Table 1.
Levels of evidence for neuroimaging biomarkers in PSP
Level | Utility | PSP-RS | vPSP |
---|---|---|---|
1 | Research tool | Group-level evidence that a biomarker is abnormal in PSP-RS | Group-level evidence that a biomarker is abnormal in vPSP |
2 | Supportive of clinical diagnosis | Individual-level data showing diagnostic value (high sensitivity + specificity) for PSP-RS | Individual-level data showing diagnostic value (high sensitivity + specificity) for vPSP |
3 | Supportive of early clinical diagnosis | Evidence for abnormalities before patients meet clinical criteria for PSP-RS | Evidence for abnormalities before patients meet clinical criteria for vPSP |
4 | Supportive of pathological diagnosis | Individual-level data showing diagnostic value for PSP pathology, regardless of syndrome | |
5 | Definitive | Biomarker of actual pathology |