A new study reports that measurable brain changes — such as altered functional connectivity, synaptic activity, or metabolic patterns — can appear up to seven years before amyloid-beta plaques become detectable in Alzheimer’s disease. These early alterations may serve as preclinical biomarkers, enabling earlier diagnosis and opening a critical window for intervention before irreversible neurodegeneration occurs. The findings suggest that Alzheimer’s pathology begins years before plaque formation and support shifting detection and treatment strategies to this pre-plaque stage.
A new study suggests that Alzheimer’s disease may be detected by brain imaging more than seven years earlier than previously assumed. Researchers from the Department of Psychology at the University of Oslo led the study, published in Nature Neuroscience.
The study suggests that the gold standard for imaging in Alzheimer’s disease (amyloid-PET) has not been sensitive enough to detect early brain processes associated with the disease, such as the accumulation of amyloid plaques in the brain. The researchers found signs of Alzheimer’s at least seven years before plaques become visible.
“We found that structural changes in the brain occur many years before high levels of plaque are seen on PET scans, which is the brain scan currently used to identify the earliest signs of Alzheimer’s disease,” says James Michael Roe.