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Updated: Jun 28, 2026

Olfactory Context Dependent Memory: Direct Presentation of Odorants
Published on: September 18, 2018
Odor identification in mild cognitive impairment subtypes
Holly James Westervelt1, Jared M Bruce, William G Coon
1Rhode Island Hospital, Department of Psychiatry, Providence, RI 02903, USA. hwestervelt@lifespan.org
Abstract:
The current study examined odor identification using the Brief Smell Identification Test (BSIT) in mild cognitive impairment (MCI) subtypes (17 "amnestic MCI", 46 "amnestic-plus MCI", and 25 "MCI other"). Performance in participants with MCI was compared to that of participants with Alzheimer's disease (AD, n=44) and healthy elderly (n=21). MCI participants performed worse than controls, but better than those with AD. MCI subtypes did not differ. The magnitude of difference between MCI participants and controls was modest, raising some question of the clinical utility of the BSIT in early detection of MCI and early differential diagnosis.
Insights
The Brief Smell Identification Test (BSIT) showed modest differences in odor identification for mild cognitive impairment (MCI) subtypes compared to healthy controls and Alzheimer's disease patients.
Area of Science:
- Neurology
- Gerontology
- Olfactory Function
Background:
- Mild cognitive impairment (MCI) is a transitional stage between normal aging and dementia.
- Early detection of MCI is crucial for timely intervention and management.
- Olfactory dysfunction is increasingly recognized as a potential early biomarker for neurodegenerative diseases.
Purpose of the Study:
- To evaluate the efficacy of the Brief Smell Identification Test (BSIT) in differentiating subtypes of mild cognitive impairment (MCI).
- To compare olfactory identification performance across MCI subtypes, Alzheimer's disease (AD), and healthy elderly controls.
Main Methods:
- Utilized the Brief Smell Identification Test (BSIT) to assess odor identification.
- Included participants with amnestic MCI, amnestic-plus MCI, MCI other, Alzheimer's disease (AD), and healthy elderly controls.
- Compared BSIT scores across these participant groups.
Main Results:
- Participants with MCI performed worse on the BSIT than healthy controls but better than those with AD.
- No significant differences were found among the MCI subtypes.
- The observed differences between MCI participants and controls were modest.
Conclusions:
- The BSIT demonstrated some ability to distinguish MCI from AD and healthy aging, but with limited magnitude.
- The utility of the BSIT for early MCI detection and differential diagnosis may be limited.
- Further research is needed to explore more sensitive olfactory tests for early neurodegenerative disease detection.
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