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Updated: Feb 10, 2026

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Picture-Based Memory Impairment Screen: Effective Cognitive Screen in Ethnically Diverse Populations
Rubina Malik1, Erica F Weiss2, Reena Gottesman2
1Division of Geriatrics, Department of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.
The Picture-based Memory Impairment Screen (PMIS) effectively screens for cognitive impairment in diverse populations. This tool demonstrates good validity and reliability for identifying dementia and mild cognitive impairment.
Area of Science:
- Geriatric Medicine
- Neuropsychology
- Cognitive Science
Background:
- Cognitive impairment screening is crucial for early diagnosis and intervention in aging populations.
- Existing screening tools may not adequately account for diverse ethnic, educational, and linguistic backgrounds.
- A validated, culturally sensitive screening tool is needed for multidisciplinary memory disorder centers.
Purpose of the Study:
- To evaluate the psychometric properties of the Picture-based Memory Impairment Screen (PMIS).
- To assess the PMIS's validity and reliability in a diverse community-based memory disorder center.
- To determine the PMIS's utility in identifying cognitive impairment, including dementia and mild cognitive impairment (MCI).
Main Methods:
- A cross-sectional cohort study was conducted with 405 individuals presenting with cognitive complaints.
- The Picture-based Memory Impairment Screen (PMIS) was administered by geriatricians/neurologists.
- Neuropsychologists administered the Blessed Information, Memory, and Concentration (BIMC) test and diagnosed cognitive status (dementia, MCI, subjective cognitive complaints).
Main Results:
- PMIS scores significantly differed across diagnostic groups: dementia (4.0±2.6), MCI (6.8±1.5), and subjective cognitive complaints (7.0±1.8) (p<.001).
- PMIS scores demonstrated significant linear trends across various demographic factors including ethnicity, education, sex, and language.
- The PMIS showed a negative correlation with BIMC scores (p<.001) and exhibited a sensitivity of 68% and specificity of 81% for detecting all-cause dementia.
Conclusions:
- The Picture-based Memory Impairment Screen (PMIS) is a rapid and valid screening instrument.
- The PMIS effectively identifies cognitive impairment in individuals with cognitive complaints, considering cultural and educational variations.
- This tool is valuable for use in diverse clinical settings, including multidisciplinary memory disorder centers.
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