Beyond a Differential Diagnosis: Cognitive and Morphometric Decoding of Information Processing Speed in Senior Adults with DSM-5 Mild Neurocognitive Disorders

• Published in: Journal of Alzheimer's disease Vol. 58; no. 3; p. 927
• Main Authors: Lu, Hanna, Chan, Sandra S M, Fung, Ada W T, Lam, Linda C W
• Format: Journal Article
• Language: English
• Published: Netherlands 01.01.2017
• Subjects: Aged; Aged, 80 and over; Aging - pathology; Aging - psychology; Alzheimer Disease - complications; Alzheimer Disease - diagnosis; Alzheimer Disease - psychology; Area Under Curve; Brain - diagnostic imaging; Cohort Studies; Diagnosis, Differential; Diagnostic and Statistical Manual of Mental Disorders; Female; Humans; Magnetic Resonance Imaging; Male; Mental Processes; Neurocognitive Disorders - complications; Neurocognitive Disorders - diagnosis; Neuropsychological Tests; Reaction Time; ROC Curve; information processing speed; reaction time; morphometry; neurocognitive disorders; trail making test; Gray matter volume
• ISSN: 1875-8908
• DOI: 10.3233/JAD-161122

Processing speed has been highlighted as a diagnostic item for neurocognitive disorders (NCD) in DSM-5. The utility of information processing speed (IPS) enclosed with multiscale constructs in the diagnosis of NCD warrants exploration. We aimed to investigate the IPS with two types of measurements in the patients with NCD due to vascular disease (NCD-vascular) and NCD due to Alzheimer's disease (NCD-AD), and examine the associations between IPS measures and morphometric features. The IPS was evaluated using trail making test (TMT) and flanker test (n = 204). Direct scores, derived scores, and reaction time (RT) were used as IPS measures. Further, surface-based morphometry cortical volume was calculated in a subsample (n = 44) with structural MRI data. All IPS measures showed a significant value to differentiate NCD patients from healthy subjects. Only mean RT could distinguish NCD-AD from NCD-vascular groups. TMT-B score and difference score were correlated with gray matter volume (GMV) of inferior frontal gyrus, precuneus and superior temporal cortex. Mean RT was associated with the GMV of post-central gyrus (r = -0.327, p = 0.035), and executive speed was associated with inferior frontal cortex (r = -0.475, p = 0.001), cingulate gyrus (r = -0.497, p = 0.001), and superior temporal gyrus (r = -0.36, p = 0.019). The cognitive and morphometric correlates of IPS measures indicate that complex IPS might be decomposed into the domain-specific components with corresponding neural underpinnings. Our findings may also provide essential insights into the diagnostic item of NCD.