{"id":350689,"date":"2026-03-27T14:22:15","date_gmt":"2026-03-27T14:22:15","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/350689\/"},"modified":"2026-03-27T14:22:15","modified_gmt":"2026-03-27T14:22:15","slug":"new-tools-seek-to-boost-early-detection","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/350689\/","title":{"rendered":"New tools seek to boost early detection"},"content":{"rendered":"<p class=\"paragraph | gutter_20_0\">In recent weeks, scientists at Worcester Polytechnic Institute have deployed AI to analyze subtle structural changes in brain scans of people at risk for developing the disease. The researchers say the approach can predict Alzheimer\u2019s with nearly 93 percent accuracy.<\/p>\n<p class=\"paragraph | gutter_20_0\">Meanwhile, Moura and a team of MGB researchers are harnessing AI to quickly sift through electronic medical records of routine patient visits to doctors for comments that might be red flags for cognitive impairment.<\/p>\n<p class=\"paragraph | gutter_20_0\">\u201cOur research shows that these early signals are already present in the electronic health record, hidden inside clinical notes, but they are easy to miss in busy practices and impossible to manually track at scale,\u201d said Moura. She coauthored a study of 3,300 clinical notes from 200 anonymized patients in the health care system.<\/p>\n<p class=\"paragraph | gutter_20_0\">Both experiments stem in part from the limitations of two drugs that have been approved since 2023 for the earliest stages of Alzheimer\u2019s. The most common form of dementia, Alzheimer\u2019s afflicts an estimated 7 million Americans. <\/p>\n<p class=\"paragraph | gutter_20_0\"><a href=\"https:\/\/www.bostonglobe.com\/2024\/09\/12\/business\/alzheimers-disease-leqembi-treatment-memory-loss-biogen-eisai\/\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.bostonglobe.com\/2024\/09\/12\/business\/alzheimers-disease-leqembi-treatment-memory-loss-biogen-eisai\/\">Leqembi<\/a>, which is made by Cambridge-based Biogen and its Japanese business partner Eisai, and Kisunla, made by Eli Lilly, have been shown to modestly slow the progression of the disease. Both medicines carry risks of serious brain bleeds and swelling, and doctors debate how meaningful the slowdown is. <\/p>\n<p class=\"paragraph | gutter_20_0\">Still, treatment must start when patients have mild cognitive impairment or mild dementia, the two earliest symptomatic phases of the disease. But patients are often diagnosed later because the symptoms were mistaken for normal aging.<\/p>\n<p class=\"paragraph | gutter_20_0\">About one-third of people with mild cognitive impairment due to Alzheimer\u2019s develop dementia within five years, according to the Alzheimer\u2019s Association.<\/p>\n<p class=\"paragraph | gutter_20_0\">An early diagnosis might also enable patients to participate in clinical trials of new experimental drugs, manage symptoms longer, and plan for future financial, legal, and care decisions.<\/p>\n<p class=\"paragraph | gutter_20_0\">Sean Terwilliger, a retired IT specialist from Holyoke who was diagnosed with Alzheimer\u2019s disease in 2024, said that if he had received an earlier diagnosis, it \u201cwould have saved me loads of grief.\u201d<\/p>\n<p><img decoding=\"async\" id=\"img-3N2MSQFGRGABTEY7SP7VQMUJDM-image\" alt=\"Sean Terwilliger received an infusion of the Alzheimer's drug Leqembi at Baystate Medical Center in Springfield.\" class=\"height_a width_full invisible width_full--mobile width_full--tablet-only\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2026\/03\/3N2MSQFGRGABTEY7SP7VQMUJDM.jpg\"  loading=\"lazy\"\/>Sean Terwilliger received an infusion of the Alzheimer&#8217;s drug Leqembi at Baystate Medical Center in Springfield.Submitted photo<\/p>\n<p class=\"paragraph | gutter_20_0\">\u201cI\u2019m probably the perfect candidate for being able to use predictive AI to find something,\u201d said Terwilliger, 62, who writes a blog about living with Alzheimer\u2019s called <a href=\"https:\/\/www.alzblog.net\/p\/67-progress\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.alzblog.net\/p\/67-progress\">alzblog.net<\/a> and advocates on behalf of the Alzheimer\u2019s Association of Massachusetts and New Hampshire.