Volume 8, Issue 1 p. 1-13
Featured Article

National Institute on Aging–Alzheimer's Association guidelines for the neuropathologic assessment of Alzheimer's disease

Bradley T. Hyman

Bradley T. Hyman

Department of Neurology, Massachusetts General Hospital, Harvard University, Boston, MA, USA

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Creighton H. Phelps

Creighton H. Phelps

National Institute on Aging, Bethesda, MD, USA

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Thomas G. Beach

Thomas G. Beach

Civin Laboratory for Neuropathology, Banner Sun Health Research Institute, Sun City, AZ, USA

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Eileen H. Bigio

Eileen H. Bigio

Department of Pathology, Northwestern Alzheimer Disease Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

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Nigel J. Cairns

Nigel J. Cairns

Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA

Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA

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Maria C. Carrillo

Maria C. Carrillo

Alzheimer's Association, Chicago, IL, USA

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Dennis W. Dickson

Dennis W. Dickson

Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA

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Charles Duyckaerts

Charles Duyckaerts

Service de Neuropathologie Raymond Escourolle, Hôpital de la Salpêtriére, Paris, France

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Matthew P. Frosch

Matthew P. Frosch

C.S. Kubik Laboratory for Neuropathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

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Eliezer Masliah

Eliezer Masliah

Department of Neurosciences, School of Medicine, University of California, San Diego, La Jolla, CA, USA

Department of Pathology, School of Medicine, University of California, San Diego, La Jolla, CA, USA

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Suzanne S. Mirra

Suzanne S. Mirra

Department of Pathology, SUNY Downstate Medical Center, Brooklyn, NY, USA

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Peter T. Nelson

Peter T. Nelson

Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA

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Julie A. Schneider

Julie A. Schneider

Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA

Department of Pathology, Rush University Medical Center, Chicago, IL, USA

Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA

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Dietmar Rudolf Thal

Dietmar Rudolf Thal

Institute of Pathology–Laboratory of Neuropathology, University of Ulm, Ulm, Germany

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Bill Thies

Bill Thies

Alzheimer's Association, Chicago, IL, USA

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John Q. Trojanowski

John Q. Trojanowski

Department of Pathology and Laboratory Medicine, Institute on Aging, Center for Neurodegenerative Disease Research, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

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Harry V. Vinters

Harry V. Vinters

Department of Pathology and Laboratory Medicine (Neuropathology), University of California Los Angeles, Los Angeles, CA

Department of Neurology, University of California Los Angeles, Los Angeles, CA

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Thomas J. Montine

Corresponding Author

Thomas J. Montine

Department of Pathology, University of Washington School of Medicine, Seattle, WA

Corresponding author. Tel.: 206-543-1140; Fax: 206-897-5249.

E-mail address: [email protected]

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First published: 01 January 2012
Citations: 1,594

Abstract

A consensus panel from the United States and Europe was convened recently to update and revise the 1997 consensus guidelines for the neuropathologic evaluation of Alzheimer's disease (AD) and other diseases of brain that are common in the elderly. The new guidelines recognize the pre-clinical stage of AD, enhance the assessment of AD to include amyloid accumulation as well as neurofibrillary change and neuritic plaques, establish protocols for the neuropathologic assessment of Lewy body disease, vascular brain injury, hippocampal sclerosis, and TDP-43 inclusions, and recommend standard approaches for the workup of cases and their clinico-pathologic correlation.