When someone goes to the doctor with dementia symptoms, a brain scan can be used alongside other tests like blood tests and memory tests to find out the cause. Scans are not always used but can help a doctor to see what type of dementia someone has, and to rule out other conditions.
Health care providers often use a brief test such as the Short Test of Mental Status, the Montreal Cognitive Assessment (MoCA) or the Mini-Mental State Examination (MMSE). More detailed testing may help determine the degree memory is impaired.
At your doctor visit, he or she can perform tests and assessments, which may include a brain scan, to help determine the source of memory problems.
MRI is extensively used for the diagnosis of mild cognitive impairment and Alzheimer's disease.
Brain scans do not always show abnormalities in people diagnosed with dementia, as sometimes there are no visible changes in the brain. Sometimes, brain scans can be used to determine the type of dementia.
Brain imaging tests
Scans aren't used to diagnose the condition because there is overlap in what doctors consider normal age-related change in the brain and abnormal change. However, brain imaging can help: Rule out other causes, such as hemorrhages, brain tumors or strokes.
Positron emission tomography (PET)
Amyloid PET scans measure abnormal deposits of a protein called beta-amyloid. Higher levels of beta-amyloid are consistent with the presence of amyloid plaques, a hallmark of Alzheimer's disease. Medical specialists may use amyloid PET imaging to help diagnose Alzheimer's.
Some of the most common blood tests ordered as part of a diagnostic evaluation for someone with changes in thinking or memory include: CBC (complete blood count), CMP (comprehensive metabolic panel), TSH (thyroid stimulating hormone), vitamin B12, RPR (rapid plasma reagin), HIV (human immunodeficiency virus).
A brain scan—using either computed tomography (CT) or magnetic resonance imaging (MRI)—is generally included in the standard evaluation for Alzheimer's disease and other forms of dementia.
The main sign of mild cognitive impairment is a slight decline in mental abilities. Examples include: Memory loss: You may forget recent events or repeat the same questions and stories. You may occasionally forget the names of friends and family members or forget appointments or planned events.
Administration: The examiner reads a list of 5 words at a rate of one per second, giving the following instructions: “This is a memory test. I am going to read a list of words that you will have to remember now and later on. Listen carefully. When I am through, tell me as many words as you can remember.
The Mini-Cog test.
A third test, known as the Mini-Cog, takes 2 to 4 minutes to administer and involves asking patients to recall three words after drawing a picture of a clock. If a patient shows no difficulties recalling the words, it is inferred that he or she does not have dementia.
Functional cognitive disorder (FCD) is an under-recognised condition that is different from dementia. In FCD, cognitive difficulties with memory and thinking – particularly when the person can't maintain attention – are down to a problem with how the brain is working, rather than to loss of brain cells.
Mini-Mental Status Examination (MMSE)
The MMSE is the most common test for the screening of dementia. It assesses skills such as reading, writing, orientation and short-term memory.
Many people worry about becoming forgetful. They think forgetfulness is the first sign of Alzheimer's disease. But not all people with memory problems have Alzheimer's. Other causes for memory problems can include aging, medical conditions, emotional problems, mild cognitive impairment, or another type of dementia.
Forgetfulness can arise from stress, depression, lack of sleep or thyroid problems. Other causes include side effects from certain medicines, an unhealthy diet or not having enough fluids in your body (dehydration). Taking care of these underlying causes may help resolve your memory problems.
The five-minute cognitive test (FCT) was designed to capture deficits in five domains of cognitive abilities, including episodic memory, language fluency, time orientation, visuospatial function, and executive function.
The Self-Administered Gerocognitive Exam, known as SAGE, is a brief, pen-and-paper cognitive assessment tool designed to detect the early signs of cognitive, memory, or thinking impairments. The test evaluates your thinking abilities. This can help your doctors understand how well your brain is functioning.
The Mini-Cog© is a fast and simple screening test to help detect dementia in its early stages. In just 3 minutes, Mini-Cog© can help doctors and other professional care providers identify possible cognitive impairment in older patients.
Neuropsychological evaluation.
This process lasts around four hours and includes a series of in-depth analyses, such as one-on-one interviews and written and oral tests. These assessments are designed to gauge specific cognitive functions, like attention, problem solving, spatial skills, and executive functioning.
The most common symptoms of vascular dementia during the early stages are: problems with planning or organising, making decisions or solving problems. difficulties following a series of steps (such as when cooking a meal) slower speed of thought.