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Kimiko Domoto-Reilly, MD Cognitive / Behavioral Neurology Fellow Massachusetts General Hospital & Brigham and Women’s Hospital. NIFD & 4RTNI research studies. Background: ADNI. Alzheimer’s Disease Neuroimaging Initiative (2004) natural history study of early Alzheimer’s disease
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Kimiko Domoto-Reilly, MD Cognitive / Behavioral Neurology Fellow Massachusetts General Hospital & Brigham and Women’s Hospital NIFD & 4RTNI research studies
Background: ADNI • Alzheimer’s Disease Neuroimaging Initiative (2004) • natural history study of early Alzheimer’s disease • 800 subjects from 50 sites across North America • control subjects and subjects with memory impairment • 6-12 month evaluations over 3 years • clinical / cognitive assessments • brain scans: MRI, PET • biofluid collection: blood, urine, CSF • funded by National Institute on Aging, the Alzheimer’s Association, and multiple drug companies
Background: ADNI • freely shared data repository • many new insights into Alzheimer’s disease • European-ADNI (2006); Japanese-ADNI (2006); ADNI-GO (2010); ADNI II (2011); Parkinson’s Progression Markers Initiative
NIFD: Overview • Neuroimaging in Frontotemporal Dementia • natural history study of early FTD • 215 subjects from 3 sites (UCSF, Mayo, MGH) • 140 FTD subjects, 75 control subjects • here at MGH: 25 FTD subjects • 6 month evaluations over 1.5 years • clinical / cognitive assessments • brain scans: MRI (and PET at other sites) • biofluid collection: blood, urine, CSF
NIFD: Enrollment • eligibility • diagnosis of bvFTD, PNFA, or SD • fluent in English • 45-90 years old • study partner • able to undergo multiple MRIs and 2 LPs
NIFD: Goals • goals • to collect multimodal data (cognitive/behavioral, imaging, biofluids) in a standardized fashion • to contribute to a shared database • to learn more about the natural history of FTD • to learn more about new imaging techniques and biofluid measurements • to learn about which information is best for diagnosis, prognosis, and monitoring • data collection funded by National Institute on Aging / National Institute of Neurological Disorders and Stroke (NIA-NINDS)
4RTNI: 2012? • 4R-Tau Neuroimaging Initiative • design parallels ADNI and NIFD • natural history study • imaging and biofluid collection • Tau-based diseases • corticobasal degeneration (CBD) • progressive supranuclear palsy (PSP) • study funded by an anonymous grant from a family of a patient cared for at UCSF