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Ten minute test for Alzheimer’s

A ten-minute memory test that gives early warning of Alzheimer’s in people as young as 50 is being piloted in GP surgeries.

Using a touch-screen computer or an iPad, it can distinguish between normal forgetfulness and the more dangerous memory lapses that signal dementia in its earliest stages.

If trials are successful, it could be in widespread use in under a year.

The Cambridge University scientists who have developed it hope it can become part of a national screening programme.

Those found to have tell-tale memory problems could do brain training, change their diet and take more exercise, in an attempt to keep their brain healthy for as long as possible.

In just five to ten years, drugs may be available that will stop Alzheimer’s in its tracks, so those caught early now may never go on to develop the cruel disease.

Professor Barbara Sahakian, co-inventor of the Cantab test, said: ‘You want to detect Alzheimer’s disease before the damage is done, before you can’t work any longer and before you can’t hold down your family responsibilities and relationships.’

Alzheimer’s and other forms of dementia affect more than 800,000 Britons and the number is expected to double within a generation.

Alzheimer’s

Alzheimer’s

Current diagnosis usually begins with memory tests and questions including ‘Where are you?’ and ‘Who is Prime Minister?’ However these are of little use in the early stages of Alzheimer’s.

The new test has been specifically developed to home in on memory lapses that occur very early in the onset of dementia.

These involve episodic memory, the type used to recall a shopping list or remember where a car is left in a large car park.

The software contains a series of tasks which include memorising the location of objects and then bringing them back to mind when asked a few seconds later.

The participant’s age, sex and education are taken into account when giving him or her a score relative to other people.

Those who do badly can be referred to a specialist memory clinic for a firm diagnosis and treatment.

Initially, those with mild and moderate Alzheimer’s could be prescribed existing drugs such as Aricept.


While these do not halt the disease, they can improve attention and concentration, allowing patients in the very early stages of dementia to stay at work and maintain a normal life for longer.

But, with several companies developing ‘neuroprotective’ medicines that could halt Alzheimer’s completely, it may become possible to prevent people from developing the disease.

Other British scientists have developed a computer-based test that can be taken in the home.

Many other researchers are trying to create blood tests that spot the disease early.

Dr Anne Corbett of the Alzheimer’s Society said: ‘A shocking 60 per cent of people with dementia never receive a diagnosis.

‘This means hundreds of thousands of people do not have access to vital help, support and treatments that could help them live a good quality life and plan for the future. Finding ways of improving the early identification of the condition is therefore essential.

‘This tool could help change this appalling picture. We must now wait for the results of the trials.’

Call for Alzheimer’s screening

Advances in the understanding of diseases like Alzheimer’s, depression and schizophrenia mean experts can spot signs that a person may be at risk years before the conditions take hold.

A ten-minute computer test developed this year, which tests patients’ memory and learning ability to identify more accurately than ever those most at risk from dementia, should be used to screen for the disease as early as 60, researchers said.

New treatments expected to be available within the next few years could even be used to prevent Alzheimer’s from ever taking hold if detected early enough, it is hoped.

Tests could also be devised to spot the first signs of conditions like schizophrenia and depression in teenagers, enabling earlier, drug-free treatments.

Alzheimer's

Alzheimer's

Writing in the Nature journal, a team of more than 400 mental health experts across the world called for action and investment to improve access to care and treatment for mental, neurological and substance use disorders.

Researchers from Cambridge University and King’s College London said screening programmes should be introduced to tackle the problem of undiagnosed mental health conditions in Britain.

While 94 per cent of people with diabetes and 78 per cent of those suffering from heart disease in western Europe receive treatment, more than seven in ten cases of depression or bipolar disorder go untreated.

Barbara Sahakian, Professor of Clinical Neuropsychology at Cambridge University, said: “If you wait until somebody has a diagnosis of Alzheimer’s disease, they already have to have a decline in their previous level of functioning … we obviously need to go in earlier.


“We have drugs which are close to being ready for use, so we have to get to the point where we are screening because otherwise the drugs will be there but we won’t know who to put them into. I think we should be screening people over 60 for these things.”

A spokesperson for the Alzheimer’s society said: “Current diagnostic tests are not accurate enough to identify early signs by screening people as young as 60. Alzheimer’s Society would, however, welcome a debate on the value of screening for dementia in people over 75.

“Any screening needs to be followed by more robust tests before an accurate diagnosis can be given. Additionally, cognitive tests should never be used as a substitute for seeking expert advice.”