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Health system patterns of imaging and fluid biomarker testing in the era of anti-amyloid therapies - PubMed

6 hours ago
  • #Alzheimer's disease
  • #biomarkers
  • #healthcare trends
  • Anti-amyloid therapies are changing Alzheimer's disease management, requiring understanding of diagnostic testing and treatment access patterns.
  • Following insurance coverage changes, lecanemab infusions increased significantly, reaching 605 in Q1 2025.
  • Amyloid PET scans rose, cerebrospinal fluid biomarker orders declined, and plasma p-tau217 orders grew rapidly.
  • Females were more likely to be amyloid-beta positive, and APOE-ε4 homozygotes were less likely to start lecanemab.
  • The adoption of these therapies led to a swift shift in diagnostic workflows in real-world settings.