How can we harness digital technologies and artificial intelligence (AI)
to upgrade research, assessments and interventions?
Dr. Oliver Harrison. Chief
Executive of the Health
Moonshot at Telefónica
Innovation
Belén Guerra-Carrillo, NSF
Fellow and graduate student
researcher at University of
Califonia, Berkeley
Nancy Briefs, President and
CEO of Digital Cognition
Technologies
Emma Yang, 9th grader,
Creator of Timeless app and
MIT Solver
Chaired by: Kayt Sukel,
science writer
November 2017
HOW CAN WE HARNESS DIGITAL TECH AND AI TO SCALE UP
BRAIN RESEARCH, ASSESSMENTS AND INTERVENTIONS?
Dr. Oliver Harrison
November 2017
Psychiatrist
Computational
Neuroscience
Central London
Six years
Director of Public
Health
Abu Dhabi
Seven years
Health Tech +
Public-Private
Partnerships
Worldwide
Five years
SVP, Business
Development
Worldwide
Two years
Tech CEO
Worldwide
Ongoing
PERSONAL JOURNEY
Barcelona, 24 May 2017
• ±350 million clients
• 25 countries
• Connectivity provider
(foundation layer)
• $1bn annual R&D
Barcelona, 24 May 2017
Huge problem
Radical
solution
Breakthrough
technology
November 2017
IF IT AIN’T BROKE,
DON’T FIX IT
Well, Mental Healthcare is
broken... how can we fix it?
1 in 4 every year
November 2017
DIGITAL CAVALRY COMING TO HEALTHCARE… FINALLY
VR, AR, ER
BLOCKCHAIN
DATA + MACHINE LEARNING
DIGITAL HEALTH
November 2017
Evolving tools
Mental health today
Shaping forces
Mental health in future?
OUR IMMEDIATE CHALLENGE
Future mental health
The WPA-Lancet Psychiatry Commission on the Future of Psychiatry; Lancet, October 2017
November 2017
WORLDWIDE, HEALTHCARE IS COMPLEX AND POLITICAL
$3.2tn USA, $10.3tn Worldwide
November 2017
LESSON FROM NATURE – FIND THE RIGHT VECTOR
November 2017
WORKING WITH YOU
Research Platform – coming in 2018…
Tools – data analysis, behaviour change tools
November 2017
www.alpha.company
Pascal Weinberger
Our contact for rapid prototyping
pascal.weinberger@telefonica.com
©2017 Digital Cognition Technologies, Inc. Company confidential & proprietary.
Nancy Briefs, MBA
President & CEO
16
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Our Story
Transform well known tests into objective, quantified metrics
of cognitive function that can detect pre-symptomatic change
• Experienced Team
• 12+ years development
• Clinically Validated
• Seminal IP Exclusively licensed
• Applying AI to “gold standard” tests
• $1.9B+ market opportunity
• Currently deployed in >20 sites with Pharma Partners
• Commercial 2018 with Neuro-Specialists
Cognitive Assessment and Training – Global Forecast to 2021, MarketsandMarkets
17
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
New Cognitive Measurement Platform
CognitionParkinson’s
Disease
Multiple
Sclerosis Vascular
Dementia
Lewy Body
Disease
Traumatic
Brain InjurySleep
Disorders
Huntington’s
Disease
Medication
Effects
Surgical
Effects
Anesthetics
Effects
Chemotherapy
EffectsAlzheimer’s
Disease
Dementia
Healthy
Aging
Discriminating technology has myriad applications for
measuring cognitive function and detecting subtle change
Child
Development
18
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Today’s Standard for Cognitive Assessment
• Paper and pencil test
• 10 – 20 minutes admin
• Physician must
administer
• Results depend on
observation and
subjective assessment
• Inherent bias
• Insensitive to mild
impairment
Biases: hearing and visually impaired, intubated, low English literacy, communication disorders, age, culture, language, education
https://www.mountsinai.on.ca/care/psych/on-call-resources/on-call-resources/mmse.pdf
https://www.alz.org/documents_custom/141209-CognitiveAssessmentToo-kit-final.pdf
19
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Lead Product: DCTclock™
DCT proprietary test
form + digital pen
Encrypted data
Transmitted over cloud
Proprietary algorithms
Actionable reports
and referrals
camera
20
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Robust Database
• Machine Learning algorithms trained against Lahey Clinic
and Framingham Heart Study
• Clinically validated technology
Graphics: created by Rockicon from Noun Project
Normative Sample
• 1,530 individuals
• Framingham Heart Study: testing since 2011
• Cognitively healthy by consensus diagnosis at time of testing
Clinical Sample
• 1,382 individuals
• Referred for cognitive or neurological complaints
