Hippocampal volume and CDR-SB can predict conversion to dementia in MCI patients

Arq Neuropsiquiatr. 2012 Nov;70(11):839-42. doi: 10.1590/s0004-282x2012001100003.

Abstract

Objective: To evaluate the combination of two factors: clinical dementia rating sum of boxes scores (CDR-SB) and hippocampal volume (HV) as predictors of conversion from mild cognitive impairment (MCI) to dementia.

Methods: Twenty-eight individuals (9 normal and 19 with MCI) were classified according to their CDR sum of boxes scores into 3 groups.

Results: The hippocampal volume was significantly lower in the high-risk group and in those who developed dementia after two years. The rate of conversion was crescent among the three groups.

Conclusion: We were proposed an additional measurement of the hippocampal volume which may be helpful in the prognosis. However, we noted that the CDR-SB is a method as efficient as neuroimaging to predict dementia with the advantage of being a procedure for low cost and easy implementation, more consistent with public policy.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognitive Dysfunction / diagnosis*
  • Cognitive Dysfunction / pathology
  • Cognitive Dysfunction / psychology
  • Dementia / diagnosis*
  • Dementia / pathology
  • Dementia / psychology
  • Disease Progression
  • Female
  • Hippocampus / pathology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Statistics, Nonparametric
  • Urban Population