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Digital quantification of the MMSE interlocking pentagon areas: a three-stage algorithm
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Digital quantification of the MMSE interlocking pentagon areas: a three-stage algorithm
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Journal Article
Digital quantification of the MMSE interlocking pentagon areas: a three-stage algorithm
2024
Overview
The Mini-Mental State Examination (MMSE) is a widely employed screening tool for the severity of cognitive impairment. Among the MMSE items, the pentagon copying test (PCT) requires participants to accurately replicate a sample of two interlocking pentagons. While the PCT is traditionally scored on a binary scale, there have been limited developments of granular scoring scale to assess task performance. In this paper, we present a novel three-stage algorithm, called Quantification of Interlocking Pentagons (QIP) which quantifies PCT performance by computing the areas of individual pentagons and their intersection areas, and a balance ratio between the areas of the two individual pentagons. The three stages of the QIP algorithm include: (1) detection of line segments, (2) unraveling of the interlocking pentagons, and (3) quantification of areas. A set of 497 PCTs from 84 participants including their baseline and follow-up PCTs from the Rush Memory and Aging Project was selected blinded about their cognitive and clinical status. Analysis of the quantified data revealed a significant inverse relationship between age and balance ratio (beta = − 0.49,
p
= 0.0033), indicating that older age was associated with a smaller balance ratio. In addition, balance ratio was associated with perceptual speed (r = 0.71,
p
= 0.0135), vascular risk factors (beta = − 3.96,
p
= 0.0269), and medical conditions (beta = − 2.78,
p
= 0.0389). The QIP algorithm can serve as a useful tool for enhancing the scoring of performance in the PCT.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
