TY - JOUR A1 - Alafuzoff, Irina A1 - Arzberger, Thomas A1 - Al-Sarraj, Safa A1 - Bodi, Istvan A1 - Bogdanovic, Nenad A1 - Braak, Heiko A1 - Bugiani, Orso A1 - Del Tredici, Kelly A1 - Ferrer, Isidro A1 - Gelpi, Ellen A1 - Giaccone, Giorgio A1 - Graeber, Manuel B. A1 - Ince, Paul A1 - Kamphorst, Wouter A1 - King, Andrew A1 - Korkolopoulou, Penelope A1 - Kovács, Gábor G. A1 - Larionov, Sergey A1 - Meyronet, David A1 - Monoranu, Camelia A1 - Parchi, Piero A1 - Patsouris, Efstratios A1 - Roggendorf, Wolfgang A1 - Seilhean, Danielle A1 - Tagliavini, Fabrizio A1 - Stadelmann, Christine A1 - Streichenberger, Nathalie A1 - Thal, Dietmar R. A1 - Wharton, Stephen B. A1 - Kretzschmar, Hans T1 - Staging of neurofibrillary pathology in Alzheimer's disease : a study of the BrainNet Europe Consortium T2 - Brain pathology N2 - It has been recognized that molecular classifications will form the basis for neuropathological diagnostic work in the future. Consequently, in order to reach a diagnosis of Alzheimer's disease (AD), the presence of hyperphosphorylated tau (HP-tau) and beta-amyloid protein in brain tissue must be unequivocal. In addition, the stepwise progression of pathology needs to be assessed. This paper deals exclusively with the regional assessment of AD-related HP-tau pathology. The objective was to provide straightforward instructions to aid in the assessment of AD-related immunohistochemically (IHC) detected HP-tau pathology and to test the concordance of assessments made by 25 independent evaluators. The assessment of progression in 7-µm-thick sections was based on assessment of IHC labeled HP-tau immunoreactive neuropil threads (NTs). Our results indicate that good agreement can be reached when the lesions are substantial, i.e., the lesions have reached isocortical structures (stage V–VI absolute agreement 91%), whereas when only mild subtle lesions were present the agreement was poorer (I–II absolute agreement 50%). Thus, in a research setting when the extent of lesions is mild, it is strongly recommended that the assessment of lesions should be carried out by at least two independent observers. KW - Alzheimer's disease KW - immunohistochemistry KW - neurofibrillary pathology KW - neuropathological diagnosis KW - BrainNet Europe consortium Y1 - 2008 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/7096 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30-74382 SN - 1015-6305 SN - 1750-3639 N1 - Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation. VL - 18 IS - 4 SP - 484 EP - 496 PB - Blackwell CY - Oxford ER -