Age-Specific Cutoff Scores on a T1-Weighted Axial Medial Temporal-Lobe Atrophy Visual Rating Scale in Alzheimer's Disease Using Clinical Research Center for Dementia of South Korea Data
Journal of Clinical Neurology
; : 275-282, 2018.
Article
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| WPRIM
| ID: wpr-715699
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND AND PURPOSE:
Visual assessment of medial temporal-lobe atrophy (MTA) has been quick, reliable, and easy to apply in routine clinical practice. However, one of the limitations in visual assessments of MTA is the lack of widely accepted age-adjusted norms and cutoff scores for MTA for a diagnosis of Alzheimer's disease (AD). This study aimed to determine the optimal cutoff score on a T1-weighted axial MTA Visual Rating Scale (VRS) for differentiating patients with AD from cognitively normal elderly people.METHODS:
The 3,430 recruited subjects comprising 1,427 with no cognitive impairment (NC) and 2003 AD patients were divided into age ranges of 50–59, 60–69, 70–79, and 80–89 years. Of these, 446 participants (218 in the NC group and 228 in the AD group) were chosen by random sampling for inclusion in this study. Each decade age group included 57 individuals, with the exception of 47 subjects being included in the 80- to 89-year NC group. The scores on the T1-weighted axial MTA VRS were graded by two neurologists. The cutoff values were evaluated from the area under the receiver operating characteristic curve.RESULTS:
The optimal axial MTA VRS cutoff score from discriminating AD from NC increased with age it was ≥as ≥1, ≥2, and ≥3 in subjects aged 50–59, 60–69, 70–79, and 80–89 years, respectively (all p < 0.001).CONCLUSIONS:
These results show that the optimal cutoff score on the axial MTA VRS for diagnosing of AD differed according to the decade age group. This information could be of practical usefulness in the clinical setting.Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Atrofia
/
Curva ROC
/
Trastornos del Conocimiento
/
Demencia
/
Diagnóstico
/
Enfermedad de Alzheimer
/
Pemetrexed
/
Corea (Geográfico)
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Aspecto:
Patient_preference
Límite:
Aged
/
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Journal of Clinical Neurology
Año:
2018
Tipo del documento:
Article