- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06877182
Novel Neuroradiological Workflow for the Assisted DIAgnosis and Management of DEMentia with Artificial Intelligence (DIADEMA)
March 14, 2025 updated by: IRCCS SYNLAB SDN
Identifying, screening and monitoring individuals at risk of Alzheimer's disease (AD) and dementia is a formidable challenge.
Neuroimaging, and in particular magnetic resonance imaging (MRI), is crucial to detect structural neurodegeneration.
However, current quantification tools are mainly limited to research contexts and produce non-standardised results.
DIADEMA will build a systematic and standardised workflow to support neuro(radio)logical diagnosis.
By combining artificial intelligence (AI) and machine learning (ML) the investigators will significantly enhance the clinical diagnosis of AD in neuroradiology.
The investigator's main hypothesis is that an efficient workflow and associated higher diagnostic accuracy will substantially reduce healthcare costs, support clinical decision-making, provide second-opinion tools and improve patient care.
This dual advance will have a profound impact on the healthcare system, marking an important step in the fight against Alzheimer's disease and dementia.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Estimated)
80000
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Naples, Italy, 80146
- Irccs Synlab Sdn
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Patients who perform brain magnetic resonance during the last 20 years
Description
Inclusion Criteria:
- patients who perform brain magnetic resonance during the last 20 years
Exclusion Criteria:
-
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Improvement of the neuroradiological workflow performance
Time Frame: 1-36 month
|
ROC curves
|
1-36 month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Marco Aiello, Irccs Synlab Sdn
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- McKhann GM, Knopman DS, Chertkow H, Hyman BT, Jack CR Jr, Kawas CH, Klunk WE, Koroshetz WJ, Manly JJ, Mayeux R, Mohs RC, Morris JC, Rossor MN, Scheltens P, Carrillo MC, Thies B, Weintraub S, Phelps CH. The diagnosis of dementia due to Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement. 2011 May;7(3):263-9. doi: 10.1016/j.jalz.2011.03.005. Epub 2011 Apr 21.
- Jack CR Jr, Bennett DA, Blennow K, Carrillo MC, Feldman HH, Frisoni GB, Hampel H, Jagust WJ, Johnson KA, Knopman DS, Petersen RC, Scheltens P, Sperling RA, Dubois B. A/T/N: An unbiased descriptive classification scheme for Alzheimer disease biomarkers. Neurology. 2016 Aug 2;87(5):539-47. doi: 10.1212/WNL.0000000000002923. Epub 2016 Jul 1.
- Hosny A, Parmar C, Quackenbush J, Schwartz LH, Aerts HJWL. Artificial intelligence in radiology. Nat Rev Cancer. 2018 Aug;18(8):500-510. doi: 10.1038/s41568-018-0016-5.
- van Leeuwen KG, Schalekamp S, Rutten MJCM, van Ginneken B, de Rooij M. Artificial intelligence in radiology: 100 commercially available products and their scientific evidence. Eur Radiol. 2021 Jun;31(6):3797-3804. doi: 10.1007/s00330-021-07892-z. Epub 2021 Apr 15.
- Filip AC, Azevedo T, Passamonti L, Toschi N, Lio P. A novel Graph Attention Network Architecture for modeling multimodal brain connectivity. Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:1071-1074. doi: 10.1109/EMBC44109.2020.9176613.
- Spasov SE, Passamonti L, Duggento A, Lio P, Toschi N. A Multi-modal Convolutional Neural Network Framework for the Prediction of Alzheimer's Disease. Annu Int Conf IEEE Eng Med Biol Soc. 2018 Jul;2018:1271-1274. doi: 10.1109/EMBC.2018.8512468.
- Spasov S, Passamonti L, Duggento A, Lio P, Toschi N; Alzheimer's Disease Neuroimaging Initiative. A parameter-efficient deep learning approach to predict conversion from mild cognitive impairment to Alzheimer's disease. Neuroimage. 2019 Apr 1;189:276-287. doi: 10.1016/j.neuroimage.2019.01.031. Epub 2019 Jan 14.
- Esteban O, Birman D, Schaer M, Koyejo OO, Poldrack RA, Gorgolewski KJ. MRIQC: Advancing the automatic prediction of image quality in MRI from unseen sites. PLoS One. 2017 Sep 25;12(9):e0184661. doi: 10.1371/journal.pone.0184661. eCollection 2017.
- Archetti D, Young AL, Oxtoby NP, Ferreira D, Martensson G, Westman E, Alexander DC, Frisoni GB, Redolfi A; for Alzheimer's Disease Neuroimaging Initiative and EuroPOND Consortium. Inter-Cohort Validation of SuStaIn Model for Alzheimer's Disease. Front Big Data. 2021 May 20;4:661110. doi: 10.3389/fdata.2021.661110. eCollection 2021.
