Modernizing diagnosis of Alzheimer's disease: A review of global trends and Asia-specific perspectives
- PMID: 40760693
- PMCID: PMC12321508
- DOI: 10.1002/alz.70536
Modernizing diagnosis of Alzheimer's disease: A review of global trends and Asia-specific perspectives
Abstract
The landscape of Alzheimer's disease (AD) and related dementias (ADRD) diagnosis is evolving rapidly, driven by advances in disease understanding, biomarker tools, and disease-modifying therapies. Modern diagnostic approaches emphasize biological precision, early detection, and dynamic frameworks that adapt to treatment-induced changes in disease biology. These frameworks enable opportunities for personalized interventions-encompassing pharmacological and non-pharmacological strategies-and for enhanced clinical trial design. However, implementing these advancements globally is influenced by diverse cultural, infrastructural, and regulatory factors. The 2024 Alzheimer's Association International Conference Advancements: Modernizing Diagnosis, held in Japan, provided a unique platform to explore these global dynamics, particularly from an Asian perspective. This article highlights key discussions from the conference, exploring the role of biomarker-based diagnostic frameworks in shaping the future of AD/ADRD research, diagnosis, and treatment. We highlight regional challenges and successes and emphasize ethical considerations and practical strategies needed to ensure equitable access to diagnostic and therapeutic innovations. HIGHLIGHTS: Advances in biomarkers are reshaping Alzheimer's disease diagnosis and treatment. Modern diagnostic frameworks highlight biological precision, early detection, and dynamic frameworks. The 2024 Alzheimer's Association International Conference Advancements: Modernizing Diagnosis explored challenges and opportunities in global biomarker implementation. The conference explored geographic-specific impacts, focusing on Asia.
Keywords: Alzheimer's disease; Asia; biomarker; dementia; diagnosis.
© 2025 The Author(s). Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.
Conflict of interest statement
M.C. Carrillo is a full‐time employee of the Alzheimer's Association; received support from NIA, and grants or contracts from NIA and CDC. As a full‐time employee of the Alzheimer's Association, all travel expenses are covered by her employer. Participated on a data safety monitoring board or advisory board of NIA and NINDS funded initiatives including ADSP. Reports the following leadership or fiduciary roles: GHR Foundation—board, and American Heart Association—Research Committee (unpaid, no longer active). Her daughter is a neuroscience graduate student at USC. S. Mahinrad is a full‐time employee of the Alzheimer's Association. C. Sexton is a full‐time employee of the Alzheimer's Association. I.C. Fontana is a full‐time employee of the Alzheimer's Association. H.M. Snyder is a full‐time employee of the Alzheimer's Association. Received grants or contracts from NIA and CDC. As a full‐time employee of the Alzheimer's Association, all travel expenses are covered by her employer. Participated on the data safety monitoring board or advisory board (all external advisory board) of NIA and NINDS funded initiatives including DISCOVERY AD and Microbiome AD/ADRD studies, and NACC EAB. She reports the following leadership or fiduciary roles: Health Research Alliance—board (unpaid, past); American Heart Association—research committee (unpaid); liaison—Brain Health Council, American Heart Association (unpaid); Women's Brain Health Committee—AARP (unpaid); CDMRP, DoD Alzheimer's and Related Disorders Committee—Chair (unpaid); and XPrize Judge (unpaid). Her spouse works for Abbott in an unrelated area. T. Iwatsubo has received honoraria from Eisai and Eli Lilly. R.A. Sperling has served as a paid consultant for AbbVie, AC Immune, Acumen, Alector, Apellis, Biohaven, Bristol Myers Squibb, Genentech, Ionis, Janssen, Oligomerix, Prothena, Roche, and Vaxxinity. She has received research funding from Eisai and Eli Lilly for public–private partnership clinical trials and receives research grant funding from the National Institute on Aging/National Institutes of Health, GHR Foundation, and the Alzheimer's Association. Her spouse, K. Johnson, reports consulting fees from Novartis, Prothena, Merck, and Janssen. A. Algeciras‐Schimnich serves on advisory boards for Roche Diagnostics and Fujirebio Diagnostics and received speaker honoraria from Roche Diagnostics. T.L.S. Benzinger has received grants or contracts from Siemens paid to her institution; consulting fees from Biogen
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