Evidence map›Paper›PMID 40458467›Full record

ArticleFrontiers in neurology2025

AI-based staging, causal hypothesis and progression of subjects at risk of Alzheimer's disease: a multicenter study.

Simona Aresta, Raffaello Nemni, Moreno Zanardo, Graziella Sirabian, Dario Capelli, Marco Alì, Paolo Vitali, Enrico Giuseppe Bertoldo, Valentina Fiolo, Lilla Bonanno and 6 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 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. Review
  3. Article
  4. 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

16 authors.

Simona Aresta *Department of Science, Technology and Society, University School for Advanced Studies IUSS Pavia, Pavia, Italy.
Raffaello Nemni *Centro Diagnostico Italiano S.p.A., Milan, Italy.
Moreno ZanardoUnit of Radiology, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Graziella SirabianCentro Diagnostico Italiano S.p.A., Milan, Italy.
Dario CapelliCentro Diagnostico Italiano S.p.A., Milan, Italy.
Marco AlìCentro Diagnostico Italiano S.p.A., Milan, Italy.
Paolo VitaliUnit of Radiology, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Enrico Giuseppe BertoldoClinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Valentina FioloClinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Lilla BonannoIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Giuseppa MarescaIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Petronilla BattistaIstituti Clinici Scientifici Maugeri IRCCS, Laboratory of Neuropsychology, Institute of Bari, Bari, Italy.
Francesco SardanelliUnit of Radiology, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Francesca Benedetta PizziniDepartment of Engineering for Innovation Medicine, University of Verona, Verona, Italy.
Isabella CastiglioniDepartment of Physics "G. Occhialini", Università degli Studi di Milano-Bicocca, Milan, Italy.
Christian SalvatoreDepartment of Science, Technology and Society, University School for Advanced Studies IUSS Pavia, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In 2024, 11 European scientific societies/organizations and one patient advocacy association have defined a patient-centered biomarker-based diagnostic workflow for memory clinics evaluating neurocognitive disorders. Methods: We tested the performance of an artificial intelligence (AI) tool applied to neuropsychological and magnetic resonance imaging (MRI) assessment for staging and causal hypothesis, which are the two recommended workflow steps guiding the next one recommending optimal biomarkers to be used for a biological diagnosis of neurocognitive disorders, according to intersocietal recommendations. Moreover, we assessed the AI performance in predicting the progression to Alzheimer's disease (AD)-dementia. Results: For the three-class classification of staging (n patients = 426), the inter-rater AI-humans agreement was substantial for both healthy subjects/subjective cognitive impairment/worried-well vs. all the remaining groups (rest) (Cohen's Discussion: The AI tool showed high agreement with human assessment for staging, high accuracy with biomarkers for causal hypotheses of neurocognitive disorders and predicted progression to AD at 24-month with 89% sensitivity and 82% specificity.

Indexed as

Alzheimer’s diseaseartificial intelligencediagnosisMRIneuropsychological scoresstaging

Identifiers

PMID40458467
PMCPMC12127516

What Socratic holds

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LicenceCC BY
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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 Socratic graph.