- Redolfi A, De Francesco S, Palesi F, Galluzzi S, Muscio C, Castellazzi G, Tiraboschi P, Savini G, Nigri A, Bottini G, Bruzzone MG, Ramusino MC, Ferraro S, Gandini Wheeler-Kingshott CAM, Tagliavini F, Frisoni GB, Ryvlin P, Demonet JF, Kherif F, Cappa SF, D'Angelo E. Medical Informatics Platform (MIP): A Pilot Study Across Clinical Italian Cohorts. Front Neurol. 2020 Sep 23;11:1021. doi: 10.3389/fneur.2020.01021. eCollection 2020.
- Ribaldi F, Altomare D, Jovicich J, Ferrari C, Picco A, Pizzini FB, Soricelli A, Mega A, Ferretti A, Drevelegas A, Bosch B, Muller BW, Marra C, Cavaliere C, Bartres-Faz D, Nobili F, Alessandrini F, Barkhof F, Gros-Dagnac H, Ranjeva JP, Wiltfang J, Kuijer J, Sein J, Hoffmann KT, Roccatagliata L, Parnetti L, Tsolaki M, Constantinidis M, Aiello M, Salvatore M, Montalti M, Caulo M, Didic M, Bargallo N, Blin O, Rossini PM, Schonknecht P, Floridi P, Payoux P, Visser PJ, Bordet R, Lopes R, Tarducci R, Bombois S, Hensch T, Fiedler U, Richardson JC, Frisoni GB, Marizzoni M. Accuracy and reproducibility of automated white matter hyperintensities segmentation with lesion segmentation tool: A European multi-site 3T study. Magn Reson Imaging. 2021 Feb;76:108-115. doi: 10.1016/j.mri.2020.11.008. Epub 2020 Nov 19.
- Morid MA, Borjali A, Del Fiol G. A scoping review of transfer learning research on medical image analysis using ImageNet. Comput Biol Med. 2021 Jan;128:104115. doi: 10.1016/j.compbiomed.2020.104115. Epub 2020 Nov 13.
- Bao S, Boyd BD, Kanakaraj P, Ramadass K, Meyer FAC, Liu Y, Duett WE, Huo Y, Lyu I, Zald DH, Smith SA, Rogers BP, Landman BA. Integrating the BIDS Neuroimaging Data Format and Workflow Optimization for Large-Scale Medical Image Analysis. J Digit Imaging. 2022 Dec;35(6):1576-1589. doi: 10.1007/s10278-022-00679-8. Epub 2022 Aug 3.
- Rajput D, Wang WJ, Chen CC. Evaluation of a decided sample size in machine learning applications. BMC Bioinformatics. 2023 Feb 14;24(1):48. doi: 10.1186/s12859-023-05156-9.
- Boccardi M, Altomare D, Ferrari C, Festari C, Guerra UP, Paghera B, Pizzocaro C, Lussignoli G, Geroldi C, Zanetti O, Cotelli MS, Turla M, Borroni B, Rozzini L, Mirabile D, Defanti C, Gennuso M, Prelle A, Gentile S, Morandi A, Vollaro S, Volta GD, Bianchetti A, Conti MZ, Cappuccio M, Carbone P, Bellandi D, Abruzzi L, Bettoni L, Villani D, Raimondi MC, Lanari A, Ciccone A, Facchi E, Di Fazio I, Rozzini R, Boffelli S, Manzoni L, Salvi GP, Cavaliere S, Belotti G, Avanzi S, Pasqualetti P, Muscio C, Padovani A, Frisoni GB; Incremental Diagnostic Value of Amyloid PET With [18F]-Florbetapir (INDIA-FBP) Working Group. Assessment of the Incremental Diagnostic Value of Florbetapir F 18 Imaging in Patients With Cognitive Impairment: The Incremental Diagnostic Value of Amyloid PET With [18F]-Florbetapir (INDIA-FBP) Study. JAMA Neurol. 2016 Dec 1;73(12):1417-1424. doi: 10.1001/jamaneurol.2016.3751.
- Teipel S, Grothe MJ; Alzheimer's Disease Neuroimaging Initiative. MRI-based basal forebrain atrophy and volumetric signatures associated with limbic TDP-43 compared to Alzheimer's disease pathology. Neurobiol Dis. 2023 May;180:106070. doi: 10.1016/j.nbd.2023.106070. Epub 2023 Mar 8.
- De Francesco S, Galluzzi S, Vanacore N, Festari C, Rossini PM, Cappa SF, Frisoni GB, Redolfi A. Norms for Automatic Estimation of Hippocampal Atrophy and a Step Forward for Applicability to the Italian Population. Front Neurosci. 2021 Jun 28;15:656808. doi: 10.3389/fnins.2021.656808. eCollection 2021.
