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FGAI4H-E-010-A01 Geneva, 30 May – 1 June 2019 FGAI4H-E-010-A01 Geneva, 30 May – 1 June 2019

FGAI4H-E-010-A01 Geneva, 30 May – 1 June 2019 - PowerPoint Presentation

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FGAI4H-E-010-A01 Geneva, 30 May – 1 June 2019 - PPT Presentation

Source TG Cogni topic driver Title TDD update TG Cogni Neurocognitive disorders Purpose Discussion Contact Marc Lecoultre Email mlmllabai Abstract This PPT summarized the content of E010 with the TDD for the ID: 931959

cognitive clinical imaging epidemiological clinical cognitive epidemiological imaging demographic abilities data genetic bank biologic cross bio sectional disease biological

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Slide1

FGAI4H-E-010-A01

Geneva, 30 May – 1 June 2019

Source:TG-Cogni topic driverTitle:TDD update: TG-Cogni (Neurocognitive disorders)Purpose:Discussion

Contact:Marc LecoultreE-mail: ml@mllab.ai

Abstract:

This PPT summarized the content of E-010 with the TDD for the

Cogni

, for presentation and discussion during the meeting.

Slide2

Meeting E - Topic Group UpdateNeurocognitive disorders (TG-Cogni)

Marc Lecoultreml@mllab.ai

Slide3

Overview

This topic group is dedicated to AI against neuro-cognitive diseases. Co-editor Kherif FerahLaboratory for Research in Neuroimaging, Department of Clinical Neurosciences, Faculty of Biology and Medicine, UNIL Centre Hospitalier

Universitaire Vaudois (CHUV) (Switzerland)

Slide4

Received proposals

Provide an empirical basis for testing the clinical validity of machine learning-based diagnostics for Alzheimer’s disease (AD) and related dementia syndromes (defined by DSM V as ‘Neurocognitive disorders’) using real world brain imaging and genetic data

Slide5

Alzheimer’s disease proposal overview

Current estimates count world-wide over 48 million people suffering from dementia bringing the social cost of care to 1% of world’s gross domestic product – GDP. These numbers led the World Health Organization to classify neurocognitive disorders as a global public health priority

.

Slide6

Problem we want to solve

Early-stage detection and classification of dementia using clinical scores, diagnostic, cognitive measures and biological measures (PET, MRI, fMRI, lab results)

Slide7

Data availabilityData include both

real world patient’s data and data collected from research cohorts. The data include clinical scores, diagnostic, cognitive measures and biological measures (PET, MRI, fMRI, lab results). The data include patients on more than

6 000 patients on dementia (one of the largest patients’ cohort) different stages of the disease (subjective complains, mild impairments or demented)

Slide8

SUBJECTS NUMEROSITY (@ BSL)

TYPE OF DATA COLECTED

Longitudinal Or Cross-Sectional ?

ClinicalDemographicBiologicCognitive abilitiesEpidemiological

Genetic

Imaging

Brain Bank

EEG

Bio Bank

CLINICAL & EPIDEMIOLOGICAL CHARACTERISTICS

69

Longitudinal - clinical, demographic, cognitive abilities, epidemiological, imaging.

Longitudinal

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

NDD

146

cross- sectional - clinical, demographic, cognitive abilities, epidemiological, imaging.