<\/p>\n<p class=\"paragraph | gutter_20_0\">Terwilliger said doctors initially thought he had difficulty processing information and remembering things because he suffered a ministroke in 2018. It took him more than five years to get a clinician to administer a neurocognitive test. During the exam, he said, he was unable to remember any of five common words read to him a few minutes earlier. That led to an appointment with a neurologist who administered blood tests, an MRI, and a PET scan, which resulted in the Alzheimer\u2019s diagnosis.<\/p>\n<p class=\"paragraph | gutter_20_0\">Terwilliger recently completed 18 months of intravenous infusions of Leqembi every other week at Baystate Medical Center in Springfield and says he feels sharper than he did before he started. Leqembi, like the rival drug Kisunla, clears a sticky toxic protein called amyloid that can form plaques in the brains of people with Alzheimer\u2019s. <\/p>\n<p class=\"paragraph | gutter_20_0\">Terwilliger said he probably would have taken the drug sooner if he had gotten the diagnosis earlier. He also would have begun his daily regimen of brain exercises sooner, including New York Times puzzles such as Wordle, Strands, and Connections.<\/p>\n<p class=\"paragraph | gutter_20_0\">Researchers at WPI found that one way to detect early-stage Alzheimer\u2019s is to use AI to scour MRI scans for loss of brain volume. Scientists have long known that the disease causes brain shrinkage, as neurons are injured and stop working properly. But it can be hard for clinicians to detect changes in brain volume when inspecting scans.<\/p>\n<p class=\"paragraph | gutter_20_0\">\u201cMachine learning can see differences and changes in the brain that the human eye can\u2019t,\u201d said Benjamin Nephew, an assistant research professor in the biology and biotechnology department, who led the study. <\/p>\n<p class=\"paragraph | gutter_20_0\">A team of investigators used machine learning to analyze 815 scans for volume measurements in 95 brain regions. They then deployed an algorithm to make predictions based upon differences in the measurements between healthy individuals and those with mild cognitive impairment or early Alzheimer\u2019s-related dementia.<\/p>\n<p><img decoding=\"async\" id=\"img-OAQLDYE7DVTEDQNDEEZL3A4XFQ-image\" alt=\"Dr. Lidia Moura, lower right, conducted a meeting.\" class=\"height_a width_full invisible width_full--mobile width_full--tablet-only\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2026\/03\/OAQLDYE7DVTEDQNDEEZL3A4XFQ.jpg\"  loading=\"lazy\"\/>Dr. Lidia Moura, lower right, conducted a meeting.David L. Ryan\/Globe Staff<\/p>\n<p class=\"paragraph | gutter_20_0\">Using the two tools, the WPI researchers found that volume loss in three regions of the brain \u2014 the hippocampus, amygdala, and entorhinal cortex \u2014 were the top predictors of Alzheimer\u2019s, according to their study published in February in the journal <a href=\"https:\/\/www.ibroneuroscience.org\/article\/S0306-4522(25)01177-7\/fulltext\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.ibroneuroscience.org\/article\/S0306-4522(25)01177-7\/fulltext\">Neuroscience<\/a>. <\/p>\n<p class=\"paragraph | gutter_20_0\">The hippocampus is a small seahorse-shaped structure deep in the brain that is responsible for memory and learning, according to WPI. The amygdala, which is made up of two almond-shaped structures, controls emotions. The entorhinal cortex is a hub for memory, navigation, and perception.<\/p>\n<p class=\"paragraph | gutter_20_0\">The researchers studied brain scans of men and women between the ages of 69 and 84. Among the findings: younger males and females in the study who were at risk for developing Alzheimer\u2019s first lost volume in the right hippocampus, which might make that area an early bellwether for the disease.