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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Mild cognitive impairment as a diagnostic entity
1Department of Neurology, Alzheimer's Disease Research Center, Mayo Clinic College of Medicine, Rochester, MN, USA.
Abstract:
The concept of cognitive impairment intervening between normal ageing and very early dementia has been in the literature for many years. Recently, the construct of mild cognitive impairment (MCI) has been proposed to designate an early, but abnormal, state of cognitive impairment. MCI has generated a great deal of research from both clinical and research perspectives. Numerous epidemiological studies have documented the accelerated rate of progression to dementia and Alzheimer's disease (AD) in MCI subjects and certain predictor variables appear valid. However, there has been controversy regarding the precise definition of the concept and its implementation in various clinical settings. Clinical subtypes of MCI have been proposed to broaden the concept and include prodromal forms of a variety of dementias. It is suggested that the diagnosis of MCI can be made in a fashion similar to the clinical diagnoses of dementia and AD. An algorithm is presented to assist the clinician in identifying subjects and subclassifying them into the various types of MCI. By refining the criteria for MCI, clinical trials can be designed with appropriate inclusion and exclusion restrictions to allow for the investigation of therapeutics tailored for specific targets and populations.
Insights
Mild cognitive impairment (MCI) signifies an early stage of abnormal cognitive decline. Research shows MCI predicts faster progression to dementia and Alzheimer's disease (AD), aiding targeted therapeutic development.
Area of Science:
- Neurology
- Gerontology
- Cognitive Science
Background:
- Mild cognitive impairment (MCI) is recognized as a transitional state between normal aging and dementia.
- MCI research is extensive, with epidemiological studies confirming accelerated progression to dementia and Alzheimer's disease (AD).
- Existing definitions and clinical implementation of MCI remain subjects of debate.
Purpose of the Study:
- To clarify the definition and diagnostic criteria for MCI.
- To propose subtypes of MCI, including prodromal dementia forms.
- To present a diagnostic algorithm for MCI identification and subclassification.
Main Methods:
- Review of existing literature on MCI.
- Analysis of epidemiological data on MCI progression.
- Development of a clinical diagnostic algorithm for MCI.
Main Results:
- MCI is a valid predictor of progression to dementia and Alzheimer's disease.
- Certain predictor variables for MCI progression have been identified.
- Proposed MCI subtypes aim to encompass prodromal stages of various dementias.
Conclusions:
- Refined MCI criteria can improve diagnostic accuracy.
- A standardized diagnostic algorithm can aid clinicians in identifying and classifying MCI.
- Improved MCI characterization is crucial for designing targeted clinical trials and therapeutic interventions for neurodegenerative diseases.
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