Cross-sectionalYESYESYESYESYESYESYESYESYESYESPSY147Longitudinal - clinical, demographic, cognitive abilities, epidemiological, biologic, genetic, imaging, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYESNDD262cross- sectional - clinical, demographic, cognitive abilities, epidemiological, imaging.Cross-sectionalYESYESYESYESYESYESYESYESYESYESNDD408Longitudinal - clinical, demographic, epidemiological, epidemiological, biologic, genetic, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESNDD450Longitudinal - clinical, demographic, cognitive abilities, epidemiological, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESPSY500cross- sectional - clinical, demographic, cognitive abilities, epidemiological, biologic,genetic, imaging.Cross-sectionalYESYESYESYESYESYESYESYESYESYESAgeing565Longitudinal - clinical, demographic, cognitive abilities, epidemiological, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESNDD600clinical, demographic, imaging.NONEYESYESYESYESYESYESYESYESYESYESHealthy606cross- sectional - clinical, demographic, cognitive abilities, epidemiological,biologic, imaging.Cross-sectionalYESYESYESYESYESYESYESYESYESYESNDD700Cross-sectional – Clincal, cognitive abilities, imaging.Cross-sectionalNONONONONONONONONONOageing750Clinical, demographic, cognitive abilities, epidemiological, biological, , imaging, bio-bank.NONEYESYESYESYESYESYESYESYESYESYESPDD881Longitudinal - clinical, demographic, cognitive abilities, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESNDD973cross- sectional - clinical, demographic, cognitive abilities, epidemiological, biologic,genetic, imaging (CT), bio-bank.Cross-sectionalYESYESYESYESYESYESYESYESYESYESNDD1000Longitudinal – clinical, demographic, cognitive abilities, epidemiological, genetic, imaging, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYEShealth ageing1000Longitudinal – clinical, demographic, cognitive abilities, epidemiological, biological, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESageing and dementia1000cross- sectional - clinical, demographic, cognitive abilities, epidemiological, imaging.Cross-sectionalYESYESYESYESYESYESYESYESYESYESPSY1113cross- sectional - clinical, demographic, cognitive abilities, epidemiological, imaging.Cross-sectionalYESYESYESYESYESYESYESYESYESYESPSY1169Longitudinal - clinical, demographic, cognitive abilities, epidemiological, biologic, genetic, imaging, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYESNDD1225Cross- sectional – Clinical, demographic, cognitive abilities, epidemiological.Cross-sectionalYESYESYESYESYESYESYESYESYESYESNDD1232Longitudinal - clinical, demographic, cognitive abilities, epidemiological, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESvascular brain damage and dementia1823Longitudinal – clinical, demographic,epidemiological, biological, genetic, cognitive abilities, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESageing2300Longitudinal - clinical, demographic, cognitive abilities, epidemiological, biologic, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESPSY2323Longitudinal – clinical, demographic,epidemiological, biological, cognitive abilities, imaging, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYESageing and dementia2500cross- sectional - clinical, demographic, cognitive abilities, epidemiological, genetic, imaging.Cross-sectionalYESYESYESYESYESYESYESYESYESYESPSY-NDD2619cross- sectional - clinical, demographic, cognitive abilities, epidemiological, imaging.Cross-sectionalYESYESYESYESYESYESYESYESYESYESNDD2981Longitudinal - clinical, demographic, cognitive abilities, epidemiological, biologic, genetic, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESPSY2989cross- sectional - clinical, demographic, cognitive abilities, epidemiological,biologic, genetic , imaging.Cross-sectionalYESYESYESYESYESYESYESYESYESYESNDD4000Longitudinal - clinical, demographic, epidemiological, biologic, genetic, imaging, EEG, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYESNDD8000Longitudinal - clinical, demographic, cognitive abilities, epidemiological, biologic, genetic, imaging, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYEShealth-related condition 9294Longitudinal – clinical, demographic, cognitive abilities, epidemiological, genetic, imaging, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYESVascular disease and dementia10994Longitudinal – clinical, demographic,epidemiological, biological, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYEScardiovascular, neurological, ophthalmological, endocrinological, and psychiatric diseases in elderly people 12000Longitudinal - clinical, demographic, cognitive abilities, epidemiological, biologic, genetic, imaging, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYESNDD12126Clinical, demographic, cognitive abilities, epidemiological, genetics, bio-bank.NONEYESYESYESYESYESYESYESYESYESYESNDD18000Longitudinal – clinical, demographic, cognitive abilities, epidemiological, biological, imaging, brain-bank.LongitudinalYESYESYESYESYESYESYESYESYESYESageing26000Longitudinal - clinical, demographic, epidemiological, biologic, genetic, imaging, bio-bank.LongitudinalYESYESYESYESYESYESYESYESYESYESPDD30000demographic, cognitive abilities, epidemiological, genetic, imagingNONENONONONONONONONONONOageing200000Longitudinal - clinical, demographic, cognitive abilities, epidemiological, biologic, genetic, imaging.LongitudinalYESYESYESYESYESYESYESYESYESYESAgeing, metabolic, nutrition, lifestyle

Data availability- Update

Slide9

Data availability- Update

Other Data providers: large EU cohort,

inTBI

Slide10

Data description

 

Diagnostic- Labels :Total count

Alzheimer's DiseaseMild cognitive impairment (MCI)Cognitively normal (CN)Other Mixed Dementia (MD)

6787

2082

1165

1779

1761

30.67%

17.16%

26.21%

25.94%

Slide11

Data description

Slide12

Data description

Slide13

Data description

Age

Gendereducationleveleducationyears

ab1_40ab1_42

tau

adas

MMSE

MOCA

leftaccumbensarea

leftacgganteriorcingulategyrus

leftainsanteriorinsula

leftamygdala

leftangangulargyrus

leftaorganteriororbitalgyrus

Subset of features

Slide14

Data description

Images format requirements:

Must be full brain scans

Must be provided either in DICOM or NIFTI formatThe images must be high-resolution (max. 1.5 mm) T1-weighted sagittal images.

Slide15

Data quality

The data have been obtained under each country

ethical and regulation policies, including patient informed consents. The data have been annotated using best clinical practice and described using Common data Element and international classifications (ICD10).The Quality Check evaluates essential image parameters, such as signal-to-noise ratio, inhomogeneity and image resolution. It evaluates images for problems during the processing steps. It allows for comparing quality measures across different scans and sequences.

Slide16

Benchmarking

A large representative sample will be created and will be use for the creation of the models. The models will be then validated on the real-world

undisclosed patient’s data.Metric: Analytical metric + Clinical metric (i.e clinical utility)

Slide17

TG Progress

Updated status report

for Alzheimer’s disease use caseWrote Call for Topic Group ParticipationHeld online meetings Met potential participants in Europe

Slide18

TG Progress : Larger scope and community

Neurocognitive disorder: decreased mental function due to a medical disease other than a psychiatric illness.

Brain injury caused by traumaCardiovascular disordersdegenerative disorders• Alzheimer disease (also called senile dementia, Alzheimer type)• Creutzfeldt-Jakob disease• Diffuse Lewy body disease• Huntington disease• Multiple sclerosis• Normal pressure hydrocephalus• Parkinson disease• Pick disease

Slide19

Next steps

Onboard new proposals in

the TGRefine TG description document according to TDD (FGAI4H-C-105)Release public data set for ADPrepare private (undisclosed) data set for AD