PT  - JOURNAL ARTICLE
AU  - Lorna Harper
AU  - Frederik Barkhof
AU  - Nick C Fox
AU  - Jonathan M Schott
TI  - Using visual rating to diagnose dementia: a critical evaluation of MRI atrophy scales
AID  - 10.1136/jnnp-2014-310090
DP  - 2015 Nov 01
TA  - Journal of Neurology, Neurosurgery & Psychiatry
PG  - 1225--1233
VI  - 86
IP  - 11
4099  - http://jnnp.bmj.com/content/86/11/1225.short
4100  - http://jnnp.bmj.com/content/86/11/1225.full
SO  - J Neurol Neurosurg Psychiatry2015 Nov 01; 86
AB  - Visual rating scales, developed to assess atrophy in patients with cognitive impairment, offer a cost-effective diagnostic tool that is ideally suited for implementation in clinical practice. By focusing attention on brain regions susceptible to change in dementia and enforcing structured reporting of these findings, visual rating can improve the sensitivity, reliability and diagnostic value of radiological image interpretation. Brain imaging is recommended in all current diagnostic guidelines relating to dementia, and recent guidelines have also recommended the application of medial temporal lobe atrophy rating. Despite these recommendations, and the ease with which rating scales can be applied, there is still relatively low uptake in routine clinical assessments. Careful consideration of atrophy rating scales is needed to verify their diagnostic potential and encourage uptake among clinicians. Determining the added value of combining scores from visual rating in different brain regions may also increase the diagnostic value of these tools.