Evidence map›Paper›PMID 38965435›Full record

ArticleNature medicine2024

AI-based differential diagnosis of dementia etiologies on multimodal data.

Chonghua Xue, Sahana S Kowshik, Diala Lteif, Shreyas Puducheri, Varuna H Jasodanand, Olivia T Zhou, Anika S Walia, Osman B Guney, J Diana Zhang, Serena Poésy and 28 more

Abstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 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.

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

78 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  8. Review
  9. Advances in artificial intelligence for neuroimaging.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
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  17. Multimodal Wearable Biosensing Meets Multidomain AI: A Pathway to Decentralized Healthcare.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  18. Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

38 authors.

Chonghua Xue *Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Sahana S Kowshik *Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Diala LteifDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9580-8795
Shreyas PuducheriDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0009-0009-6850-7370
Varuna H JasodanandDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Olivia T ZhouDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0009-0008-1730-295X
Anika S WaliaDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9598-3406
Osman B GuneyDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
J Diana ZhangDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Serena PoésyDepartment of Radiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Artem KaliaevDepartment of Radiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8978-1178
V Carlota Andreu-ArasaDepartment of Radiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3883-8725
Brigid C DwyerDepartment of Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Chad W FarrisDepartment of Radiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0002-1133-3834
Honglin HaoDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Sachin KedarDepartments of Neurology & Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Asim Z MianDepartment of Radiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Daniel L MurmanDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA.
Sarah A O'SheaDepartment of Neurology, Columbia University Irving Medical Center, New York, NY, USA.
Aaron B PaulDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Saurabh RohatgiDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Marie-Helene Saint-HilaireDepartment of Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Emmett A SartorDepartment of Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Bindu N SettyDepartment of Radiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Juan E SmallDepartment of Radiology, Lahey Hospital & Medical Center, Burlington, MA, USA.ORCID http://orcid.org/0000-0002-4931-3564
Arun SwaminathanDepartment of Neurology, SSM Health, Madison, WI, USA.
Olga TaraschenkoDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA.ORCID http://orcid.org/0000-0003-4848-8909
Jing YuanDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Yan ZhouDepartment of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Shuhan ZhuDepartment of Neurology, Brigham & Women's Hospital, Boston, MA, USA.
Cody KarjadiThe Framingham Heart Study, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9199-8723
Ting Fang Alvin AngThe Framingham Heart Study, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4687-2552
Sarah A BargalDepartment of Computer Science, Georgetown University, Washington, DC, USA.
Bryan A PlummerDepartment of Computer Science, Boston University, Boston, MA, USA.
Kathleen L PostonDepartment of Neurology, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0003-3424-7143
Meysam AhangaranDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Rhoda AuDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7742-4491
Vijaya B KolachalamaDepartment of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA. vkola@bu.edu.ORCID http://orcid.org/0000-0002-5312-8644

