Evidence map›Paper›PMID 35725739›Full record

ArticleNature communications2022

Multimodal deep learning for Alzheimer's disease dementia assessment.

Shangran Qiu, Matthew I Miller, Prajakta S Joshi, Joyce C Lee, Chonghua Xue, Yunruo Ni, Yuwei Wang, Ileana De Anda-Duran, Phillip H Hwang, Justin A Cramer and 28 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06877182 (Novel Neuroradiological Workflow for the Assisted DIAgnosis and Management of DEMentia with Artificial Intelligence), which is not on this map. Cited by 148 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06877182 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Novel Neuroradiological Workflow for the Assisted DIAgnosis and Management of DEMentia with Artificial Intelligence

TypeobservationalSponsorIRCCS SYNLAB SDNRan2024 to 2027Enrolled80,000ConditionsAlzheimer Disease, DementiaArmsMagnetic Resonance Imaging with Contrast
3 · Its place in the literature

Who cites it

148 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  9. Biomarkers in preclinical and early Alzheimer's disease in China: a scoping review.The journal of prevention of Alzheimer's disease · 2026
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88 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors.

Shangran Qiu *Department of Medicine, Boston University School of Medicine, Boston, MA, USA.
Matthew I Miller *Department of Medicine, Boston University School of Medicine, Boston, MA, USA.
Prajakta S JoshiDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, USA.
Joyce C LeeDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA.
Chonghua XueDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA.
Yunruo NiDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA.
Yuwei WangDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA.
Ileana De Anda-DuranSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.ORCID 0000-0003-3629-9465
Phillip H HwangDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, USA.ORCID 0000-0001-6780-6808
Justin A CramerDepartment of Radiology, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Brigid C DwyerDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
Honglin HaoDepartment of Neurology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Michelle C KakuDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
Sachin KedarDepartment of Neurological Sciences, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Peter H LeeDepartment of Radiology, Lahey Hospital & Medical Center, Burlington, MA, USA.
Asim Z MianDepartment of Radiology, Boston University School of Medicine, Boston, MA, USA.
Daniel L MurmanDepartment of Neurological Sciences, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Sarah O'SheaDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
Aaron B PaulDepartment of Radiology, Lahey Hospital & Medical Center, Burlington, MA, USA.
Marie-Helene Saint-HilaireDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
E Alton SartorDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
Aneeta R SaxenaDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
Ludy C ShihDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.ORCID 0000-0002-6590-8365
Juan E SmallDepartment of Radiology, Lahey Hospital & Medical Center, Burlington, MA, USA.ORCID 0000-0002-4931-3564
Maximilian J SmithDepartment of Radiology, Lahey Hospital & Medical Center, Burlington, MA, USA.
Arun SwaminathanDepartment of Neurological Sciences, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Courtney E TakahashiDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
Olga TaraschenkoDepartment of Neurological Sciences, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Hui YouDepartment of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Jing YuanDepartment of Neurology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.ORCID 0000-0002-3923-925X
Yan ZhouDepartment of Neurology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Shuhan ZhuDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
Michael L AloscoDepartment of Neurology, Boston University School of Medicine, Boston, MA, USA.
Jesse MezThe Framingham Heart Study, Boston University School of Medicine, Boston, MA, USA.
Thor D SteinBoston University Alzheimer's Disease Research Center, Boston, MA, USA.
Kathleen L PostonDepartment of Neurology, Stanford University, Palo Alto, CA, USA.ORCID 0000-0003-3424-7143
Rhoda AuDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, USA.
Vijaya B KolachalamaDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA. vkola@bu.edu.ORCID 0000-0002-5312-8644

Funding

TBDU19AG068753 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Thor Stein · 2020 to 2026
$42.4M
Neuropathology CoreP30AG013846 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KOWALL, NEIL W. · 1996 to 2020
$29.1M
Stanford Alzheimer's Disease Research CenterAdmin Supp: Developing iPSC models for AD and PDP30AG066515 · NIA · STANFORD UNIVERSITY · PI Jennifer Kaci Fairchild · 2020 to 2026
$29.0M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Sudha Seshadri · 2021 to 2026
$24.0M
Project 4: Novel reagent development to enable molecular characterizationU19AG065156 · NIA · UNIVERSITY OF WASHINGTON · PI MACCOSS, MICHAEL · 2020 to 2024
$15.9M
MRI, Genetics &Cognitive Precursors of AD &DementiaR01AG016495 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA · 1999 to 2016
$12.5M
Temporal Trends, Novel Imaging and Molecular Characterization of Preclinical and Clinical Alzheimer's Disease in the Framingham CohortsR01AG054076 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DECARLI, CHARLES, SESHADRI, SUDHA · 2016 to 2020
$12.3M
MRI, Cognitive, Genetic & Biomarker Precursors of AD & Dementia in Young AdultsR01AG033040 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA, SESHADRI, SUDHA · 2009 to 2019
$11.2M
The impact of early Tau pathology on cognitive progression and neuropsychiatric symptoms in Parkinson's diseaseR01NS115114 · NINDS · STANFORD UNIVERSITY · PI ANDREASSON, KATRIN I., POSTON, KATHLEEN LOMBARD · 2019 to 2023
$4.2M
Precision Brain Health Monitoring for Alzheimer's Disease Risk Detection in the Framingham Study: Black & AA Recruitment SupplementRF1AG072654 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA, GOLDSTEIN, LEE E. · 2021 to 2023
$2.4M
Mechanisms of drug-coated balloon therapyR01HL159620 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KOLACHALAMA, VIJAYA B. · 2021 to 2024
$2.1M
Cognitive Heterogeneity in those with high Alzheimer's Disease RiskRF1AG062109 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI AU, RHODA · 2020 to 2021
$1.8M
NCI NIH HHS R21 CA253498NHLBI NIH HHS R01 HL159620NIA NIH HHS P30 AG013846NIA NIH HHS P30 AG066515NIA NIH HHS P30 AG066546NIA NIH HHS R01 AG016495NIA NIH HHS R01 AG033040NIA NIH HHS R01 AG054076NIA NIH HHS R01 AG072654NIA NIH HHS R56 AG062109NIA NIH HHS RF1 AG062109NIA NIH HHS RF1 AG072654NIA NIH HHS U19 AG065156NIA NIH HHS U19 AG068753NINDS NIH HHS K23 NS075097NINDS NIH HHS R01 NS115114
6 · The paper itself

Abstract

Worldwide, there are nearly 10 million new cases of dementia annually, of which Alzheimer's disease (AD) is the most common. New measures are needed to improve the diagnosis of individuals with cognitive impairment due to various etiologies. Here, we report a deep learning framework that accomplishes multiple diagnostic steps in successive fashion to identify persons with normal cognition (NC), mild cognitive impairment (MCI), AD, and non-AD dementias (nADD). We demonstrate a range of models capable of accepting flexible combinations of routinely collected clinical information, including demographics, medical history, neuropsychological testing, neuroimaging, and functional assessments. We then show that these frameworks compare favorably with the diagnostic accuracy of practicing neurologists and neuroradiologists. Lastly, we apply interpretability methods in computer vision to show that disease-specific patterns detected by our models track distinct patterns of degenerative changes throughout the brain and correspond closely with the presence of neuropathological lesions on autopsy. Our work demonstrates methodologies for validating computational predictions with established standards of medical diagnosis.

Indexed as

Alzheimer DiseaseCognitive DysfunctionDeep LearningDisease ProgressionHumansNeuroimaging

Identifiers

PMID35725739
PMCPMC9209452

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.