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. 2018 Sep 21;91(3):291–300.

Table 1. Performance of AD biomarkers.

Biomarker Sensitivity / Specificity References
CSF Aβ1-42 0.86/ 0.90 [7]
Aβ1-42/Aβ1-40 0.93/ 1.0 [8]
p-tau 0.80/ 0.92 [7]
t-tau 0.81/ 0.90 [7]
Plasma Aβ1-42 0.93/ 0.96 [9]
Aβ1-42/ Aβ1-40 0.90/ 0.90 [10]
APP669-711/A1-42 0.85/ 0.95 [10]
Composite 0.95/ 0.95 [10]
PET Aβ 0.85/ 0.88 [11]
Tau 0.93-0.97/ 1.0 [12]
FDG 0.84/ 0.86 [11]
MRI 0.81/ 0.75 [11]

Sensitivity and specificity figures for AD biomarkers, for the comparison AD dementia versus controls. Though these are in line with recommendations by the 1998 Biomarker Working Group, stating that an ideal AD biomarker should have sensitivity and specificity > 80% [13], performance is imperfect; this relates to the use of patients possibly misdiagnosed or harbouring mixed pathologies, the use of amyloid-positive “controls” and the high overlap in pathology between AD and other dementia disorders. Composite = APP669–711/Aβ1-42 to Aβ1-40/Aβ1-42.