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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 should be considered for DSM-V
Ronald C Petersen1, John O'Brien
1Mayo Clinic College of Medicine, Department of Neurology, Rochester, MN 55905, USA. peter8@mayo.edu
Mild cognitive impairment (MCI) is a distinct condition, not normal aging or dementia. Evidence supports its inclusion in the DSM-V, especially the amnestic subtype, a likely Alzheimer's disease precursor.
Area of Science:
- Neurology
- Psychiatry
- Gerontology
Background:
- Mild cognitive impairment (MCI) is a critical transitional phase between normal aging and dementia.
- It is a subject of significant clinical and research interest.
- Distinguishing MCI from normal aging and early dementia is crucial for timely intervention.
Purpose of the Study:
- To advocate for the inclusion of mild cognitive impairment in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V).
- To present evidence supporting MCI as a distinct diagnostic entity.
- To highlight the amnestic subtype as a potential precursor to Alzheimer's disease.
Main Methods:
- Review and synthesis of clinical data.
- Analysis of outcome studies.
- Examination of epidemiological findings.
- Evaluation of neuroimaging and pathophysiological evidence.
Main Results:
- Mild cognitive impairment is demonstrably distinct from normal aging and clinically probable Alzheimer's disease.
- The amnestic subtype of MCI shows strong links to Alzheimer's disease pathology.
- MCI meets inclusion criteria for DSM-V classification, potentially more so than some existing diagnoses.
Conclusions:
- Mild cognitive impairment warrants recognition as a separate construct in psychiatric and neurological classifications.
- Inclusion in the DSM-V would facilitate standardized diagnosis and research.
- Further research is needed to fully elucidate the uncertainties surrounding MCI.
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