Abstract
Background: The Disease State Index (DSI) is a method
which interprets data originating from multiple different
sources, assisting the clinician in the diagnosis and
follow-up of dementia diseases. Objective: We compared
the differences in accuracy in differentiating stable
mild cognitive impairment (S-MCI) and progressive MCI
(P-MCI) obtained from different data combinations using
the DSI. Methods: We investigated 212 cases with S-MCI
and 165 cases with P-MCI from the Alzheimer's Disease
Neuroimaging Initiative cohort. Data from
neuropsychological tests, cerebrospinal fluid,
apolipoprotein E (APOE) genotype, magnetic resonance
imaging (MRI) and positron emission tomography (PET) were
included. Results: The combination of all parameters gave
the highest accuracy (accuracy 0.70, sensitivity 0.71,
specificity 0.68). In the different categories,
neuropsychological tests (0.65, 0.65, 0.65) and
hippocampal volumetry (0.66, 0.66, 0.66) achieved the
highest accuracy. Conclusion: In addition to
neuropsychological testing, MRI is recommended to be
included for differentiating S-MCI from P-MCI. APOE
genotype, CSF and PET may provide some additional
information.
Original language | English |
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Pages (from-to) | 200-202 |
Journal | Neurodegenerative Diseases |
Volume | 13 |
Issue number | 2-3 |
DOIs | |
Publication status | Published - 2014 |
MoE publication type | A1 Journal article-refereed |
Keywords
- Alzheimer's Disease
- CSF
- mild cognitive impairment
- MRI
- PET