<\/p>\n<p class=\"paragraph | gutter_20_0\">Scientists at MGB used a very different approach to home in on the risk of developing Alzheimer\u2019s. Their AI tool scoured clinical notes from routine appointments to the doctor \u2014 physicians ranging from primary care doctors to ophthalmologists to dermatologists \u2014 for hints of abnormal cognitive decline. <\/p>\n<p class=\"paragraph | gutter_20_0\">The hints were as pedestrian as a missed medical appointment. A comment from a spouse about the patient\u2019s forgetfulness. A remark that the patient has difficulty keeping track of their prescription medicines or following discharge instructions after surgery. Often, the notes were written by staffers other than the doctor, including physician assistants and nurse practitioners, and then co-signed by the doctor.<\/p>\n<p class=\"paragraph | gutter_20_0\">\u201cSome patients have 100 or 200 notes,\u201d Moura, of MGB, said. She added, \u201cClinical notes contain whispers of cognitive decline that busy clinicians can\u2019t systematically surface. This [AI] system listens at scale.\u201d<\/p>\n<p class=\"paragraph | gutter_20_0\">During the study, the tool accurately detected early signs of possible cognitive problems 88 percent of the time, according to Moura.<\/p>\n<p class=\"paragraph | gutter_20_0\">\u201cWe built a team of AI \u2018agents\u2019 that read these notes like a clinical team would, cross-checking and refining their reasoning until they agree on which patients may need further evaluation,\u201d she said. The study was recently published in the journal npj Digital Medicine.<\/p>\n<p><img decoding=\"async\" id=\"img-4YRRPPVKQOZPR34VMG3WLJXHNE-image\" alt=\"Dr. Lidia Moura.\" class=\"height_a width_full invisible width_full--mobile width_full--tablet-only\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2026\/03\/4YRRPPVKQOZPR34VMG3WLJXHNE.jpg\"  loading=\"lazy\"\/>Dr. Lidia Moura.David L. Ryan\/Globe Staff<\/p>\n<p class=\"paragraph | gutter_20_0\">MGB could roll out a pilot program that uses the AI tool in three to four months and is seeking funding from philanthropies, Moura said.<\/p>\n<p class=\"paragraph | gutter_20_0\">Dr. Daniel Z. Press, chief of cognitive neurology at Beth Israel Deaconess Medical Center, who wasn\u2019t involved in either study, said he would welcome the use of AI to hasten diagnoses of early-stage Alzheimer\u2019s.<\/p>\n<p class=\"paragraph | gutter_20_0\">\u201cNow that we have disease-modifying therapies that can at least partially slow the progression of the disease, we want to slow it down as early as possible,\u201d he said. <\/p>\n<p class=\"paragraph | gutter_20_0\">Nonetheless, he said scientists have to make sure AI tools don\u2019t generate false positives. In the case of electronic medical records, for example, there could be multiple causes of mild cognitive impairment besides Alzheimer\u2019s, he said, including depression, sleep disorders, and drug use.<\/p>\n<p class=\"paragraph | gutter_20_0\">\u201cIt\u2019s all just a question of . . . how well the tool works in terms of sensitivity and specificity,\u201d he said.<\/p>\n<p class=\"tagline | font_primary inline_block  margin_top_32\">Jonathan Saltzman can be reached at <a href=\"https:\/\/www.bostonglobe.com\/2026\/03\/27\/business\/ai-alzheimers-mass-general-brigham\/mailto:jonathan.saltzman@globe.com\" class=\"\" target=\"_blank\" style=\"font-size:inherit;letter-spacing:.5px\" rel=\"nofollow noopener\">jonathan.saltzman@globe.com<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"In recent weeks, scientists at Worcester Polytechnic Institute have deployed AI to analyze subtle structural changes in brain&hellip;\n","protected":false},"author":2,"featured_media":350690,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[134,527,111,139,69],"class_list":["post-350689","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-health","tag-healthcare","tag-new-zealand","tag-newzealand","tag-nz"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/350689","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=350689"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/350689\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/350690"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=350689"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=350689"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=350689"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}