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This software is very sharp to an early cognitive decline, especially an decline of frontal lobe function, and both sensitivity and specificity are high. An adult of youth gets nearly top score, but the average of score falls with aging. Even if you do this test by paper or a computer, it is equivalent. It is good to use paper, when testing many people at once. When a computer is used, preservation of data and evaluation of a result can be performed. Preserved data can be used in spreadsheet software like Excel. The virtue of this test was reported in International Conference on Alzheimer's Disease 2010(ICAD2010) and in Japanese Journal of Geriatrics (Nippon Ronen Igakkai Zasshi 2010; 47: 235-242).