Evidence map›Paper›PMID 41200792›Full record

ReviewAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Digital neuropathology of neurodegenerative disorders: Foundations, research advances, and future directions.

Aaron M Rosado, Juan C Vizcarra, Shivam R Rai Sharma, Cristopher Dirk Keene, Charles L White, Ain Kim, Shelley L Forrest, Gabor G Kovacs, Chen-Nee Chuah, Margaret E Flanagan and 3 more

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Digital neuropathology of neurodegenerative disorders: Foundations, research advances, and future directions.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    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

13 authors.

Aaron M RosadoEmory University School of Medicine Department of Laboratory Medicine and Pathology, Emory University Hospital, Atlanta, Georgia, USA.ORCID 0000-0002-9710-7220
Juan C VizcarraEmory University School of Medicine Department of Laboratory Medicine and Pathology, Emory University Hospital, Atlanta, Georgia, USA.
Shivam R Rai SharmaDavis Department of Computer Science, University of California, Davis, California, USA.
Cristopher Dirk KeeneDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, Washington, USA.
Charles L WhiteDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Ain KimTanz Centre for Research in Neurodegenerative Diseases, Temerty Faculty of Medicine, 1 King's College Circle, University of Toronto, Toronto, Ontario, Canada.
Shelley L ForrestTanz Centre for Research in Neurodegenerative Diseases, Temerty Faculty of Medicine, 1 King's College Circle, University of Toronto, Toronto, Ontario, Canada.
Gabor G KovacsTanz Centre for Research in Neurodegenerative Diseases, Temerty Faculty of Medicine, 1 King's College Circle, University of Toronto, Toronto, Ontario, Canada.
Chen-Nee ChuahDavis Department of Electrical and Computer Engineering, University of California, Davis, California, USA.
Margaret E FlanaganDepartment of Pathology and Laboratory Medicine, University of Texas Health Science Center, San Antonio, Texas, USA.
Thomas M PearceDepartment of Pathology, University of Pittsburg School of Medicine, Pittsburgh, Pennsylvania, USA.
Brittany N DuggerDavis Department of Pathology and Laboratory Medicine, University of California, Sacramento, California, USA.ORCID 0000-0003-2141-8855
David A GutmanEmory University School of Medicine Department of Laboratory Medicine and Pathology, Emory University Hospital, Atlanta, Georgia, USA.

Funding

University of Washington Alzheimer's Disease Research CenterP30AG066509 · NIA · UNIVERSITY OF WASHINGTON · PI Lynn Bekris · 2020 to 2026
$29.0M
UC Davis Alzheimer's Disease Research CenterP30AG072972 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Charles DeCarli, Rachel A Whitmer · 2021 to 2026
$25.2M
South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Sudha Seshadri · 2021 to 2026
$24.0M
The Neuropathologic Landscape of Alzheimer's Disease in Hispanic DecedentsR01AG062517 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Brittany Nicole Dugger · 2019 to 2026
$10.5M
Federated digital pathology platform for AD/ADRD research and diagnosticsU24NS133945 · NINDS · UNIVERSITY OF KENTUCKY · PI BUMGARDNER, CODY, FLANAGAN, MARGARET E · 2023 to 2025
$4.9M
Brain Digital Slide Archive: An Open Source Platform for data sharing and analysis of digital neuropathologyU24NS133949 · NINDS · EMORY UNIVERSITY · PI Lee Cooper, Brittany Nicole Dugger · 2023 to 2026
$4.3M
Identification and characterization of tau seeding and strain composition in tauopathyRF1AG059689 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI DIAMOND, MARC I, WHITE, CHARLES LEE · 2019 to 2019
$3.4M
Exploring the origins of myelin abnormalities in normal ageing and in vascular dementiaRF1AG072080 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FLANAGAN, MARGARET E, POPKO, BRIAN J · 2021 to 2021
$2.2M
Alzheimer's Disease Big Data to Biology Training Program (ADBDB-TP)T32AG087922 · NIA · EMORY UNIVERSITY · PI Todd E Golde, DAVID WEINSHENKER · 2024 to 2026
$1.7M
Exploring the origins of myelin abnormalities in normal ageing and in vascular dementiaR01AG072080 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FLANAGAN, MARGARET E, POPKO, BRIAN J · 2024 to 2025
$1.4M
nvestigating the role of neuroinflammation in Limbic-predominant age related TDP43 encephalopathyK08AG065463 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FLANAGAN, MARGARET E · 2020 to 2024
$816k
Quantifying the individual contributions of comorbid tau neuropathologies using deep learningR21AG066012 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI RAJARAM, SATWIK, WHITE, CHARLES LEE · 2020 to 2020
$450k
Chan Zuckerberg Initiative DAF, an advise fund of Silicon Valley Community FoundationNIA NIH HHS K08 AG065463NIA NIH HHS P30 AG066509NIA NIH HHS P30 AG066546NIA NIH HHS P30 AG072972NIA NIH HHS R01 AG062517NIA NIH HHS R01 AG072080NIA NIH HHS R21 AG066012NIA NIH HHS RF1 AG059689NIA NIH HHS RF1 AG072080NIA NIH HHS T32 AG087922NIH HHS K08AG065463NIH HHS P30AG066546NIH HHS P30AG072972NIH HHS R01AG059689NIH HHS R01AG062517NIH HHS R01AG072080NIH HHS R21AG066012NIH HHS RF1AG072080NIH HHS T32AG087922NIH HHS U24NS133945NIH HHS U24NS133949NINDS NIH HHS U24 NS133945NINDS NIH HHS U24 NS133949
6 · The paper itself

Abstract

A neuropathology examination after death remains the gold standard for differentiating between Alzheimer disease (AD) and AD and related dementias (ADRD). Increasing interest and familiarity with digital imaging highlights recent shifts to modernize pathology workflows by leveraging technology that automates imaging and analysis. This review provides an overview of digital pathology technologies and their associated infrastructure, available open-source and proprietary digital pathology software, relevant background on neurodegenerative histopathological features, and computational research. It further examines recent developments in digital pathology in neurodegenerative disease research with an emphasis on machine learning. We discuss evidence supporting how recently developed technologies and methodologies can enhance our understanding of histopathologic features of neurodegeneration and correlations of histopathologic features with cognitive performance and age at death. Finally, we review potential directions for neurodegenerative disease digital pathology research given trends in technological infrastructure development and other digital pathology research. HIGHLIGHTS: Provides a historical summary of digital pathology with respect to neuropathology. Examines key digital pathology technologies. Explores digital pathology applications in neurodegenerative disease and their contribution to research. Discusses the future of digital neuropathology.

Indexed as

Image Processing, Computer-AssistedNeurodegenerative DiseasesNeuropathologyAlzheimer DiseaseHumansMachine LearningAlzheimer disease (AD)Alzheimer's disease and related dementias (ADRD)artificial intelligence (AI)brain bankingcomputer vision (CV)cross‐institutional collaborationdeep learning (DL)digital pathologyinformation technologymachine learning (ML)medical imagingNational Alzheimer's Coordinating Centerneurodegenerationwhole slide image (WSI)

Identifiers

PMID41200792
PMCPMC12592941

What OpenQuestion holds

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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.