Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, September 11, 2021

Novel 10-Minute Test Can ID Patients With Mild Cognitive Impairment, Amyloid Beta Burden

With your good chance of getting dementia this test should be prescribed by your doctor to establish a baseline for you. And then if found implement THOSE EXACT DEMENTIA PREVENTION PROTOCOLS  your doctor should have competently already set up.

Your risk of dementia, has your doctor told you of this?

1. A documented 33% dementia chance post-stroke from an Australian study?   May 2012.

2. Then this study came out and seems to have a range from 17-66%. December 2013.`    

3. A 20% chance in this research.   July 2013.

4. Dementia Risk Doubled in Patients Following Stroke September 2018 

The latest here:

 

Novel 10-Minute Test Can ID Patients With Mild Cognitive Impairment, Amyloid Beta Burden

By Denise Baez

VIRTUAL -- July 29, 2021 -- A novel 10-minute battery test was able to discriminate mild cognitive impairment (MCI) from normal cognition, and identified patients with MCI with amyloid beta (Aß) burden, according to a study presented at the Virtual 2021 Alzheimer’s Association International Conference (AAIC).

“Early detection of cognitive decline is critical to improve outcomes for Alzheimer’s disease and other dementias,” said P. Monroe Butler, MD, Biogen, Cambridge, Massachusetts. “Screening for dementia risk during prodromal stages such as mild cognitive impairment typically occurs through brief, bedside cognitive measures. While these tests readily detect dementia, the relative sensitivity/specificity for identifying mild cognitive impairment is variable and the ability to predict underlying Alzheimer’s disease is poor.”

The 10-minute battery consists of the Digit-Symbol Substitution Test, the Trail Making Tests A and B, and a delayed recall task.

The test was built and validated using data from people who participated in the AD Neuroimaging Initiative Study (ADNI), the Swedish Biomarkers for Identifying Neurodegenerative Disorders Early and Reliably Study (BioFINDER), and the screening phase of aducanumab’s phase 2 EVOLVE study (before the trial was prematurely terminated). Predictors included age and APOE genotype.

Model performance was compared with the Mini-Mental State Exam (MMSE) to assess relative ability to differentiate MCI from normal cognition, and MCI with Aß burden versus without Aß burden based on imaging or fluid biomarker-based readouts of pathological Aß load.

Compared with the MMSE, the novel test showed greater sensitivity and specificity for MCI detection (area under the receiver operating characteristic curve [AUC-ROC] = 0.98 vs 0.78) and Aß prediction (AUC-ROC 0.81 vs 0.58).

“Of striking interest, removing APOE as a predictor markedly reduced accuracy in the traditional, but not in the novel 10-minute battery,” said Dr. Butler. “These preliminary data suggest that the novel combination of neuropsychological tests performed in 10 minutes may serve as a compact, more sensitive, and more specific screening tool to identify patients with MCI with amyloid beta burden compared with traditional screening batteries.”

[Presentation title: Ten-Minute Cognitive Screening Tool for Mild Cognitive Impairment and Prediction of Pathological ß-Amyloid]

No comments:

Post a Comment