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Advances in cognitive testing

Berron, David LU (2025) p.161-184
Abstract

Recent developments in Alzheimer's disease biomarkers have significantly improved the early detection of Alzheimer's disease pathology (Hansson et al., 2023; Ossenkoppele and Hansson, 2021; Zetterberg and Blennow, 2021) [1-3]. However, while biomarkers for Alzheimer's disease can indicate the underlying brain pathology and have some predictive value for future cognitive decline, they do not provide information about cognitive Alzheimer's disease phenotypes, particularly in early disease stages (Dubois et al., 2021) [4], nor do they represent optimal measures of disease progression. Thus, it is of critical importance to identify, characterize, and monitor cognitive impairment in Alzheimer's disease using cognitive assessments. While... (More)

Recent developments in Alzheimer's disease biomarkers have significantly improved the early detection of Alzheimer's disease pathology (Hansson et al., 2023; Ossenkoppele and Hansson, 2021; Zetterberg and Blennow, 2021) [1-3]. However, while biomarkers for Alzheimer's disease can indicate the underlying brain pathology and have some predictive value for future cognitive decline, they do not provide information about cognitive Alzheimer's disease phenotypes, particularly in early disease stages (Dubois et al., 2021) [4], nor do they represent optimal measures of disease progression. Thus, it is of critical importance to identify, characterize, and monitor cognitive impairment in Alzheimer's disease using cognitive assessments. While capturing subtle cognitive changes and impairment in early disease stages still remains challenging (Weintraub et al., 2018) [5], several new approaches have recently been utilized to improve the early detection of subtle cognitive impairment and decline. In this chapter, I will first provide an overview of novel cognitive test paradigms that are tailored toward cognitive functions of which the functional anatomy overlaps with spatial patterns of accumulation of Alzheimer's disease pathology; these paradigms aim to capture signs of early impairment with greater sensitivity than previous measures. I will then illustrate new approaches to cognitive testing that build on recent technological developments (Koo and Vizer, 2019; Kourtis et al., 2019) [6,7] and aim to assess cognitive performance even outside clinical settings.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
AD pathology, Cognition, Digital biomarkers, Digital cognitive assessments, Functional brain systems, Remote and unsupervised cognitive assessments
host publication
Early Detection of Alzheimer's Disease : Biological and Technological Advances - Biological and Technological Advances
pages
24 pages
publisher
Elsevier
external identifiers
  • scopus:105005898947
ISBN
9780128222409
9780128222416
DOI
10.1016/B978-0-12-822240-9.00009-0
language
English
LU publication?
yes
id
f1cbe0d3-ddc6-4add-b6cd-df8c3dbc5b5f
date added to LUP
2025-09-16 09:49:03
date last changed
2025-09-30 11:29:55
@inbook{f1cbe0d3-ddc6-4add-b6cd-df8c3dbc5b5f,
  abstract     = {{<p>Recent developments in Alzheimer's disease biomarkers have significantly improved the early detection of Alzheimer's disease pathology (Hansson et al., 2023; Ossenkoppele and Hansson, 2021; Zetterberg and Blennow, 2021) [1-3]. However, while biomarkers for Alzheimer's disease can indicate the underlying brain pathology and have some predictive value for future cognitive decline, they do not provide information about cognitive Alzheimer's disease phenotypes, particularly in early disease stages (Dubois et al., 2021) [4], nor do they represent optimal measures of disease progression. Thus, it is of critical importance to identify, characterize, and monitor cognitive impairment in Alzheimer's disease using cognitive assessments. While capturing subtle cognitive changes and impairment in early disease stages still remains challenging (Weintraub et al., 2018) [5], several new approaches have recently been utilized to improve the early detection of subtle cognitive impairment and decline. In this chapter, I will first provide an overview of novel cognitive test paradigms that are tailored toward cognitive functions of which the functional anatomy overlaps with spatial patterns of accumulation of Alzheimer's disease pathology; these paradigms aim to capture signs of early impairment with greater sensitivity than previous measures. I will then illustrate new approaches to cognitive testing that build on recent technological developments (Koo and Vizer, 2019; Kourtis et al., 2019) [6,7] and aim to assess cognitive performance even outside clinical settings.</p>}},
  author       = {{Berron, David}},
  booktitle    = {{Early Detection of Alzheimer's Disease : Biological and Technological Advances}},
  isbn         = {{9780128222409}},
  keywords     = {{AD pathology; Cognition; Digital biomarkers; Digital cognitive assessments; Functional brain systems; Remote and unsupervised cognitive assessments}},
  language     = {{eng}},
  pages        = {{161--184}},
  publisher    = {{Elsevier}},
  title        = {{Advances in cognitive testing}},
  url          = {{http://dx.doi.org/10.1016/B978-0-12-822240-9.00009-0}},
  doi          = {{10.1016/B978-0-12-822240-9.00009-0}},
  year         = {{2025}},
}