Spinal-Fluid Test Confirmed To Predict Alzheimer's 138
omnibit writes "The New York Times reports that researchers have found a spinal-fluid test can be 100 percent accurate in identifying patients with significant memory loss who are on their way to developing Alzheimer's disease. The new study included more than 300 patients in their seventies, 114 with normal memories, 200 with memory problems, and 102 with Alzheimer's disease. Their spinal fluid was analyzed for amyloid beta, which forms plaques in the brain, and for tau, another protein that accumulates in dead and dying nerve cells in the brain. Nearly every person with Alzheimer's had the characteristic spinal fluid protein levels."
Re:Thank goodness: (Score:2, Insightful)
Re:Thank goodness: (Score:4, Insightful)
Yeah... too bad it's a spinal fluid test. Those are nasty. My spouse had one and the hole in the dura refused to close, which is apparently a fairly common side effect. Net result: unbearable, nonstop, over-10-on-a-1-to-10-scale headaches that can't be controlled with headache medicine. Caffeine on an IV drip works, but only temporarily. The headaches lasted for weeks until the doctors finally managed to close the hole with a blood clot. The clot doesn't actually fix the problem, but the dura managed to repair itself while the clot held. I've heard of people, however, who *never* healed from it. What a miserable experience.
100% Accurate, Nearly All of the Time! (Score:5, Insightful)
So, just to clarify, this test "can be 100% accurate", while at the same time "Nearly every person with Alzheimer's had the characteristic spinal fluid protein levels."
That's a pretty neat trick.
BAPtists and Tauists? (Score:3, Insightful)
Not just a test benefit (Score:5, Insightful)
Not only does this give an actual test for Alzheimers, it also means that there's a definitive symptom for it. Wipe out the cause of that symptom and maybe you can stop or reverse the progression of this horrible affliction.
My father is already at the moderate dementia stage of this illness, and it's devastating. Not so much for him as it is for my mother.
Does knowing early help? (Score:3, Insightful)
Re:Does knowing early help? (Score:3, Insightful)
Re:Thank goodness: (Score:5, Insightful)
In her early onset of Alzheimer's, I used to say shocking things about my life to my Grandmother. She'd be surprised, righteously indignant, and secretly curious. She'd ask all sorts of questions. Fifteen minutes later, we'd do it all again.
When I left from these visits, she'd be absolutely glowing. She'd be awake, excited, and extremely happy. And she had no idea what happened. Next time in, I could make the shocking revelations again with the same effect.
Re:100% Accurate, Nearly All of the Time! (Score:5, Insightful)
However, the test can only be 100% accurate if the spinal fluid proteins that presage Alzheimer's decrease after full onset.
The fact that not everybody who tested positive developed Alzheimer's during the study is no counter-indicator at all, especially if they kept testing new subjects throughout the trial (i.e. some were only tested recently).
Of course, the usual caveats apply - you can't predict with 100% accuracy who will develop Alzheimer's years from now because some will die first of other causes. And in biology (and medicine), even if your test is correct on the first 10 patients, and the first 100, and 1000, you just know some smart-alec is going to buck the trend eventually :) Biology is just too messy to follow any simple rules all the time. But that doesn't necessarily have a whole lot of relevance to clinical applications.
Re:Does knowing early help? (Score:3, Insightful)
There's no treatment for it and nothing they can do. I'd rather not know for as long as possible, you start going crazy as you watch yourself deteriorating every day.
And to think we used to cluck our tongues at the people who ate badly, smoked, drank, etc who died of a coronary at 60-70. Now you can live to 90 and be a vegetable. Hooray.
Until the mind can be prolonged the same way medicine has prolonged the body, it's all for nothing.
Re:Does knowing early help? (Score:3, Insightful)
Yes, let's leave you not knowing and continuing to drive, or forget what checks you've signed, or whether your spouse is allergic to peanuts when you make her a sandwich, and leave you without a chance organize your finances, any insurance, and a living will for a years long debilitating illness.
Then you can get promoted to middle management, where you can cut costs by discarding that "unnecessary testing".
"100 percent accurate" vs "Nearly every person" (Score:3, Insightful)
How I love Slashdot summaries.