Using event-related potential P300 as an electrophysiological marker for differential diagnosis and to predict the progression of mild cognitive impairment: a meta-analysis

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• 作者：Shixiang Jiang ; Changda Qu ; Fengjun Wang ; Yupeng Liu…
• 关键词：P300 ; Event ; related potential ; Alzheimer’s disease ; Mild cognitive impairment
• 刊名：Neurological Sciences
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：36
• 期：7
• 页码：1105-1112
• 全文大小：580 KB
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• 作者单位：Shixiang Jiang (1)
  Changda Qu (2)
  Fengjun Wang (3)
  Yupeng Liu (4)
  Zhengxue Qiao (1)
  Xiaohui Qiu (1)
  Xiuxian Yang (1)
  Yanjie Yang (1)
  
  1. Department of Medical Psychology, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, Heilongjiang, China
  2. Department of Neurology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China
  3. Department of Neurology, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China
  4. Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Neurology
  Neuroradiology
  Neurosurgery
  Psychiatry
  
• 出版者：Springer Milan
• ISSN：1590-3478

文摘

P300 event-related potential component may sensitively predict mild cognitive impairment (MCI) progression. Here, pooled effect size estimates of P300 amplitude and latency were computed at midline electrodes among controls, MCI patients, and Alzheimer’s disease (AD) patients. Baseline data were compared to one-year follow-up data. MCI patients showed decreased P300 amplitude and prolonged latency compared to controls. Pooled standardized mean differences (SMDs) were ?.67 (95?% CI ?.12 to ?.23, P?=?0.003) and 0.90 (95?% CI 0.66-.14, P?<?0.00001), respectively. P300 latency decreased in MCI compared to AD patients where the pooled SMD was ?.52 (95?% CI ?.85 to ?.18, P?=?0.003). Amplitude and latency differed between MCI baseline and follow-up. Pooled SMDs were 0.47 (95?% CI 0.29 to ?.65, P?<?0.00001) and ?.52 (95?% CI ?.71 to ?.34, P?<?0.00001), respectively. Group differences in MCI P300 latency existed compared to control and AD patients. P300 latency may therefore be a sensitive indicator for early cognitive decline or disease progression in MCI patients and identifying elderly patient progression to MCI and/or AD.