Cognitive Disorders and Brain Pulse

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorUniversity Hospital, Tours

About this trial

Following an initial consultation with a memory, resources and research centre (MRRC) doctor, a day hospital may be prescribed to carry out an assessment of cognitive disorders. Patients are then usually followed up in consultation at least once a year, in the framework of a new day hospital and/or consultations with a MRRC doctor.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient benefiting from a day hospital at the MRRC of the CHU of Tours for assessment of cognitive functions

Disqualifiers

Refusal of TPI ultrasound examination

Patients who opposed to data processing

Patients under judicial protection

Trial population

Patient benefiting from a day hospital at the MRRC of the CHU of Tours for assessment of cognitive functions

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

  • Ultrasound examination

    Other intervention

    Ultrasound examination with Tissue Pulsatility Imaging (TPI) TPI is a relatively simple, rapid and non-invasive ultrasound examination which consists of applying a standard ultrasound probe to the acoustic window of the temporal bone to first measure the velocity of the middle cerebral artery in Doppler mode and secondly the cerebral pulsatility (CP) of a region of approximately 10cm2 centred on the middle cerebral artery in B-Echo mode. After collecting the information, the TPI examination will be performed by MRRC staff specially trained in TPI by engineers. The duration of the examination is between 20 and 30 minutes, including hardware installation. Four 30-second PC acquisitions will be collected per examination, with the patient lying supine on the bed in the day hospital room, then one measurement every minute for 3 minutes after standing.

Treatment groups

300 Participants
are divided into 1 treatment group
Group A: assessment of cognitive functions1 intervention

Trial outcomes

Primary outcomes

1

maximum amplitude of brain movements

Measurement by ultrasound between patients with Minor Neurocognitive Disorders (mNCD) and Major Neurocognitive Disorders (MNCD).

Time frame
one a year from inclusion visit to 5 years
2

mean of brain movements

Measurement by ultrasound between patients with Minor Neurocognitive Disorders (mNCD) and Major Neurocognitive Disorders (MNCD).

Time frame
one a year from inclusion visit to 5 years
3

standard deviation of brain movements

Measurement by ultrasound between patients with Minor Neurocognitive Disorders (mNCD) and Major Neurocognitive Disorders (MNCD).

Time frame
one a year from inclusion visit to 5 years
4

powers in frequency analysis

Measurement by ultrasound between patients with Minor Neurocognitive Disorders (mNCD) and Major Neurocognitive Disorders (MNCD).

Time frame
one a year from inclusion visit to 5 years

Secondary outcomes

1

Brain pulse

Longitudinal comparison between converter patients (patients with mNCD progressing to MNCD) and non-converters patients

Time frame
one a year from inclusion visit to 5 years
2

Brain pulse

Cross-sectional and longitudinal analysis between the different types of pathologies underlying NCD (Alzheimer's disease, Vascular NCD, Frontotemporal Lobar Degeneration, Lewy body disease, etc.) according to the Diagnostic and Statistical Manual of mental disorders criteria for these pathologies

Time frame
one a year from inclusion visit to 5 years
3

Hippocampal volume

Measured in MRI. Comparison with brain pulse according to Schelten classification

Time frame
one a year from inclusion visit to 5 years
4

leucoaraiosis load

Measured in MRI. Comparison with brain pulse according to Fazekas classification

Time frame
one a year from inclusion visit to 5 years

Other outcomes

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