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On the Comparison of a Novel Serious Game and Electroencephalography Biomarkers for Early Dementia Screening

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Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 821))

Abstract

Patients with amnestic mild cognitive impairment are at high risk for developing Alzheimer’s disease. Besides episodic memory dysfunction they show deficits in accessing contextual knowledge that further specifies a general spatial navigation task or an executive function (EF) virtual action planning. Virtual reality (VR) environments have already been successfully used in cognitive rehabilitation and show increased potential for use in neuropsychological evaluation allowing for greater ecological validity while being more engaging and user friendly. In our study we employed the in-house platform of virtual action planning museum (VAP-M) and a sample of 25 MCI and 25 controls, in order to investigate deficits in spatial navigation, prospective memory, and executive function. In addition, we used the morphology of late components in event-related potential (ERP) responses, as a marker for cognitive dysfunction. The related measurements were fed to a common classification scheme facilitating the direct comparison of both approaches. Our results indicate that both the VAP-M and ERP averages were able to differentiate between healthy elders and patients with amnestic mild cognitive impairment and agree with the findings of the virtual action planning supermarket (VAP-S). The sensitivity (specificity) was 100 % (98 %) for the VAP-M data and 87 %(90 %) for the ERP responses. Considering that ERPs have proven to advance the early detection and diagnosis of “presymptomatic AD,” the suggested VAP-M platform appears as an appealing alternative.

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References

  1. Achtman RL, Green CS, Bavelier D (2008) Video games as a tool to train visual skills. Restor Neurol Neurosci 26(4–5):435–446

    CAS  PubMed Central  PubMed  Google Scholar 

  2. Chételat G, Desgranges B, Eustache F (2006) Brain profile of hypometabolism in early Alzheimer’s disease: relationships with cognitive deficits and atrophy. Rev Neurol 162(10):945–951

    Article  PubMed  Google Scholar 

  3. Farias ST, Mungas D, Reed BR, Harvey D, DeCarli C (2009) Progression of mild cognitive impairment to dementia in clinic- vs community-based cohorts. Arch Neurol 66(9):1151–1157. doi:10.1001/archneurol.2009.106

    PubMed Central  PubMed  Google Scholar 

  4. Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12(3):189–198

    Article  CAS  PubMed  Google Scholar 

  5. Geffen GM, Butterworth P, Geffen LB (1994) Test-retest reliability of a new form of the auditory verbal learning test (AVLT). Arch Clin Neuropsychol 9(4):303–316

    Article  CAS  PubMed  Google Scholar 

  6. Giotakos O, Tsirgogianni K, Tarnanas I (2007) A virtual reality exposure therapy (VRET) scenario for the reduction of fear of falling and balance rehabilitation training of elder adults with hip fracture history. Virt Rehab 2007:155–158. doi:10.1109/ICVR.2007.4362157

    Google Scholar 

  7. Greene JD, Baddeley AD, Hodges JR (1996) Analysis of the episodic memory deficit in early Alzheimer’s disease: evidence from the doors and people test. Neuropsychologia 34(6):537–551

    Article  CAS  PubMed  Google Scholar 

  8. Hort J, Laczó J, Vyhnálek M, Bojar M, Bures J, Vlcek K (2007) Spatial navigation deficit in amnestic mild cognitive impairment. Proc Natl Acad Sci U S A 104(10):4042–4047. doi:10.1073/pnas.0611314104

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Iachini I, Iavarone A, Senese VP, Ruotolo F, Ruggiero G (2009) Visuospatial memory in healthy elderly, AD and MCI: a review. Curr Aging Sci 2(1):43–59

    Article  PubMed  Google Scholar 

  10. Iglói K, Zaoui M, Berthoz A, Rondi-Reig L (2009) Sequential egocentric strategy is acquired as early as allocentric strategy: parallel acquisition of these two navigation strategies. Hippocampus 19(12):1199–1211. doi:10.1002/hipo.20595

    Article  PubMed  Google Scholar 

  11. Jenkins LJ, Ranganath C (2010) Prefrontal and medial temporal lobe activity at encoding predicts temporal context memory. J Neurosci 30(46):15558–15565. doi:10.1523/JNEUROSCI.1337-10.2010

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Ryan JJ, Schnakenberg-Ott SD (2003) Scoring reliability on the Wechsler adult intelligence scale-third edition (WAIS-III). Assessment 10(2):151–159

