PilotJournal of neuroengineering and rehabilitation2023

Evaluating the feasibility of cognitive impairment detection in Alzheimer's disease screening using a computerized visual dynamic test.

Eduardo Perez-Valero, Christian A Morillas Gutierrez, Miguel Angel Lopez-Gordo and 1 others

PMID 37046310

WHAT IT FOUND

A computerized rapid visual test showed clearer differences between impaired and healthy participants than clock drawing did, while clock drawing did not separate the groups; this was a small feasibility study, not a validated screening tool.

Key findings

01The clock-drawing test did not show a statistically significant difference between the impaired and healthy groups.

02The Phototest and the RSVP global attentional masking score showed statistically significant differences between groups.

03In classification testing, the RSVP logistic regression model produced the highest reported accuracy among the approaches tested.

STILL TO COME

How it was doneWhat they found

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What it does not show

The study was a small feasibility analysis, not a validation trial. The impaired group combined mild Alzheimer's disease and non-Alzheimer mild cognitive impairment, so results may not apply to each group separately. The classification analysis used cross-validation on the same small sample, not an independent test set. The authors did not assess self-administration or performance across different ages, education levels, or sexes. The computerized test required healthy visual perception and basic computer skills for self-administration.

Declared interests

The supplied text does not include a funding or conflict-of-interest declaration; the publication types note non-U.S. government research support.

The easy way to misread this

Do not conclude that the computerized visual test is ready for clinical screening. It was a small feasibility study that tested the model on the same participants, not an independent validated test.

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The study

Participants
22 analyzed (13 impaired, 9 healthy controls)
Certainty of evidence
Very low

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    Cite

    Eduardo Perez-Valero, Christian A Morillas Gutierrez, Miguel Angel Lopez-Gordo, et al. Evaluating the feasibility of cognitive impairment detection in Alzheimer's disease screening using a computerized visual dynamic test. Journal of neuroengineering and rehabilitation. 2023.

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