A novel digital clock drawing test as a screening tool for perioperative neurocognitive disorders: A feasibility study

2020 ◽  
Author(s):  
Richard A. Buckley ◽  
Kelly J. Atkins ◽  
Erika Fortunato ◽  
Brendan Silbert ◽  
David A. Scott ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Screening Tool ◽  
Neurocognitive Disorders ◽  
Clock Drawing Test ◽  
Digital Clock ◽  
Clock Drawing ◽  
Drawing Test

scholarly journals Classifying Non-Dementia and Alzheimer’s Disease/Vascular Dementia Patients Using Kinematic, Time-Based, and Visuospatial Parameters: The Digital Clock Drawing Test

2021 ◽  
Vol 82 (1) ◽  
pp. 47-57 ◽  
Author(s):  
Anis Davoudi ◽  
Catherine Dion ◽  
Shawna Amini ◽  
Patrick J. Tighe ◽  
Catherine C. Price ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Vascular Dementia ◽  
Area Under The Curve ◽  
Clock Drawing Test ◽  
Digital Clock ◽  
Clock Drawing ◽  
Drawing Test ◽  
Dementia Patients ◽  
Optimal Area

Background: Advantages of digital clock drawing metrics for dementia subtype classification needs examination. Objective: To assess how well kinematic, time-based, and visuospatial features extracted from the digital Clock Drawing Test (dCDT) can classify a combined group of Alzheimer’s disease/Vascular Dementia patients versus healthy controls (HC), and classify dementia patients with Alzheimer’s disease (AD) versus vascular dementia (VaD). Methods: Healthy, community-dwelling control participants (n = 175), patients diagnosed clinically with Alzheimer’s disease (n = 29), and vascular dementia (n = 27) completed the dCDT to command and copy clock drawing conditions. Thirty-seven dCDT command and 37 copy dCDT features were extracted and used with Random Forest classification models. Results: When HC participants were compared to participants with dementia, optimal area under the curve was achieved using models that combined both command and copy dCDT features (AUC = 91.52%). Similarly, when AD versus VaD participants were compared, optimal area under the curve was, achieved with models that combined both command and copy features (AUC = 76.94%). Subsequent follow-up analyses of a corpus of 10 variables of interest determined using a Gini Index found that groups could be dissociated based on kinematic, time-based, and visuospatial features. Conclusion: The dCDT is able to operationally define graphomotor output that cannot be measured using traditional paper and pencil test administration in older health controls and participants with dementia. These data suggest that kinematic, time-based, and visuospatial behavior obtained using the dCDT may provide additional neurocognitive biomarkers that may be able to identify and tract dementia syndromes.

scholarly journals Digital Clock Drawing: Differentiating “Thinking” versus “Doing” in Younger and Older Adults with Depression

2014 ◽  
Vol 20 (9) ◽  
pp. 920-928 ◽  
Author(s):  
Jamie Cohen ◽  
Dana L. Penney ◽  
Randall Davis ◽  
David J. Libon ◽  
Rodney A. Swenson ◽  
...  
Keyword(s):  
Motor Performance ◽  
Psychomotor Speed ◽  
Psychomotor Slowing ◽  
Younger Adults ◽  
Clock Drawing Test ◽  
Digital Clock ◽  
Clock Drawing ◽  
Time To Completion ◽  
Drawing Test ◽  
Depressed Group

AbstractPsychomotor slowing has been documented in depression. The digital Clock Drawing Test (dCDT) provides: (i) a novel technique to assess both cognitive and motor aspects of psychomotor speed within the same task and (ii) the potential to uncover subtleties of behavior not previously detected with non-digitized modes of data collection. Using digitized pen technology in 106 participants grouped by Age (younger/older) and Affect (euthymic/unmedicated depressed), we recorded cognitive and motor output by capturing how the clock is drawn rather than focusing on the final product. We divided time to completion (TTC) for Command and Copy conditions of the dCDT into metrics of percent of drawing (%Ink) versus non-drawing (%Think) time. We also obtained composite Z-scores of cognition, including attention/information processing (AIP), to explore associations of %Ink and %Think times to cognitive and motor performance. Despite equivalent TTC, %Ink and %Think Command times (Copy n.s.) were significant (AgeXAffect interaction: p=.03)—younger depressed spent a smaller proportion of time drawing relative to thinking compared to the older depressed group. Command %Think time negatively correlated with AIP in the older depressed group (r=−.46; p=.02). Copy %Think time negatively correlated with AIP in the younger depressed (r=−.47; p=.03) and older euthymic groups (r=−.51; p=.01). The dCDT differentiated aspects of psychomotor slowing in depression regardless of age, while dCDT/cognitive associates for younger adults with depression mimicked patterns of older euthymics. (JINS, 2014, 20, 1–9)

scholarly journals Learning classification models of cognitive conditions from subtle behaviors in the digital Clock Drawing Test

2015 ◽  
Vol 102 (3) ◽  
pp. 393-441 ◽  
Author(s):  
William Souillard-Mandar ◽  
Randall Davis ◽  
Cynthia Rudin ◽  
Rhoda Au ◽  
David J. Libon ◽  
...  
Keyword(s):  
Classification Models ◽  
Clock Drawing Test ◽  
Digital Clock ◽  
Clock Drawing ◽  
Drawing Test

Digital Clock Drawing Test metrics in older patients before and after endoscopy with sedation: an exploratory analysis

2021 ◽  
Author(s):  
Richard A. Buckley ◽  
Kelly J. Atkins ◽  
Brendan Silbert ◽  
David A. Scott ◽  
Lisbeth Evered
Keyword(s):  
Older Patients ◽  
Exploratory Analysis ◽  
Clock Drawing Test ◽  
Digital Clock ◽  
Clock Drawing ◽  
Drawing Test ◽  
Before And After

Is the Clock Drawing Test a screening tool for the diagnosis of mild cognitive impairment? A systematic review

2009 ◽  
Vol 22 (1) ◽  
pp. 56-63 ◽  
Author(s):  
Lena Ehreke ◽  
Melanie Luppa ◽  
Hans-Helmut König ◽  
Steffi G. Riedel-Heller
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Literature Search ◽  
Screening Tool ◽  
Cognitive Screening ◽  
Clock Drawing Test ◽  
Clock Drawing ◽  
Drawing Test ◽  
Diagnosis Of Dementia ◽  
Mean Differences

ABSTRACTBackground:The clock drawing test (CDT) is a common and widely used cognitive screening instrument for the diagnosis of dementia. However, it has remained unclear whether it is a suitable method to identify mild cognitive impairment (MCI). The aim of this paper is to review systematically the studies concerning the utility of the CDT in diagnosing MCI.Method:A systematic literature search was conducted. All studies dealing with utility of CDT in diagnosing MCI regardless of the applied CDT scoring system and MCI concept were selected.Results:Nine relevant studies were identified. The majority of the studies compared average CDT scores of cognitively healthy and mildly impaired subjects, and four of them identified significant mean differences. If reported, sensitivity and specificity have been mostly unsatisfactory.Conclusion:CDT should not be used for MCI-screening.

scholarly journals Clock-drawing test as a screening tool for HIV-associated neurocognitive disorder (HAND)

2012 ◽  
Vol 15 (6(Suppl 4)) ◽  
Author(s):  
I Levy ◽  
A Goldstein ◽  
Y Maor ◽  
G Rahav ◽  
V Litachewsky ◽  
...  
Keyword(s):  
Screening Tool ◽  
Neurocognitive Disorder ◽  
Clock Drawing Test ◽  
Clock Drawing ◽  
Drawing Test ◽  
Hiv Associated Neurocognitive Disorder
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