    Article  PubMed  Google Scholar 

  13. Kimiskidis VK, Papaliagkas VT (2012) Event-related potentials for the diagnosis of mild cognitive impairment and Alzheimer’s disease. Expert Opin Med Diagn 6(1):15–26. doi:10.1517/17530059.2012.634795

    Article  PubMed  Google Scholar 

  14. Kizony R, Josman N, Katz N, Rand D Weiss PL (2008) Virtual reality and the rehabilitation of executive functions: An annotated bibliography, Isr. J of Occup. Ther 17(2):E47–61

    Google Scholar 

  15. Lai C-L, Lin R-T, Liou L-M, Liu C-K (2010) The role of event-related potentials in cognitive decline in Alzheimer’s disease. Clin Neurophysiol 121(2):194–199. doi:10.1016/j.clinph.2009.11.001

    Article  PubMed  Google Scholar 

  16. Miller SL, Fenstermacher E, Bates J, Blacker D, Sperling RA, Dickerson BC (2008) Hippocampal activation in adults with mild cognitive impairment predicts subsequent cognitive decline. J Neurol Neurosurg Psychiatry 79(6):630–635. doi:10.1136/jnnp.2007.124149

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Okonkwo OC, Spitznagel MB, Alosco ML, Tremont G (2010) Associations among measures of awareness of cognitive deficits in dementia. Alzheimers Dement 6(4):312–318. doi:10.1016/j.jalz.2009.06.005

    Article  PubMed Central  PubMed  Google Scholar 

  18. Papaliagkas V, Kimiskidis V, Tsolaki M, Anogianakis G (2008) Usefulness of event-related potentials in the assessment of mild cognitive impairment. BMC Neurosci 9:107. doi:10.1186/1471-2202-9-107

    Article  PubMed Central  PubMed  Google Scholar 

  19. Papaliagkas VT, Kimiskidis VK, Tsolaki MN, Anogianakis G (2011) Cognitive event-related potentials: longitudinal changes in mild cognitive impairment. Clin Neurophysiol 122(7):1322–1326. doi:10.1016/j.clinph.2010.12.036

    Article  CAS  PubMed  Google Scholar 

  20. Perri R, Carlesimo GA, Serra L, Caltagirone C (2005) Characterization of memory profile in subjects with amnestic mild cognitive impairment. J Clin Exp Neuropsychol 27(8):1033–1055. doi:10.1080/13803390490919317

    Article  CAS  PubMed  Google Scholar 

  21. Petersen RC (2004) Mild cognitive impairment as a diagnostic entity. J Intern Med 256(3):183–194. doi:10.1111/j.1365-2796.2004.01388.x

    Article  CAS  PubMed  Google Scholar 

  22. Petersen RC, Stevens JC, Ganguli M, Tangalos EG, Cummings JL, DeKosky ST (2001) Practice parameter: early detection of dementia: mild cognitive impairment (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 56(9):1133–1142

    Article  CAS  PubMed  Google Scholar 

  23. Plancher G, Guyard A, Nicolas S, Piolino P (2009) Mechanisms underlying the production of false memories for famous people’s names in aging and Alzheimer’s disease. Neuropsychologia 47(12):2527–2536. doi:10.1016/j.neuropsychologia.2009.04.026

    Article  PubMed  Google Scholar 

  24. Plancher G, Tirard A, Gyselinck V, Nicolas S, Piolino P (2012) Using virtual reality to characterize episodic memory profiles in amnestic mild cognitive impairment and Alzheimer’s disease: influence of active and passive encoding. Neuropsychologia 50(5):592–602. doi:10.1016/j.neuropsychologia.2011.12.013

    Article  CAS  PubMed  Google Scholar 

  25. Putzke JD, Rickert EJ, Duke LW, Marson DC, Harrell L (2000) Differential automatic processing deficits in early stage Alzheimer’s disease. Aging Neuropsychol Cognit 7(2):112–118. doi:10.1076/1382-5585(200006)7:2;1-U;FT112

    Article  Google Scholar 

  26. Rizzo AS, Kim GJ (2005) A SWOT analysis of the field of virtual reality rehabilitation and therapy. Pres Teleoperat Virt Environ 14(2):119–146. doi:10.1162/1054746053967094

  27. Robinson AL, Heaton RK, Lehman RA, Stilson DW (1980) The utility of the Wisconsin Card Sorting Test in detecting and localizing frontal lobe lesions. J Consult Clin Psychol 48(5):605–614. http://www.ncbi.nlm.nih.gov/pubmed/7410659

