Evidence map›Paper›PMID 39865315›Full record

ArticleAlzheimer's research & therapy2025

RADAR-AD: assessment of multiple remote monitoring technologies for early detection of Alzheimer's disease.

Manuel Lentzen, Srinivasan Vairavan, Marijn Muurling, Vasilis Alepopoulos, Alankar Atreya, Merce Boada, Casper de Boer, Pauline Conde, Jelena Curcic, Giovanni Frisoni and 19 more

Abstract read
In one paragraph

Article in Alzheimer's research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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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

29 authors.

Manuel LentzenFraunhofer Institute for Algorithms and Scientific Computing SCAI, Sankt Augustin, Germany.
Srinivasan VairavanJanssen Research and Development LLC, Titusville, NJ, United States.
Marijn MuurlingAlzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC location VUmc, Amsterdam, The Netherlands.
Vasilis AlepopoulosCentre for Research & Technology Hellas, Information Technologies Institute, Thessaloniki, Greece.
Alankar AtreyaUniversity of Oxford, Oxford, UK.
Merce BoadaAce Alzheimer Center Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain.
Casper de BoerAlzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC location VUmc, Amsterdam, The Netherlands.
Pauline CondeKing's College London, London, UK.
Jelena CurcicBiomedical Research, Novartis, Basel, Switzerland.
Giovanni FrisoniMemory Center, Geneva University and University Hospital, Geneva, Switzerland.
Samantha GalluzziLaboratory Alzheimer's Neuroimaging & Epidemiology, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Martha Therese GjestsenCentre for Age-related Medicine, Stavanger University Hospital, Stavanger, Norway.
Mara GkiokaAlzheimer Hellas and Laboratory of Neurodegenerative Diseases, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Margarita GrammatikopoulouCentre for Research & Technology Hellas, Information Technologies Institute, Thessaloniki, Greece.
Lucrezia HausnerCentral Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Chris HindsUniversity of Oxford, Oxford, UK.
Ioulietta LazarouCentre for Research & Technology Hellas, Information Technologies Institute, Thessaloniki, Greece.
Alexandre de MendonçaFaculty of Medicine, University of Lisbon, Lisbon, Portugal.
Spiros NikolopoulosCentre for Research & Technology Hellas, Information Technologies Institute, Thessaloniki, Greece.
Dorota ReligaCenter for Alzheimer Research, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.
Gaetano ScebbaBiomedical Research, Novartis, Basel, Switzerland.
Pieter Jelle VisserAlzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC location VUmc, Amsterdam, The Netherlands.
Gayle WittenbergJanssen Research and Development LLC, Titusville, NJ, United States.
Vaibhav A NarayanDavos Alzheimer's Collaborative, Geneva, Switzerland.
Neva CoelloNovartis Pharma AG, Basel, Switzerland.
Anna-Katharine BremKing's College London, London, UK.
Dag AarslandKing's College London, London, UK.
Holger FröhlichFraunhofer Institute for Algorithms and Scientific Computing SCAI, Sankt Augustin, Germany. holger.froehlich@scai.fraunhofer.de.
RADAR-AD

Funding

Innovative Medicines Initiative 2 806999
6 · The paper itself

Abstract

backgroundAlzheimer's disease (AD) is a progressive neurodegenerative disorder affecting millions worldwide, leading to cognitive and functional decline. Early detection and intervention are crucial for enhancing the quality of life of patients and their families. Remote Monitoring Technologies (RMTs) offer a promising solution for early detection by tracking changes in behavioral and cognitive functions, such as memory, language, and problem-solving skills. Timely detection of these symptoms can facilitate early intervention, potentially slowing disease progression and enabling appropriate treatment and care.

methodsThe RADAR-AD study was designed to evaluate the accuracy and validity of multiple RMTs in detecting functional decline across various stages of AD in a real-world setting, compared to standard clinical rating scales. Our approach involved a univariate analysis using Analysis of Covariance (ANCOVA) to analyze individual features of six RMTs while adjusting for variables such as age, sex, years of education, clinical site, BMI and season. Additionally, we employed four machine learning classifiers - Logistic Regression, Decision Tree, Random Forest, and XGBoost - using a nested cross-validation approach to assess the discriminatory capabilities of the RMTs.

resultsThe ANCOVA results indicated significant differences between healthy and AD subjects regarding reduced physical activity, less REM sleep, altered gait patterns, and decreased cognitive functioning. The machine-learning-based analysis demonstrated that RMT-based models could identify subjects in the prodromal stage with an Area Under the ROC Curve of 73.0 %. In addition, our findings show that the Amsterdam iADL questionnaire has high discriminatory abilities.

conclusionsRMTs show promise in AD detection already in the prodromal stage. Using them could allow for earlier detection and intervention, thereby improving patients' quality of life. Furthermore, the Amsterdam iADL questionnaire holds high potential when employed remotely.

Indexed as

Alzheimer DiseaseAgedAged, 80 and overEarly DiagnosisFemaleHumansMachine LearningMaleMiddle AgedNeuropsychological TestsAlzheimer’s diseaseDiscriminative capacityMobile applicationsRemote monitoring technologiesWearables

Identifiers

PMID39865315
PMCPMC11771057

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.