Event Abstract

Clinical tests and PET brain imaging help distinguish the 3 most common dementia subtypes

  • 1 University of South Florida, United States

Background: Dementia diagnosis and the various subtypes are challenging in the absence of biomarkers. Aim: To examine available tests and neuroimaging procedures that may help distinguish these disorders. Methods: Alzheimer’s disease (AD), cognitive vascular disorder (CVD) and Frontotemporal lobe disorders (FTD) were tested with the Frontal Systems Behavior Scale (FRSBE), Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment Test (MOCA) and subtests. All patients had multimodality MR imaging and 18 F Fluorodeoxyglucose PET (FDG-PET) brain scans. Results: Of 161 patients evaluated for dysmemory and cognitive impairment, 31 satisfied the full protocol. The mean T scores for the 3 principal frontal system syndromes for the AD group were all abnormal save disinhibition. For the CV and FTD groups, all four subcategory scores were abnormal. Disinhibition differed significantly between the AD and FTD group (ANOVA, p=0.02) and there was a strong association between the memory for 5 words test and a significant difference in the WLT score among the 3 groups (ANOVA, p=0.0233). There was a strong association between the FDG-PET and the disease subtype (p<0.0001). Conclusion: Evaluation for disinhibition, word list generation, 5 word memory testing and PET brain imaging may help distinguish the three most common dementia subtypes.

Conference: The 20th Annual Rotman Research Institute Conference, The frontal lobes, Toronto, Canada, 22 Mar - 26 Mar, 2010.

Presentation Type: Poster Presentation

Topic: Neurologic

Citation: Chen R and Hoffman M (2010). Clinical tests and PET brain imaging help distinguish the 3 most common dementia subtypes. Conference Abstract: The 20th Annual Rotman Research Institute Conference, The frontal lobes. doi: 10.3389/conf.fnins.2010.14.00144

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Received: 01 Jul 2010; Published Online: 01 Jul 2010.

* Correspondence: M. Hoffman, University of South Florida, Tampa, United States, mhoffman@health.usf.edu