- Qiu S, Miller MI, Joshi PS, Lee JC, Xue C, Ni Y, Wang Y, De Anda-Duran I, Hwang PH, Cramer JA, Dwyer BC, Hao H, Kaku MC, Kedar S, Lee PH, Mian AZ, Murman DL, O'Shea S, Paul AB, Saint-Hilaire MH, Alton Sartor E, Saxena AR, Shih LC, Small JE, Smith MJ, Swaminathan A, Takahashi CE, Taraschenko O, You H, Yuan J, Zhou Y, Zhu S, Alosco ML, Mez J, Stein TD, Poston KL, Au R, Kolachalama VB. Multimodal deep learning for Alzheimer's disease dementia assessment. Nat Commun. 2022 Jun 20;13(1):3404. doi: 10.1038/s41467-022-31037-5.
- Faggioni L, Coppola F, Ferrari R, Neri E, Regge D. Usage of structured reporting in radiological practice: results from an Italian online survey. Eur Radiol. 2017 May;27(5):1934-1943. doi: 10.1007/s00330-016-4553-6. Epub 2016 Aug 29.
- Bosco P, Redolfi A, Bocchetta M, Ferrari C, Mega A, Galluzzi S, Austin M, Chincarini A, Collins DL, Duchesne S, Marechal B, Roche A, Sensi F, Wolz R, Alegret M, Assal F, Balasa M, Bastin C, Bougea A, Emek-Savas DD, Engelborghs S, Grimmer T, Grosu G, Kramberger MG, Lawlor B, Mandic Stojmenovic G, Marinescu M, Mecocci P, Molinuevo JL, Morais R, Niemantsverdriet E, Nobili F, Ntovas K, O'Dwyer S, Paraskevas GP, Pelini L, Picco A, Salmon E, Santana I, Sotolongo-Grau O, Spiru L, Stefanova E, Popovic KS, Tsolaki M, Yener GG, Zekry D, Frisoni GB. The impact of automated hippocampal volumetry on diagnostic confidence in patients with suspected Alzheimer's disease: A European Alzheimer's Disease Consortium study. Alzheimers Dement. 2017 Sep;13(9):1013-1023. doi: 10.1016/j.jalz.2017.01.019. Epub 2017 Mar 3.
- Buchlak QD, Milne MR, Seah J, Johnson A, Samarasinghe G, Hachey B, Esmaili N, Tran A, Leveque JC, Farrokhi F, Goldschlager T, Edelstein S, Brotchie P. Charting the potential of brain computed tomography deep learning systems. J Clin Neurosci. 2022 May;99:217-223. doi: 10.1016/j.jocn.2022.03.014. Epub 2022 Mar 12.
- Redolfi A, Archetti D, De Francesco S, Crema C, Tagliavini F, Lodi R, Ghidoni R, Gandini Wheeler-Kingshott CAM, Alexander DC, D'Angelo E. Italian, European, and international neuroinformatics efforts: An overview. Eur J Neurosci. 2023 Jun;57(12):2017-2039. doi: 10.1111/ejn.15854. Epub 2022 Dec 14.
- Kwee TC, Kwee RM. Workload of diagnostic radiologists in the foreseeable future based on recent scientific advances: growth expectations and role of artificial intelligence. Insights Imaging. 2021 Jun 29;12(1):88. doi: 10.1186/s13244-021-01031-4.
- Aiello M, Cavaliere C, D'Albore A, Salvatore M. The Challenges of Diagnostic Imaging in the Era of Big Data. J Clin Med. 2019 Mar 6;8(3):316. doi: 10.3390/jcm8030316.
- Aiello M, Esposito G, Pagliari G, Borrelli P, Brancato V, Salvatore M. How does DICOM support big data management? Investigating its use in medical imaging community. Insights Imaging. 2021 Nov 8;12(1):164. doi: 10.1186/s13244-021-01081-8.
- Jonsson L, Tate A, Frisell O, Wimo A. The Costs of Dementia in Europe: An Updated Review and Meta-analysis. Pharmacoeconomics. 2023 Jan;41(1):59-75. doi: 10.1007/s40273-022-01212-z. Epub 2022 Nov 15.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 30, 2024
Primary Completion (Estimated)
December 30, 2025
Study Completion (Estimated)
August 31, 2027
Study Registration Dates
First Submitted
March 10, 2025
First Submitted That Met QC Criteria
March 10, 2025
First Posted (Actual)
March 25, 2025
Study Record Updates
Last Update Posted (Actual)
March 25, 2025
Last Update Submitted That Met QC Criteria
March 14, 2025
Last Verified
March 1, 2025
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1/24
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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