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. 2025 Feb 14;104(5):e213401. doi: 10.1212/WNL.0000000000213401

Table 2.

Sensitivity and Specificity of the Cutoff Scores With the Highest Youden Index

Cutoff Sensitivity Specificity AUC
Controls vs presymptomatic
 MoCA <28 0.71 0.41 0.53
 MMSE <29 0.92 0.14 0.52
Controls vs prodromal
 MoCA <27 0.83 0.67 0.84
 MMSE <29 0.92 0.44 0.75
Presymptomatic vs prodromal
 MoCA <27 0.74 0.67 0.79
 MMSE <29 0.86 0.44 0.73
Presymptomatic vs prodromal and symptomatic
 MoCA <25 0.94 0.61 0.87
 MMSE <28 0.86 0.58 0.80

Abbreviations: AUC = area under the operating characteristic curve; MMSE = Mini-Mental State Examination; MoCA = Montreal Cognitive Assessment.