Skip to main content
Log in

Development and implementation of new diagnostic technologies in neurology

  • Comment
  • Published:

From Nature Reviews Neurology

View current issue Sign up to alerts

The past 5–10 years have seen rapid advances in digital sensors and imaging-based technologies for the diagnosis of neurological conditions. However, the majority of these technologies are in the early stages of development — now is the time to consider how we validate these tools and safely integrate them into clinical practice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1: Requirements for clinical translation of artificial intelligence-based algorithms.

References

  1. Cohen, A. B. & Nahed, B. V. The digital neurologic examination. Digit. Biomark. 5, 114–126 (2021).

    Article  Google Scholar 

  2. Woelfle, T. et al. Reliability and acceptance of a smartphone-based remote monitoring app (dreaMS) for people with MS–results of a feasibility study. Am. Acad. Neurol. https://index.mirasmart.com/aan2022/PDFfiles/AAN2022-002838.html (2022).

  3. Montalban, X. et al. A smartphone sensor-based digital outcome assessment of multiple sclerosis. Mult. Scler. 28, 654–664 (2022).

    Article  Google Scholar 

  4. Zhan, A. et al. Using smartphones and machine learning to quantify Parkinson disease severity: the mobile Parkinson disease score. JAMA Neurol. 75, 876–880 (2018).

    Article  Google Scholar 

  5. Howett, D. et al. Differentiation of mild cognitive impairment using an entorhinal cortex-based test of virtual reality navigation. Brain 142, 1751–1766 (2019).

    Article  Google Scholar 

  6. Pemberton, H. G. et al. Technical and clinical validation of commercial automated volumetric MRI tools for dementia diagnosis-a systematic review. Neuroradiology 63, 1773–1789 (2021).

    Article  Google Scholar 

  7. Danelakis, A., Theoharis, T. & Verganelakis, D. A. Survey of automated multiple sclerosis lesion segmentation techniques on magnetic resonance imaging. Comput. Med. Imaging Graph. 70, 83–100 (2018).

    Article  Google Scholar 

  8. Bivard, A., Churilov, L. & Parsons, M. Artificial intelligence for decision support in acute stroke — current roles and potential. Nat. Rev. Neurol. 16, 575–585 (2020).

    Article  Google Scholar 

  9. Goldsack, J. C. et al. Verification, analytical validation, and clinical validation (V3): the foundation of determining fit-for-purpose for biometric monitoring technologies (BioMeTs). NPJ Digit. Med. 3, 55 (2020).

    Article  Google Scholar 

  10. Walton, M. K. et al. Considerations for development of an evidence dossier to support the use of mobile sensor technology for clinical outcome assessments in clinical trials. Contemp. Clin. Trials 91, 105962 (2020).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank M. Bach Cuadra for the layout of Fig. 1.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cristina Granziera.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Related links

Digital Medicine society (DiMe) Library of Digital Endpoints: https://www.dimesociety.org/communication-education/library-of-digital-endpoints/

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Granziera, C., Woelfle, T. & Kappos, L. Development and implementation of new diagnostic technologies in neurology. Nat Rev Neurol 18, 445–446 (2022). https://doi.org/10.1038/s41582-022-00692-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41582-022-00692-z

  • Springer Nature Limited

This article is cited by

Navigation