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1 -This document outlines the full workflow for Neurodiagnoses—from data acquisition and AI model training to clinical validation, ethical compliance, cloud deployment, and future expansion into CNS Digital Twins.
2 -
3 -----
4 -
5 -== 1. Data Management & Integration ==
6 -
7 -* (((
8 -**Data Acquisition & Storage:**
9 -
10 -* Download raw data from external sources (e.g., ADNI, GP2, PPMI, Enroll-HD, UK Biobank, etc.).
11 -* Upload and organize datasets in EBRAINS Buckets and in the /datasets/ directory on GitHub.
12 -)))
13 -* (((
14 -**Data Conversion & Format:**
15 -
16 -* Convert all datasets to standardized formats (.csv, .json, .h5) to facilitate AI processing.
17 -)))
18 -* (((
19 -**Data Harmonization:**
20 -
21 -* Implement automated data ingestion scripts to streamline updates from new sources.
22 -* Set up data harmonization methods to ensure consistency across different sources (e.g., genetics, neuroimaging, biomarkers, digital health).
23 -)))
24 -* (((
25 -**Federated Learning:**
26 -
27 -* Enable federated learning techniques to train AI models on multi-center data without sharing raw patient data (ensuring GDPR compliance).
28 -)))
29 -
30 -----
31 -
32 -== 2. AI-Based Risk Prediction & Diagnosis ==
33 -
34 -* (((
35 -**Predictive Modeling:**
36 -
37 -* Implement machine learning models (e.g., Random Forest, Neural Networks) for dementia risk stratification.
38 -* Develop probabilistic models (e.g., KNN Imputer, Bayesian approaches) to handle missing data.
39 -)))
40 -* (((
41 -**Training with Multi-Modal Data:**
42 -
43 -* Train AI models using data from biomarkers, EEG, MRI, and lifestyle factors.
44 -* Store pre-trained models in the /models/ directory for future use.
45 -)))
46 -* (((
47 -**Diagnostic Annotation System:**
48 -
49 -* Implement real-time AI-based diagnostic annotation that produces two types of reports for each case:
50 -** **Probabilistic Diagnosis:** Traditional diagnosis with associated probability percentages.
51 -** **Tridimensional Diagnosis:** A structured classification based on three axes—etiology, molecular markers, and neuroanatomoclinical correlations.
52 -* Integrate Explainable AI techniques (e.g., SHAP) to ensure transparency in predictions.
53 -* Explore advanced deep learning methods for pattern recognition in neuroimaging data.
54 -* Investigate the use of Large Language Models (LLMs) for summarizing and generating medical reports.
55 -)))
56 -
57 -----
58 -
59 -== 3. EEG, Neuroimaging & Sleep Analysis ==
60 -
61 -* (((
62 -**EEG/MEG Analysis:**
63 -
64 -* Process EEG/MEG data using tools like MNE-Python.
65 -* Apply spectral analysis and connectivity metrics to derive EEG biomarkers for dementia detection.
66 -)))
67 -* (((
68 -**Sleep Monitoring:**
69 -
70 -* Integrate sleep data from wearables (smartwatches, headbands) as early biomarkers.
71 -)))
72 -* (((
73 -**Neuroimaging Analysis:**
74 -
75 -* Utilize MRI volumetric analysis to assess brain atrophy in high-risk patients.
76 -* Implement functional MRI (fMRI) analysis to correlate neuroanatomical changes with cognitive function.
77 -)))
78 -
79 -----
80 -
81 -== 4. Clinical Validation & Pilot Testing ==
82 -
83 -* (((
84 -**Pilot Study Design:**
85 -
86 -* Design a multicenter pilot study to validate AI-generated diagnostic scores.
87 -* Recruit a clinical validation cohort from European research hospitals.
88 -)))
89 -* (((
90 -**Performance Evaluation:**
91 -
92 -* Compare AI-based diagnoses with traditional clinician diagnoses.
93 -* Develop and track validation metrics (e.g., AUROC, precision-recall, false positive rates).
94 -)))
95 -* (((
96 -**Feedback and Refinement:**
97 -
98 -* Implement clinician feedback loops to refine the AI model based on real-world usage.
