Evidence map›Paper›PMID 37783967›Full record

ArticleNature medicine2023

Early detection of autism using digital behavioral phenotyping.

Sam Perochon, J Matias Di Martino, Kimberly L H Carpenter, Scott Compton, Naomi Davis, Brian Eichner, Steven Espinosa, Lauren Franz, Pradeep Raj Krishnappa Babu, Guillermo Sapiro and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
17.1field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Artificial Intelligence Methods in Early Detection of Autism Spectrum Disorder: A DSM-5 Criterion-Based Systematic Review.Autism research : official journal of the International Society for Autism Research · 2026
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  13. ICYM... International Conference on Learning Representations · 2026
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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

11 authors at 2 institutions in 2 countries.

Sam PerochonDepartment of Electrical and Computer Engineering, Duke University, Durham, NC, USA.
J Matias Di MartinoDepartment of Electrical and Computer Engineering, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-4679-8666
Kimberly L H CarpenterDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-3838-798X
Scott ComptonDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.
Naomi DavisDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.
Brian EichnerDepartment of Pediatrics, Duke University, Durham, NC, USA.
Steven EspinosaOffice of Information Technology, Duke University, Durham, NC, USA.
Lauren FranzDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.
Pradeep Raj Krishnappa BabuDepartment of Electrical and Computer Engineering, Duke University, Durham, NC, USA.
Guillermo Sapiro *Department of Electrical and Computer Engineering, Duke University, Durham, NC, USA.
Geraldine Dawson *Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA. geraldine.dawson@duke.edu.ORCID http://orcid.org/0000-0003-1410-2764
Duke University · USÉcole Normale Supérieure Paris-Saclay · FR

Funding

Recruitment and Assessment CoreP50HD093074 · NICHD · DUKE UNIVERSITY · PI Geraldine Dawson, Lauren Franz · 2017 to 2026
$27.6M
Novel Approaches to Infant Screening for ASD in Pediatric Primary CareR01MH121329 · NIMH · DUKE UNIVERSITY · PI DAWSON, GERALDINE · 2019 to 2023
$3.9M
Scalable Computational Platform For Active Closed-Loop Behavioral Coding in Autism Spectrum DisorderR01MH120093 · NIMH · DUKE UNIVERSITY · PI DAWSON, GERALDINE, SAPIRO, GUILLERMO R · 2019 to 2022
$1.6M
NICHD NIH HHS P50 HD093074NICHD NIH HHS P50HD093074NIMH NIH HHS R01 MH120093NIMH NIH HHS R01MH120093NIMH NIH HHS R01 MH121329NIMH NIH HHS R01MH121329
6 · The paper itself

Abstract

Early detection of autism, a neurodevelopmental condition associated with challenges in social communication, ensures timely access to intervention. Autism screening questionnaires have been shown to have lower accuracy when used in real-world settings, such as primary care, as compared to research studies, particularly for children of color and girls. Here we report findings from a multiclinic, prospective study assessing the accuracy of an autism screening digital application (app) administered during a pediatric well-child visit to 475 (17-36 months old) children (269 boys and 206 girls), of which 49 were diagnosed with autism and 98 were diagnosed with developmental delay without autism. The app displayed stimuli that elicited behavioral signs of autism, quantified using computer vision and machine learning. An algorithm combining multiple digital phenotypes showed high diagnostic accuracy with the area under the receiver operating characteristic curve = 0.90, sensitivity = 87.8%, specificity = 80.8%, negative predictive value = 97.8% and positive predictive value = 40.6%. The algorithm had similar sensitivity performance across subgroups as defined by sex, race and ethnicity. These results demonstrate the potential for digital phenotyping to provide an objective, scalable approach to autism screening in real-world settings. Moreover, combining results from digital phenotyping and caregiver questionnaires may increase autism screening accuracy and help reduce disparities in access to diagnosis and intervention.

Indexed as

Autism Spectrum DisorderAutistic DisorderChildChild, PreschoolEarly DiagnosisFemaleHumansInfantMalePredictive Value of TestsProspective StudiesROC Curve

Identifiers

PMID37783967
PMCPMC10579093
OpenAlexW4387252268

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.