Evidence map›Paper›PMID 39487204›Full record

ArticleScientific reports2024

Digital detection of Alzheimer's disease using smiles and conversations with a chatbot.

Haruka Takeshige-Amano, Genko Oyama, Mayuko Ogawa, Keiko Fusegi, Taiki Kambe, Kenta Shiina, Shin-Ichi Ueno, Ayami Okuzumi, Taku Hatano, Yumiko Motoi and 15 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Facial Expressions as a Nexus for Health Assessment.Bioengineering (Basel, Switzerland) · 2026
    Review
  3. Article
  4. What patients want from healthcare chatbots: insights from a mixed-methods study.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  5. Review
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

25 authors.

Haruka Takeshige-AmanoDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Genko OyamaDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan. g_oyama@juntendo.ac.jp.
Mayuko OgawaDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Keiko FusegiDepartment of Neurology, Faculty of Medicine, Juntendo University Koshigaya Hospital, Saitama, Japan.
Taiki KambeDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Kenta ShiinaDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Shin-Ichi UenoDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Ayami OkuzumiDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Taku HatanoDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Yumiko MotoiDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan.
Ito KawakamiDepartment of Psychiatry, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Maya AndoDepartment of Neurology, Faculty of Medicine, Juntendo University Koshigaya Hospital, Saitama, Japan.
Sachiko NakayamaDepartment of Neurology, Faculty of Medicine, Juntendo University Koshigaya Hospital, Saitama, Japan.
Yoshinori IshidaDepartment of Neurology, Takeda Sogo Hospital, Fukushima, Japan.
Shun MaeiIBM Consulting, IBM Japan, Ltd., Tokyo, Japan.
Xiangxun LuIBM Consulting, IBM Japan, Ltd., Tokyo, Japan.
Tomohisa KobayashiIBM Consulting, IBM Japan, Ltd., Tokyo, Japan.
Rina WoodenIBM Consulting, IBM Japan, Ltd., Tokyo, Japan.
Susumu OtaIBM Consulting, IBM Japan, Ltd., Tokyo, Japan.
Ken MoritoGLORY Ltd., Tokyo, Japan.
Yoshitaka ItoGLORY Ltd., Tokyo, Japan.
Yoshihiro NakajimaGLORY Ltd., Tokyo, Japan.
Asako YoritakaDepartment of Neurology, Faculty of Medicine, Juntendo University Koshigaya Hospital, Saitama, Japan.
Tadafumi KatoDepartment of Psychiatry, Faculty of Medicine, Juntendo University, Tokyo, Japan.
Nobutaka HattoriDepartment of Neurology, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-Ku, Tokyo, 113-8421, Japan. nhattori@juntendo.ac.jp.

Funding

Cabinet Office, Government of Japan JPMJMS2024-9Japan Agency for Medical Research and Development 22dm0207070s0204Japan Society for the Promotion of Science 21H04820Japan Society for the Promotion of Science 21K12711Japan Society for the Promotion of Science 24K18725Research Committee of CNS Degenerative Disease, Research on Policy Planning and Evaluation for Rare and Intractable Diseases, Health, Labour and Welfare Sciences Research 202111056A
6 · The paper itself

Abstract

In super-aged societies, dementia has become a critical issue, underscoring the urgent need for tools to assess cognitive status effectively in various sectors, including financial and business settings. Facial and speech features have been tried as cost-effective biomarkers of dementia including Alzheimer's disease (AD). We aimed to establish an easy, automatic, and extensive screening tool for AD using a chatbot and artificial intelligence. Smile images and visual and auditory data of natural conversations with a chatbot from 99 healthy controls (HCs) and 93 individuals with AD or mild cognitive impairment due to AD (PwA) were analyzed using machine learning. A subset of 8 facial and 21 sound features successfully distinguished PwA from HCs, with a high area under the receiver operating characteristic curve of 0.94 ± 0.05. Another subset of 8 facial and 20 sound features predicted the cognitive test scores, with a mean absolute error as low as 5.78 ± 0.08. These results were superior to those obtained from face or auditory data alone or from conventional image depiction tasks. Thus, by combining spontaneous sound and facial data obtained through conversations with a chatbot, the proposed model can be put to practical use in real-life scenarios.

Indexed as

Alzheimer DiseaseSmilingAgedAged, 80 and overCase-Control StudiesCognitive DysfunctionFemaleHumansMachine LearningMaleMiddle AgedROC Curve

Identifiers

PMID39487204
PMCPMC11530557

What OpenQuestion holds

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Registered trials

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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.