Funding

Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
National Alzheimer's Coordinating CenterU24AG072122 · NIA · UNIVERSITY OF WASHINGTON · PI STEPHENS, KARI A · 2021 to 2025
$45.8M
TBDU19AG068753 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Lindsay A. Farrer · 2020 to 2026
$42.4M
Research Education ComponentP30AG062422 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Katherine P Rankin · 2019 to 2026
$36.9M
Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Christine S Ritchie · 2019 to 2026
$36.5M
UCSD Shiley-Marcos Alzheimer's Disease Research Center P30P30AG062429 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DOUGLAS R GALASKO · 2019 to 2026
$34.9M
Wisconsin Alzheimer's Disease Research CenterP30AG062715 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sanjay Asthana · 2019 to 2026
$34.5M
Research Education ComponentP30AG062677 · NIA · MAYO CLINIC ROCHESTER · PI KEJAL KANTARCI · 2019 to 2026
$33.5M
Utilizing Technology and AI Approaches to Facilitate Independence andResilience in Older AdultsP30AG073104 · NIA · JOHNS HOPKINS UNIVERSITY · PI Alexis Battle · 2021 to 2026
$31.2M
NCATS NIH HHS UL1 TR001430NCI NIH HHS R21 CA253498NHLBI NIH HHS R01 HL159620NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P20 AG068024NIA NIH HHS P20 AG068053NIA NIH HHS P20 AG068077NIA NIH HHS P20 AG068082NIA NIH HHS P30 AG062421NIA NIH HHS P30 AG062422NIA NIH HHS P30 AG062429NIA NIH HHS P30 AG062677NIA NIH HHS P30 AG062715NIA NIH HHS P30 AG066444NIA NIH HHS P30 AG066462NIA NIH HHS P30 AG066468NIA NIH HHS P30 AG066506NIA NIH HHS P30 AG066507NIA NIH HHS P30 AG066508NIA NIH HHS P30 AG066509NIA NIH HHS P30 AG066511NIA NIH HHS P30 AG066512NIA NIH HHS P30 AG066514NIA NIH HHS P30 AG066515NIA NIH HHS P30 AG066518NIA NIH HHS P30 AG066519NIA NIH HHS P30 AG066530NIA NIH HHS P30 AG066546NIA NIH HHS P30 AG072931NIA NIH HHS P30 AG072946NIA NIH HHS P30 AG072947NIA NIH HHS P30 AG072958NIA NIH HHS P30 AG072959NIA NIH HHS P30 AG072972NIA NIH HHS P30 AG072973NIA NIH HHS P30 AG072975NIA NIH HHS P30 AG072976NIA NIH HHS P30 AG072977NIA NIH HHS P30 AG072978NIA NIH HHS P30 AG072979NIA NIH HHS P30 AG073104NIA NIH HHS P50 AG047366NIA NIH HHS R01 AG062109NIA NIH HHS R01 AG079280NIA NIH HHS RF1 AG062109NIA NIH HHS U01 AG024904NIA NIH HHS U19 AG068753NIA NIH HHS U24 AG072122NIDDK NIH HHS R43 DK134273NIGMS NIH HHS P20 GM130447NINDS NIH HHS K23 NS075097NINDS NIH HHS R01 NS115114
6 · The paper itself

Abstract

Differential diagnosis of dementia remains a challenge in neurology due to symptom overlap across etiologies, yet it is crucial for formulating early, personalized management strategies. Here, we present an artificial intelligence (AI) model that harnesses a broad array of data, including demographics, individual and family medical history, medication use, neuropsychological assessments, functional evaluations and multimodal neuroimaging, to identify the etiologies contributing to dementia in individuals. The study, drawing on 51,269 participants across 9 independent, geographically diverse datasets, facilitated the identification of 10 distinct dementia etiologies. It aligns diagnoses with similar management strategies, ensuring robust predictions even with incomplete data. Our model achieved a microaveraged area under the receiver operating characteristic curve (AUROC) of 0.94 in classifying individuals with normal cognition, mild cognitive impairment and dementia. Also, the microaveraged AUROC was 0.96 in differentiating the dementia etiologies. Our model demonstrated proficiency in addressing mixed dementia cases, with a mean AUROC of 0.78 for two co-occurring pathologies. In a randomly selected subset of 100 cases, the AUROC of neurologist assessments augmented by our AI model exceeded neurologist-only evaluations by 26.25%. Furthermore, our model predictions aligned with biomarker evidence and its associations with different proteinopathies were substantiated through postmortem findings. Our framework has the potential to be integrated as a screening tool for dementia in clinical settings and drug trials. Further prospective studies are needed to confirm its ability to improve patient care.

Indexed as

Artificial IntelligenceDementiaAgedAged, 80 and overCognitive DysfunctionDiagnosis, DifferentialFemaleHumansMaleMiddle AgedNeuroimagingNeuropsychological TestsROC Curve

Identifiers

PMID38965435
PMCPMC11485262

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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.