  28. Rytsar R, Fornari E, Frackowiak RS, Ghika JA, Knyazeva MG (2011) Inhibition in early Alzheimer’s disease: an fMRI-based study of effective connectivity. Neuroimage 57(3):1131–1139. doi:10.1016/j.neuroimage.2011.05.029

    Article  PubMed  Google Scholar 

  29. Schmitter-Edgecombe M, Woo E, Greeley DR (2009) Characterizing multiple memory deficits and their relation to everyday functioning in individuals with mild cognitive impairment. Neuropsychology 23(2):168–177. doi:10.1037/a0014186

    Article  PubMed  Google Scholar 

  30. Stam CJ, Jones BF, Nolte G, Breakspear M, Scheltens P (2007) Small-world networks and functional connectivity in Alzheimer’s disease. Cereb Cortex 17(1):92–99. doi:10.1093/cercor/bhj127

    Article  CAS  PubMed  Google Scholar 

  31. Stroop John Ridley (1935) Studies of interference in serial verbal reactions. Journal of Experimental Psychology 18(6):643–662. doi:10.1037/h0054651

    Article  Google Scholar 

  32. Tarnanas I (2000) A virtual environment for the assessment and the rehabilitation of the visuo-constructional ability in dementia patients. Stud Health Technol Inform 70:341–343

    CAS  PubMed  Google Scholar 

  33. Tarnanas I, Tsolakis A, Tsolaki M (2014) Assessing virtual reality environments as cognitive stimulation method for patients with MCI. Stud Comput Intell 536:39–74. http://www.scopus.com/inward/record.url?eid=2-s2.0-84894576593&partnerID=tZOtx3y1

  34. Weniger G, Ruhleder M, Lange C, Wolf S, Irle E (2011) Egocentric and allocentric memory as assessed by virtual reality in individuals with amnestic mild cognitive impairment. Neuropsychologia 49(3):518–527. doi:10.1016/j.neuropsychologia.2010.12.031

    Article  PubMed  Google Scholar 

  35. Werner P, Rabinowitz S, Klinger E, Korczyn AD, Josman N (2009) Use of the virtual action planning supermarket for the diagnosis of mild cognitive impairment: a preliminary study. Dement Geriatr Cogn Disord 27(4):301–309. doi:10.1159/000204915

    Article  PubMed  Google Scholar 

  36. Wolf H, Jelic V, Gertz H-J, Nordberg A, Julin P, Wahlund L-O (2003) A critical discussion of the role of neuroimaging in mild cognitive impairment. Acta Neurol Scand Suppl 179:52–76

    Article  PubMed  Google Scholar 

  37. Yesavage JA, Sheikh JI (1986) 9/geriatric depression scale (GDS). Clin Gerontol 5(1–2):165–173. doi:10.1300/J018v05n01_09

    Article  Google Scholar 

  38. Lezak MD, Howieson DB, Loring DW, Hannay HJ, Fischer JS (2004) Neuropsychological assessment. 4th ed. Oxford University Press; New York, NY, US

    Google Scholar 

  39. Grober E, Buschke H (1987) Genuine memory deficits in dementia. Developmental Neuropsychology 3:13–36

    Article  Google Scholar 

  40. Belleville S, Gilbert B, Fontaine F, Gagnon L, Menard E, Gauthier S (2006) Improvement of episodic memory in persons with mild cognitive impairment and healthy older adults: evidence from a cognitive intervention program. Dement. Geriatr. Cogn. Disord. 22:486–499. doi:10.1159/000096316

    Article  PubMed  Google Scholar 

  41. Dubois B, Albert ML (2004) Amnestic MCI or prodromal Alzheimer’s disease? Lancet Neurol 3:246–248

    Article  PubMed  Google Scholar 

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Correspondence to Ioannis Tarnanas .

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Tarnanas, I., Laskaris, N., Tsolaki, M., Muri, R., Nef, T., Mosimann, U.P. (2015). On the Comparison of a Novel Serious Game and Electroencephalography Biomarkers for Early Dementia Screening. In: Vlamos, P., Alexiou, A. (eds) GeNeDis 2014. Advances in Experimental Medicine and Biology, vol 821. Springer, Cham. https://doi.org/10.1007/978-3-319-08939-3_11

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