiliations
- Vita-Salute San Raffaele University (IT)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Institut du Cerveau (FR)
- UCL Queen Square Institute of Neurology (GB)
- Centro San Giovanni di Dio Fatebenefratelli (IT)
- Mayo Clinic (US)
- Copenhagen University Hospital (DK)
- University of California, San Francisco (US)
- University of Cambridge (GB)
- Azienda Ospedaliero-Universitaria Careggi (IT)
- German Center for Neurodegenerative Diseases (DE)
- University of California, Los Angeles (US)
- Karolinska Institutet (SE)
- Corresponding author
- Filippi, M.
- ORCID
- Venue
- European Journal of Neurology
- Publisher
- Wiley
- Published
- 2012-08-20
- Volume
- 19
- Issue
- 12
- Pages
- 1487-1501
- ISSN
- 1351-5101 (ISSN-L)
- 1468-1331
- OpenAlex
- W2084706106
- Semantic Scholar
- dbd748074b1e75d40752f241b2425e2c4ddab214
- Cited by
- 141
- References
- 308
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 10 · 2023: 9 · 2022: 11 · 2021: 9 · 2020: 12 · 2019: 15 · 2018: 11 · 2017: 11 · 2016: 5 · 2015: 14 · 2014: 11 · 2013: 8 · 2012: 3
- FWCI
- 8.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Neurology (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Florence Research (University of Florence) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- DZNE Pub (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- Sanofi
- Biogen
- Teva Pharmaceutical Industries
- Fondazione Italiana Sclerosi Multipla
- BioClinica
- National Institute for Health and Care Research (NF-SI-0508-10123)
- University of Cambridge
- Ministero della Salute
- Eisai
- H. Lundbeck A/S
- Serono Symposia International Foundation
- National Institutes of Health
- Medical Research Council
- National Institute on Aging (P01AG019724)
- 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 › Neurological Disease Mechanisms and Treatments
- Keywords
- neuroimaging, dementia diagnosis, Alzheimer's disease, non-Alzheimer's dementia, structural imaging, functional imaging, amyloid imaging, mild cognitive impairment, vascular lesions, neurodegenerative dementia
- MeSH terms
- Alzheimer Disease, Dementia, Humans, Advisory Committees, Neuroimaging
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