Precision Medicine in Neurodegenerative Disorders: Part I
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Bibliographische Detailangaben
Beteilige Person: Espay, Alberto J. ca. 20./21. Jh (VerfasserIn)
Format: Buch
Sprache:Englisch
Veröffentlicht: San Diego Elsevier 2023
Schriftenreihe:Handbook of clinical neurology volume 192, 3rd series
Abstract:Intro -- Precision Medicine in Neurodegenerative Disorders, Part I -- Copyright -- Available titles -- Foreword -- In Memoriam-Michael Parkinson -- Preface -- Contributors -- Contents -- Part 1: Conceptual framework -- Chapter 1: The definition of precision medicine in neurodegenerative disorders and the one disease-many diseases tension -- Introduction -- Lessons from other fields -- Precision Medicine in the Fields of Oncology vs Neurodegeneration -- One Disease-Many Diseases Tension -- Why have we failed in disease modification? -- Disease heterogeneity -- Clinical heterogeneity -- Clinical subtypes -- Data-driven subtypes -- Challenges related to both approaches -- The ''brain-first''/''body-first'' hypothesis -- Genetic heterogeneity -- Environmental factors contributing to heterogeneity -- Pathologic heterogeneity -- Other concomitant proteinopathies/concurrent factors -- Pathogenic heterogeneity -- Heterogeneity and the One Disease-Many Diseases Tension -- Requirements for precision medicine -- Biomarkers -- Diagnostic accuracy -- The concept of prodromal stages of neurodegenerative diseases -- Moving From Heterogeneity to Precision Medicine and Successful DMT -- Conclusion -- References -- Chapter 2: Models of precision medicine for neurodegeneration -- From the Clinicopathologic Model to Individualized Biological Subtyping -- Is the Model for Symptomatic Treatments Also Helpful for Precision Medicine? -- The Big Picture -- Logistical Implications of the Clinicopathologic Model of Disease -- The false allure of a perfect trial -- If PD is not one disease, why dont we strategize as if we mean it? -- The epidemiology-therapy disconnect -- Toxic pathology? -- When do we reject a hypothesis? -- ''Lessons from failures'' -- Why Is There Resistance to Change Away From the Clinicopathology Model?.
Umfang:xviii, 269 pages
ISBN:9780323855389