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. 2015 Jan 28;2015(1):CD010632. doi: 10.1002/14651858.CD010632.pub2

Ossenkoppele 2012b.

Study characteristics
Patient sampling 154 participants included from the outpatient memory clinic of for assessing the impact of molecular imaging on the diagnostic process. Among those participants there were 30 people with MCI. No further details of participant sampling and recruitment were reported.
We only include data on performance of the index test to discriminate between people with MCI who converted to dementia and those who remained stable.
Exclusion criteria: major clinical and psychiatric disorders, recent vascular events and excessive substance abuse.
Patient characteristics and setting 30 MCI participants diagnosed by the Petersen 2001 criteria at baseline.
Gender: 23 men; 7 women
Age: 64 ± 9
APOE ϵ4 carrier: not reported
MMSE: 27 ± 2
Education: not reported
Sources of referral: not reported
Sources of recruitment: Outpatient Memory Clinic,the VU University Medical Centre, The Netherlands.
Index tests ¹⁸F‐FDG PET scan
Threshold: visual inspection. Threshold (SUVr of ROI) not reported.
Index test was conducted before follow‐up.
Target condition and reference standard(s) Target condition: conversion from MCI to Alzheimer's disease dementia or other forms of dementia
Reference standards: NINCDS‐ADRDA criteria for ADD (McKhann 1984); Reference standard for the clinical criteria for FTD not reported.
Reference standards performed both with and without the index test results on the total sample. Unclear whether the data reported on 12 participants relate to the reference standards performed with or without the index test results.
Flow and timing Duration of follow‐up: 2 years
At baseline: 30 MCI: 15 FDG positive test; 15 FDG negative test (Table 1, p 4)
At follow‐up: 12 participants: 7 MCI‐converters (6 MCI‐ADD; 1 FTD); 5 MCI‐non‐converters MCI (5 MCI‐MCI) (from the author)
Number included in analysis: 12
Conversion from MCI to ADD:
TP = 5; FP = 0; FN = 1; TN = 6
Conversion from MCI to all dementia:
TP = 5; FP = 0; FN = 2; TN = 5
Loss to follow‐up:18 MCI participants. No further information.
Comparative  
Notes We contacted the trial investigators contacted who provided relevant data tor the 2 x 2 table to be completed and confirmed there are no overlapping participants with the Ossenkoppele 2012a study (email on 25th July 2013)
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Unclear    
Was a case‐control design avoided? Yes    
Did the study avoid inappropriate exclusions? Yes    
    Low Low
DOMAIN 2: Index Test All tests
Were the index test results interpreted without knowledge of the results of the reference standard? Yes    
If a threshold was used, was it pre‐specified? No    
    High Low
DOMAIN 3: Reference Standard
Is the reference standards likely to correctly classify the target condition? Yes    
Were the reference standard results interpreted without knowledge of the results of the index tests? Unclear    
    Unclear Low
DOMAIN 4: Flow and Timing
Was there an appropriate interval between index test and reference standard? Yes    
Did all patients receive the same reference standard? Yes    
Were all patients included in the analysis? No    
    High