Earlier quoted context omitted.
Or that we've been lumping multiple different types of cognitive decline as a single disease.
Can’t you make a definitive diagnosis from an autopsy. Could be that multiple diseases lead to the same findings in the autopsy. While someone is alive a diagnosis of Alzheimers is more of a diagnosis of elimination. There are several drugs that can be used to slow the progression and I assume that those have a role to play in solidifying the diagnosis.
So, while we would definitively call it Alzheimer's if you have significant cognitive decline + amyloid plaques, it's not 100% clear that this is a single diagnostic.