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. 2022 Sep 20;16:998224. doi: 10.3389/fnins.2022.998224

Table 9.

Neuroimaging.

Reference Population Treatment Diagnosis Response criteria Follow-up Predictor Risk of bias
Cheng et al. (2015) 353 AD patients Donepezil, galantamine, rivastigmine Clinical (probable AD, NINCDS-ADRDA) Longer TMSE decline-free survival (Survival analysis, using TMSE decline of 3+ points as endpoint) Survival analysis, median 46.6 months Lower total MTA score and older age Low
Connelly et al. (2005a,b) 140 AD patients (160 enrolled) Donepezil, galantamine, rivastigmine Clinical (probable AD, NINCDS-ADRDA) At least two of gain of 2+ points on MMSE, improvement of the combined score IALD and social behavior subscales of NOSGER (or maintenance of maximum score), positive global change as defined as a tripartite agreement amongst doctor, subject, and carer (global impression) at 6 months 3 years (actually 6 months) Less medial temporal lobe atrophy at baseline Moderate
Um et al. (2017) 64 AD patients Donepezil Clinical (probable AD, NINCDS-ADRDA) 2+ points improvement in MMSE 24 weeks Higher left hippocampal total volume and left CA1 volume (no cut-offs provided) Moderate
Csernansky et al. (2005) 39 AD patients (37 completed the study) Donepezil Clinical (NINCDS-ADRDA)—doesn't state whether it's probable or possible Rate of change in ADAS-Cog (primary outcome); CDR, MMSE, NPI (secondary outcome)—Fiala et al. (1998) and Krstic et al. (2012) 2 years Smaller hippocampal volumes associated with deformation of the lateral and inferomedial surface (inward deformation of the hippocampal surface in proximity to the CA1 subfield and the subiculum) are negative predictor High
Graff-Radford et al. (2012) 54 DLB patients Donepezil, galantamine, rivastigmine Clinical (probable DLB, McKeith et al., 2004) Reliable change in Dementia Rating Scale: reliable improvement with 9+ points increase in <15 months and 10+ >15 months, reliable decline 6+ decrease in <15 months, and 7+ decrease >15 months, stability in between 1 year Larger hippocampal volume Low
Teipel et al. (2016) 215 suspected prodromal AD patients Donepezil Clinical (progressive hippocampal amnestic syndrome: free recall ≤ 17 or total recall <40 on FCSRT) Change in ADAS-Cog-MCI, CDR, TMT-A/B, CVLT 12 months + 6 months OLE Higher hippocampal volume Some concerns—Low
Visser et al. (2005) 121 AD patients Rivastigmine Clinical (probable AD, NINCDS-ADRDA, and DSM-IV) 2+ points improvement on MMSE or 4+ points improvement on ADAS-Cog 26 weeks Absence of medial temporal atrophy (Giacobini et al., 2022) in patients receiving low dose of rivastigmine; medial temporal lobe atrophy in general is not a predictor Low
Salib Tony Sheridan Mark Allington (2001) 59 AD patients Donepezil 5 mg Clinical (NINCDS-ADRDA, not stated if possible included) Unclear: “improvement or cognitive stability,” but non-response is defined as deterioration with MMSE <10 during the study period—probably means that non-responders are those who had to discontinue treatment 2 years Lower bicaudate span and bicaudate ratio High