All participants will undergo baseline neurologic examinations, neuropsychological tests named SNSB, brain MRIs, blood labs, and florbetaben PET scans for amyloid depositions. PET findings are interpreted using a visual rating scale named brain amyloid plaque load and rated as positive amyloidosis with a brain amyloid plaque load score of 2/3.[9 (link)] Quantitative neuroimaging analysis will be performed.
At baseline, questionnaires for SCD, amyloid PET scans, brain MRIs including 3 dimensional-T1 imaging, plasma amyloid beta values are examined. Telephone-based HCT at home are performed every 6 months during the study period. Annual follow-up evaluations include detailed neuropsychological tests, physical and neurologic examinations, and physician’s assessments for clinical progression. Brain MRI and plasma amyloid beta values are assessed at baseline and 24 months later (Table
Clinical progression to mild cognitive impairment or dementia will be assessed at the final visit. The cognitive tests were administered by a trained neuropsychologist. Participants with CDR score ≥ 0.5 or Korean version of activities of daily living score ≥ 0.43 were considered to have progressed to MCI or dementia.