• Cognitive impairment by consensus diagnosis at time of testing
21
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Classify
via AI
Feature
measurements
Report
via ML
Proprietary Algorithms
22
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
DCTclock™ Excels as a General Assessment
Removed highly impaired – analysis on mildly impaired segment only. AUC is the accuracy of distinguishing healthy
from impaired measured by the area under the ROC curve. 1 represents a perfect test; an area of .5 represents a
worthless test. A rough guide: Excellent (.9-1), Good (.8-.9), Fair (.7-.8), Poor (.6-.7), Fail (.5-.6)
Detects Mild Impairment Better
• Area Under the Curve
(AUC) is a measure of
accuracy
• The closer to 1 the more
accurate
• Chart shows only
MMSE > 26
• DCTclock’s AUC is
highest at .83
DCTclock Score (.83)
MMSE Score (.72)
MoCA clock (.66)
MiniCog clock (.62)
23
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Distinguishes Disease Stages
- 23 -
24
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Association with ApoE Genetic Risk and MRI
• DCTclock Score (p=0.004) and
multiple Composite Scales
differentiated high and low risk
groups
• 1220 Dementia and stroke-free
FHS participants genotyped for
ApoE classified into risk groups:
– High (ApoE4+, n=261)
– Low (ApoE4-, n=931)
• DCTclock Score showed significant
positive association with overall
gray matter volume and specific
regions
• 454 dementia and stroke-free
Framingham Heart Study (FHS)
participants with MRI
25
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Better Correlation with Biomarkers
- 25 -
Amyloid (global PiB) Entorhinal Tau
DCTclock
Sel. Remind.
MMSE
Trails A
26
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
… works
… is fast, inexpensive, culture fair, scalable, broadly
applicable, provides a global platform
Early detection is empowering
Slowing disease progress is extraordinarily valuable
Our Solution
27
©2017 Digital Cognition Technologies, Inc. All Rights Reserved.
Questions
nbriefs@digitalcogtech.com
Emma Yang
@emmayang78
emmayang.com
• 13 Years Old, 9th Grader
• Founder of Timeless
• Co-Founder of Food4Thought
2017 2050
50M
130M
Alzheimer’s Disease –The Prevalence
The Challenges Alzheimer’s Patients Face
• Remembering events
• Taking in new information
• Recognizing people & places
• Separating fact from fiction
A real life example
Lack of Solutions
There are many
tools in the market
but none of them
help the patients
improve their daily
lives
A First of its kind, Simple,
Easy to use App For Alzheimer’s
and Dementia patients to remember
events, stay connected and engaged
with friends and family, and to recognize
people through artificial intelligence
based facial recognition technology
Updates Today Contacts Identify
Timeless
Network of Sponsors and Mentors
Dr. Melissa Kramps
New York-Presbyterian Hospital
Partner AND
Expert
Support
Liliia Mandrino
Human Experience Designer
Worldwide Press Coverage
USA BBC World Service
Malaysia
Spain
Wide Reach on Social Media
Over 33K views on
the demo video
Development Progress
MVP
ROLLOUT
ENHANCE
PILOT
Location
Tracking
Gamification Augmented
Reality
Product Roadmap
Collaboration
Scale
Adoption
What I need
Empower the last generation!
Timeless
@timeless_ai
@app.timeless
timeless.care
Thank You
Big data provides new insights into
learning outcomes
Belén Guerra-Carrillo
Doctoral Candidate
Psychology Department, UC Berkeley
2017 SharpBrains Virtual Summit
Technology enables us to measure the cognitive
effects of prolonged enriching experiences
Education is a long-lasting multifaceted experience
Does education hone cognitive functioning and
learning efficacy?
Higher educational attainment associated with
better performance across the age range
Educational attainment moderates the age of
peak cognitive performance
Education explains greater variance in
performance on more cognitively complex tasks
Task pictures from www.lumosity.com
Minimal effect of educational attainment on novel
learning
Conclusions
Thank you!
Collaborators
Thank you, Speakers & Participants!
Thank you, Summit Sponsors!
Thank you, Summit Partners!
To learn more, visit sharpbrains.com

How can we harness digital technologies and artificial intelligence (AI) to scale up brain research, assessments and interventions?

