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Effectiveness of Florbetapir PET Imaging in Changing Patient Management
Pontecorvo MJ, Siderowf A, Dubois B, Doraiswamy PM, Frisoni GB, Frisoni GB, Grundman M, Nobili F et al.. Dementia and geriatric cognitive disorders, 2017-08-05
Topic: Risk, prevention and care in population studies
Plain-language summary
Aims To evaluate the impact of amyloid PET imaging on diagnosis and patient management in a multicenter, randomized, controlled study. Methods Physicians identified patients seeking a diagnosis for mild cognitive impairment or dementia, possibly due to Alzheimer disease (AD), and recorded a working diagnosis and a management plan. The patients underwent florbetapir PET scanning and were randomized to either immediate or delayed (1-year) feedback regarding amyloid status. At the 3-month visit, the physician updated the diagnosis and recorded a summary of the actual patient management since the post-scan visit. The study examined the impact of immediate versus delayed feedback on patient diagnosis/management at 3 and 12 months. Results A total of 618 subjects were randomized (1:1) to immediate or delayed feedback arms, and 602 subjects completed the 3-month primary endpoint visit. A higher proportion of patients in the immediate feedback arm showed a change in diagnosis compared to the controls (32.6 vs. 6.4%; p = 0.0001). Similarly, a higher proportion of patients receiving immediate feedback had a change in management plan (68 vs. 55.5%; p Conclusion Knowledge of the amyloid status affects the diagnosis and alters patient management.
What this study adds
Evidence grade: High
The record lists 618 participants. The study concludes that knowledge of amyloid status affects diagnosis and alters patient management, but it reports no treatment, cure, or prevention. Reported effect size: 6.4%; 55.5%.
Taken from this record’s own fields, not from reading the paper. The grade is assigned from the abstract’s wording; what that means.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Pontecorvo, M. J., Siderowf, A., Dubois, B., Doraiswamy, P. M., Frisoni, G. B., Grundman, M., et al. (2017). Effectiveness of Florbetapir PET Imaging in Changing Patient Management. Dementia and geriatric cognitive disorders. https://doi.org/10.1159/000478007
Vancouver
Pontecorvo MJ, Siderowf A, Dubois B, Doraiswamy PM, Frisoni GB, Grundman M, et al. Effectiveness of Florbetapir PET Imaging in Changing Patient Management. Dementia and geriatric cognitive disorders. 2017. doi:10.1159/000478007. PMID: 28787712.
BibTeX
@article{pontecorvo2017-28787712,
author = {Pontecorvo, M. J. and Siderowf, A. and Dubois, B. and Doraiswamy, P. M. and Frisoni, G. B. and Grundman, M. and Nobili, F. and others},
title = {{Effectiveness of Florbetapir PET Imaging in Changing Patient Management}},
journal = {Dementia and geriatric cognitive disorders},
year = {2017},
doi = {10.1159/000478007},
pmid = {28787712},
url = {https://doi.org/10.1159/000478007}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- The study examined the impact of immediate versus delayed feedback on patient diagnosis/management at 3 and 12 months.
- Results A total of 618 subjects were randomized (1:1) to immediate or delayed feedback arms, and 602 subjects completed the 3-month primary endpoint visit.
- A higher proportion of patients in the immediate feedback arm showed a change in diagnosis compared to the controls (32.6 vs. 6.4%; p = 0.0001).
Why it matters
In a multicenter randomized controlled study, a higher proportion of patients who received immediate florbetapir PET amyloid feedback showed a change in diagnosis compared with controls (32.6% versus 6.4%) and a higher proportion had a change in management plan (68% versus 55.5%). The study concludes that knowledge of amyloid status affects diagnosis and alters patient management, but it reports no treatment, cure, or prevention.
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Study details
- Participants618
- Effect size6.4%; 55.5%
- Evidence strengthHigh
How this study scored 56/100
Published in a peer-reviewed journal. Scored zero for study design because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Dementia and geriatric cognitive disorders) |
| Journal's citation record | 1 / 4 | Dementia and Geriatric Cognitive Disorders: journal h-index 149 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2017 — within 10 year(s) of the newest study here |
| Sample size | 2 / 4 | 618 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 1 / 2 | Randomized (as stated in the record) |
| Times cited | 4 / 7 | Cited 46 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 4.2 citations a year over 11 year(s) since 2017 |
| Impact for its field and year | 3 / 6 | Cited 4.2× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 8 other studies in this library |
| Still being cited | 1 / 4 | Cited 13 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Mark A. Mintun: h-index 131 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California San Diego: institution h-index 1,852 (OpenAlex) |
| Multicenter collaboration | 3 / 3 | OpenAlex lists 13 institution(s) in 4 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 28787712) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 56 / 100 | — |
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