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      Development and validation of language and visuospatial composite scores in ADNI

      research-article
      1 , 1 , 1 , 1 , 2 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 10 , 11 , 12 , 6 , 10 , 10 , 13 , for the Alzheimer's Disease Neuroimaging Initiative, 1 ,
      Alzheimer's & Dementia : Translational Research & Clinical Interventions
      John Wiley and Sons Inc.
      Alzheimer's Disease Neuroimaging Initiative, cognition, language, longitudinal analysis, magnetic resonance imaging, psychometrics, visuospatial functioning

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          Abstract

          Introduction

          Composite scores may be useful to summarize overall language or visuospatial functioning in studies of older adults.

          Methods

          We used item response theory to derive composite measures for language (ADNI‐Lan) and visuospatial functioning (ADNI‐VS) from the cognitive battery administered in the Alzheimer's Disease Neuroimaging Initiative (ADNI). We evaluated the scores among groups of people with normal cognition, mild cognitive impairment (MCI), and Alzheimer's disease (AD) in terms of responsiveness to change, association with imaging findings, and ability to differentiate between MCI participants who progressed to AD dementia and those who did not progress.

          Results

          ADNI‐Lan and ADNI‐VS were able to detect change over time and predict conversion from MCI to AD. They were associated with most of the pre‐specified magnetic resonance imaging measures. ADNI‐Lan had strong associations with a cerebrospinal fluid biomarker pattern.

          Discussion

          ADNI‐Lan and ADNI‐VS may be useful composites for language and visuospatial functioning in ADNI.

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          Most cited references43

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          The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment.

          To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia. Validation study. A community clinic and an academic center. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.
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            "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician.

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              Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA Work Group* under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease

              Neurology, 34(7), 939-939
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                Author and article information

                Contributors
                pcrane@uw.edu
                Journal
                Alzheimers Dement (N Y)
                Alzheimers Dement (N Y)
                10.1002/(ISSN)2352-8737
                TRC2
                Alzheimer's & Dementia : Translational Research & Clinical Interventions
                John Wiley and Sons Inc. (Hoboken )
                2352-8737
                05 December 2020
                2020
                : 6
                : 1 ( doiID: 10.1002/trc2.v6.1 )
                : e12072
                Affiliations
                [ 1 ] Department of Medicine University of Washington Seattle Washington USA
                [ 2 ] Department of Neurology Brown University Providence Rhode Island USA
                [ 3 ] Department of Neurology Boston University Boston Massachusetts USA
                [ 4 ] Department of Psychiatry University of Washington Seattle Washington USA
                [ 5 ] Puget Sound Veterans Administration Geriatric Research Education and Clinical Center VA Puget Sound Health Care System Seattle Washington USA
                [ 6 ] Department of Radiology and Alzheimer's Research Center Indiana University Indianapolis Indiana USA
                [ 7 ] Rush Alzheimer's Disease Center and Department of Behavioral Sciences and Psychiatry Rush University Medical Center Chicago Illinois USA
                [ 8 ] Department of Psychology City University of New York–Brooklyn New York USA
                [ 9 ] Department of Psychology City University of New York–Queens College New York USA
                [ 10 ] Alzheimer Center Amsterdam UMC ‐ VU University Medical Center Amsterdam the Netherlands
                [ 11 ] Department of Psychology Northwestern University Evanston Illinois USA
                [ 12 ] Department of Neurological Surgery University of Washington Seattle Washington USA
                [ 13 ] Clinical Memory Research Unit Lund University Lund Sweden
                Author notes
                [*] [* ] Correspondence

                Paul K. Crane, Department of Medicine, University of Washington, Box 359780, 325 Ninth Avenue, Seattle, WA 98104.

                E‐mail: pcrane@ 123456uw.edu

                [14]

                Data used in preparation of this article were obtained from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database (adni.loni.usc.edu). As such, the investigators within the ADNI contributed to the design and implementation of ADNI and/or provided data but did not participate in analysis or writing of this report. A complete listing of ADNI investigators can be found at: http://adni.loni.usc.edu/wp-content/uploads/how_to_apply/ADNI_Acknowledgement_List.pdf

                Article
                TRC212072
                10.1002/trc2.12072
                7718716
                33313380
                658d7f41-f7c4-4dce-b993-69fa1ff24840
                © 2020 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals LLC on behalf of Alzheimer's Association

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 15 July 2020
                : 28 July 2020
                Page count
                Figures: 0, Tables: 6, Pages: 13, Words: 7453
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.5 mode:remove_FC converted:05.12.2020

                alzheimer's disease neuroimaging initiative,cognition,language,longitudinal analysis,magnetic resonance imaging,psychometrics,visuospatial functioning

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