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Simple test can help doctors spot Alzheimer's disease early

Monday, March 28, 2005 by: Mike Adams (see all articles by this author) | Key concepts: Alzheimer's, Alzheimer's disease and Doctors

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Summary

Researchers say that a patient's performance on a simple 10-word memory test can help diagnose Alzheimer's disease in its earliest stages. Experts say that the test can detect subtle memory changes that indicate Alzheimer's is coming. In the disease's early stages, only a patient's most complex abilities are taxed; easily noticeable changes do not occur until the latest stages.

Original source:
http://my.webmd.com/content/article/102/106694.htm

Details

  • A simple word-memory test may accurately detect the earliest stages of Alzheimer's disease and improve treatment of the disease, according to a new study.
  • Researchers found that by weighting individual performance on a standard 10-word recall test used to diagnose Alzheimer's disease, they were able to significantly improve the accuracy of the test in detecting mild cognitive impairment.
  • Mild cognitive impairment -- subtle but measurable memory problems -- is the earliest clinical stage of Alzheimer's disease and related memory disorders and is typically followed by dementia.
  • People who suffer from mild cognitive impairment have memory problems that are greater than normal for their age but otherwise show no symptoms of dementia.
  • Spotting Alzheimer's disease at this early stage is important because there is an irreversible loss of function for every month that mild to moderate Alzheimer's disease goes untreated.
  • In the study, which appears in the March 29 issue of the Proceedings of the National Academy of Sciences, researchers looked at adding correspondence analysis to the standard word-memory test that has been used by National Institute of Aging for more than 20 years to improve the detection of mild cognitive impairment.
  • The test consists of a series of memory trials using a 10-word list.
  • The individual is shown the words on the list and then asked to recall them after performing another, unrelated task or after a delay.
  • Usually the score is calculated by recording the number of words recalled in each of the four trials.
  • But in this study, researchers weighted the scores based on the individual's performance on the intermediate and delayed recall portion of the tests.
  • The results showed using these weighted scores increased the sensitivity of the test by 12% in detecting mild cognitive impairment.

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