Graviotto Héctor Gastón, Sorbara Marcos German, Rodriguez Carlos Mario Turizo, Serrano Cecilia
Unidad Asistencial Dr César Milstein, Department of Neurology - Buenos Aires, Argentina.
Dement Neuropsychol. 2022 Apr-Jun;16(2):181-186. doi: 10.1590/1980-5764-DN-2021-0043. Epub 2022 Apr 29.
The 12-item version of the Boston Naming Test (BNT) was adapted to Argentina for the detection of dementia due to Alzheimer's disease (AD), with scores similar to the original 60-item version (sensitivity and specificity of 85 and 94%, respectively) without demographic influence (age and educational level). To date, no publications on the use of abbreviated BNT in other degenerative pathologies with language impairment have been reported.
The objective of this study was to evaluate the usefulness of 12-item BNT in primary progressive aphasia (PPA), the behavioral variant of frontotemporal dementia (FTDbv), and AD.
Notably, 47 patients with probable AD (NIA-AA 2011) - clinical dementia rating (CDR) 0.5-1, 55 with FTDbv, 17 with PPA, and 46 controls were evaluated and matched for age and education. Exclusion criteria were as follows: alcoholism, other previous neurological or psychiatric illnesses, and education <4 years. All were assessed with a full neuropsychological battery and a 12-item version of BNT.
Median scores of 12-item BNT were as follows: PPA: 3.87 (SD=2.99), AD: 6.13 (SD=3.03); FTDbv: 8.41 (SD=2.53); and controls: 10.22 (SD=1.82). Receiver Operating Characteristic (ROC) curves were plotted.
The 12-item version of BNT can be useful, simple, and fast to identify and differentiate PPA, FTDbv, and AD from controls while retaining the discriminative ability of the original version.
波士顿命名测验(BNT)的12项版本已改编用于阿根廷,以检测阿尔茨海默病(AD)所致痴呆,其得分与原始的60项版本相似(敏感性和特异性分别为85%和94%),且不受人口统计学因素(年龄和教育水平)影响。迄今为止,尚无关于在其他伴有语言障碍的退行性病变中使用简化版BNT的报道。
本研究的目的是评估12项BNT在原发性进行性失语(PPA)、额颞叶痴呆行为变异型(FTDbv)和AD中的实用性。
具体而言,对47例可能患有AD(NIA-AA 2011标准)——临床痴呆评定量表(CDR)为0.5 - 1的患者、55例FTDbv患者、17例PPA患者以及46例对照者进行评估,并根据年龄和教育程度进行匹配。排除标准如下:酗酒、既往有其他神经或精神疾病、教育年限<4年。所有受试者均接受全面的神经心理学测试组和12项版本的BNT评估。
12项BNT的中位数得分如下:PPA:3.87(标准差=2.99),AD:6.13(标准差=3.03);FTDbv:8.41(标准差=2.53);对照者:10.22(标准差=1.82)。绘制了受试者工作特征(ROC)曲线。
12项版本的BNT在识别和区分PPA、FTDbv、AD与对照者方面可能是有用、简便且快速的,同时保留了原始版本的鉴别能力。