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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Memory profiling in mild cognitive impairment: can we determine risk for Alzheimer's disease?
1School of Psychology, Psychiatry, and Psychological Medicine, Monash University, Clayton, Australia. kerryn.pike@petnm.unimelb.edu.au
Abstract:
Mild cognitive impairment (MCI) is considered a transitional stage between normal ageing and Alzheimer's disease (AD), but not all MCI cases progress to AD and there has been limited focus on how to identify who will progress. Given claims for a characteristic kind of memory impairment in AD involving deficits in encoding and consolidation of information, we propose that 'memory profiling' of individuals with MCI may help identify which individuals will progress. We initially set out to establish whether the same characteristic memory profile was present prior to the onset of AD (preAD). Very few studies provided data that allowed us to examine this, but results tentatively supported an encoding/consolidation profile in preAD. A single study tested the clinically important contrast of preAD versus non-preAD MCI cases and found no difference under any condition or in memory profiles, but interpretation of the findings is limited by short duration of follow-up, ceiling effects, and task limitations in assessing more complex and qualitative aspects of memory. Although existing data lead to equivocal conclusions, we believe that memory profiling is an endeavour worth pursuing, particularly given the increasing number of people with MCI presenting for clinical assessment. We propose that tests designed specifically to measure memory processes should be sensitive to preAD and are required in prospective longitudinal designs to identify these clinically crucial MCI cases.
Insights
Memory profiling may help identify individuals with mild cognitive impairment (MCI) who will progress to Alzheimer's disease (AD). Further research is needed to validate memory tests for early detection of pre-Alzheimer's disease (preAD).
Area of Science:
- Neuroscience
- Cognitive Psychology
- Gerontology
Background:
- Mild cognitive impairment (MCI) is a transitional stage between normal aging and Alzheimer's disease (AD).
- Identifying MCI cases that progress to AD is crucial but challenging.
- Existing research on memory profiles in pre-Alzheimer's disease (preAD) is limited and yields equivocal results.
Purpose of the Study:
- To investigate if a characteristic memory profile, associated with AD, is present in individuals with MCI who are likely to progress to AD (preAD).
- To assess the utility of 'memory profiling' as a tool for identifying individuals with MCI who will progress to AD.
- To determine if memory profiling can differentiate between preAD and non-progressing MCI cases.
Main Methods:
- Review of existing studies examining memory profiles in preAD and MCI.
- Analysis of data on encoding and consolidation deficits in memory.
- Evaluation of a single study contrasting preAD with non-preAD MCI cases.
Main Results:
- Tentative support for an encoding/consolidation memory profile in preAD was found in limited data.
- One study found no significant differences in memory profiles between preAD and non-preAD MCI cases.
- Interpretation of findings is limited by methodological constraints, including short follow-up and task limitations.
Conclusions:
- Memory profiling is a promising avenue for identifying MCI cases that will progress to AD.
- Further prospective longitudinal studies using sensitive memory tests are required.
- Developing specific memory process tests is essential for identifying clinically crucial MCI cases.
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