99 -* Publish validation results in peer-reviewed journals to enhance credibility.
100 -)))
101 -
102 -----
103 -
104 -== 5. Ethical, Regulatory & GDPR Compliance ==
105 -
106 -* (((
107 -**Regulatory Compliance:**
108 -
109 -* Ensure all AI models comply with relevant regulations (e.g., EU AI Act, GDPR).
110 -)))
111 -* (((
112 -**Privacy Preservation:**
113 -
114 -* Implement privacy-preserving techniques (Federated Learning, Differential Privacy) to protect patient data.
115 -* Develop data anonymization pipelines prior to AI processing.
116 -)))
117 -* (((
118 -**Consent & Data Governance:**
119 -
120 -* Establish consent management systems for patient data contributions.
121 -* Ensure interoperability with hospital Electronic Health Record (EHR) systems.
122 -)))
123 -
124 -----
125 -
126 -== 6. EBRAINS Deployment & Cloud Infrastructure ==
127 -
128 -* **Cloud Deployment:**
129 -** Deploy AI models on the EBRAINS Cloud for real-time inference.
130 -* **Collaborative Development:**
131 -** Set up Jupyter Notebooks in EBRAINS Lab for collaborative development and testing.
132 -** Automate model training pipelines using GitHub Actions or EBRAINS HPC resources.
133 -* **Optimization:**
134 -** Optimize computational efficiency to enable real-time processing of clinical data.
135 -
136 -----
137 -
138 -== 7. Interactive Web Application for Clinicians & Researchers ==
139 -
140 -* **Web App Development:**
141 -** Develop an interactive web-based diagnostic tool using frameworks such as Flask, FastAPI, or Streamlit.
142 -** Allow clinicians to input biomarker data and receive real-time AI predictions.
143 -* **Report Generation:**
144 -** Enable the generation of PDF reports for clinical decision support.
145 -* **Custom Dashboards:**
146 -** Integrate dashboards that display risk stratification results.
147 -* **Deployment:**
148 -** Deploy the web app on neurodiagnoses.com using hosting services like Netlify, Vercel, or AWS.
149 -
150 -----
151 -
152 -== 8. Cross-Project Collaborations ==
153 -
154 -* (((
155 -**External Partnerships:**
156 -
157 -* Collaborate with projects such as AI-Mind for EEG-based predictive modeling.
158 -* Work with LETHE for lifestyle-based cognitive decline risk scoring.
159 -* Leverage PROMINENT’s multi-modal AI pipeline to refine dementia subtype classification.
160 -* Expand partnerships with clinical institutions to enhance dataset diversity.
161 -)))
162 -* (((
163 -**Open-Source Community:**
164 -
165 -* Encourage contributions via GitHub (code improvements, new features) and EBRAINS discussion pages (research and validation).
166 -)))
167 -
168 -----
169 -
170 -== 9. Long-Term Expansion & Future Goals ==
171 -
172 -* **Disease Progression Modeling:**
173 -** Explore AI-powered models for tracking neurodegeneration over time.
174 -* **CNS Digital Twins:**
175 -** Develop CNS Digital Twins by integrating multi-omics data, neuroimaging, and digital health records to create personalized simulations of disease progression.
176 -* **Continuous Monitoring:**
177 -** Investigate the integration of wearable health tracking devices for ongoing cognitive assessment.
178 -* **Open-Access API:**
179 -** Create an API to allow global research collaborations with access to AI diagnostic tools.
180 -* **Sustainability & Updates:**
181 -** Regularly update the system with new data and algorithm improvements.
182 -** Establish long-term funding and partnership strategies to ensure sustainability.
183 -
184 -----
185 -
186 -=== Key Resources ===
187 -
188 -* **GitHub Repository:** [[Neurodiagnoses on GitHub>>url:https://github.com/manuelmenendezgonzalez/neurodiagnoses]]
189 -* **EBRAINS Collaboratory:** [[Neurodiagnoses on EBRAINS>>url:https://wiki.ebrains.eu/bin/view/Collabs/neurodiagnoses/]]
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