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Alzheimer disease

Implications of AD plasma and PET biomarker discordance

Plasma biomarker tests for Alzheimer disease are becoming increasingly reliable, which enables implementation in clinical settings in which cerebrospinal fluid analysis and PET scans are unavailable. However, a new study shows that some patients have discordant plasma and PET biomarker results. Clinicians need clear guidance to identify and manage patients who do not fit into standard clinical or biological categories.

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Correspondence to Charlotte E. Teunissen.

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Competing interests

C.E.T. has research contracts with Acumen, ADx Neurosciences, AC-Immune, Alamar, Aribio, Axon Neurosciences, Beckman-Coulter, BioConnect, Bioorchestra, Brainstorm Therapeutics, C2N diagnostics, Celgene, Cognition Therapeutics, EIP Pharma, Eisai, Eli Lilly, Fujirebio, Instant Nano Biosensors, Novo Nordisk, Olink, PeopleBio, Quanterix, Roche, Toyama and Vivoryon. She is editor-in-chief of Alzheimer Research and Therapy, and serves on the editorial boards of Molecular Neurodegeneration, Alzheimer’s & Dementia, Neurology: Neuroimmunology & Neuroinflammation and Medidact Neurologie/Springer, and serves on committees to define guidelines for cognitive disturbances and acute neurology in the Netherlands. She has had consultancy and/or speaker contracts with Aribio, Biogen, Beckman-Coulter, Cognition Therapeutics, Eli Lilly, Merck, Novo Nordisk, Olink, Roche and Veravas. L.V. declares no competing interests.

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Teunissen, C.E., Vermunt, L. Implications of AD plasma and PET biomarker discordance. Nat Rev Neurol 21, 295–296 (2025). https://doi.org/10.1038/s41582-025-01091-w

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