  • 3.
    How can weharness digital technologies and artificial intelligence (AI) to upgrade research, assessments and interventions? Dr. Oliver Harrison. Chief Executive of the Health Moonshot at Telefónica Innovation Belén Guerra-Carrillo, NSF Fellow and graduate student researcher at University of Califonia, Berkeley Nancy Briefs, President and CEO of Digital Cognition Technologies Emma Yang, 9th grader, Creator of Timeless app and MIT Solver Chaired by: Kayt Sukel, science writer
  • 4.
    November 2017 HOW CANWE HARNESS DIGITAL TECH AND AI TO SCALE UP BRAIN RESEARCH, ASSESSMENTS AND INTERVENTIONS? Dr. Oliver Harrison
  • 5.
    November 2017 Psychiatrist Computational Neuroscience Central London Sixyears Director of Public Health Abu Dhabi Seven years Health Tech + Public-Private Partnerships Worldwide Five years SVP, Business Development Worldwide Two years Tech CEO Worldwide Ongoing PERSONAL JOURNEY
  • 6.
    Barcelona, 24 May2017 • ±350 million clients • 25 countries • Connectivity provider (foundation layer) • $1bn annual R&D
  • 7.
    Barcelona, 24 May2017 Huge problem Radical solution Breakthrough technology
  • 8.
    November 2017 IF ITAIN’T BROKE, DON’T FIX IT Well, Mental Healthcare is broken... how can we fix it? 1 in 4 every year
  • 9.
    November 2017 DIGITAL CAVALRYCOMING TO HEALTHCARE… FINALLY VR, AR, ER BLOCKCHAIN DATA + MACHINE LEARNING DIGITAL HEALTH
  • 10.
    November 2017 Evolving tools Mentalhealth today Shaping forces Mental health in future? OUR IMMEDIATE CHALLENGE Future mental health The WPA-Lancet Psychiatry Commission on the Future of Psychiatry; Lancet, October 2017
  • 11.
    November 2017 WORLDWIDE, HEALTHCAREIS COMPLEX AND POLITICAL $3.2tn USA, $10.3tn Worldwide
  • 12.
    November 2017 LESSON FROMNATURE – FIND THE RIGHT VECTOR
  • 13.
    November 2017 WORKING WITHYOU Research Platform – coming in 2018… Tools – data analysis, behaviour change tools
  • 14.
    November 2017 www.alpha.company Pascal Weinberger Ourcontact for rapid prototyping pascal.weinberger@telefonica.com
  • 15.
    ©2017 Digital CognitionTechnologies, Inc. Company confidential & proprietary. Nancy Briefs, MBA President & CEO
  • 16.
    16 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Our Story Transform well known tests into objective, quantified metrics of cognitive function that can detect pre-symptomatic change • Experienced Team • 12+ years development • Clinically Validated • Seminal IP Exclusively licensed • Applying AI to “gold standard” tests • $1.9B+ market opportunity • Currently deployed in >20 sites with Pharma Partners • Commercial 2018 with Neuro-Specialists Cognitive Assessment and Training – Global Forecast to 2021, MarketsandMarkets
  • 17.
    17 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. New Cognitive Measurement Platform CognitionParkinson’s Disease Multiple Sclerosis Vascular Dementia Lewy Body Disease Traumatic Brain InjurySleep Disorders Huntington’s Disease Medication Effects Surgical Effects Anesthetics Effects Chemotherapy EffectsAlzheimer’s Disease Dementia Healthy Aging Discriminating technology has myriad applications for measuring cognitive function and detecting subtle change Child Development
  • 18.
    18 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Today’s Standard for Cognitive Assessment • Paper and pencil test • 10 – 20 minutes admin • Physician must administer • Results depend on observation and subjective assessment • Inherent bias • Insensitive to mild impairment Biases: hearing and visually impaired, intubated, low English literacy, communication disorders, age, culture, language, education https://www.mountsinai.on.ca/care/psych/on-call-resources/on-call-resources/mmse.pdf https://www.alz.org/documents_custom/141209-CognitiveAssessmentToo-kit-final.pdf
  • 19.
    19 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Lead Product: DCTclock™ DCT proprietary test form + digital pen Encrypted data Transmitted over cloud Proprietary algorithms Actionable reports and referrals camera
  • 20.
    20 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Robust Database • Machine Learning algorithms trained against Lahey Clinic and Framingham Heart Study • Clinically validated technology Graphics: created by Rockicon from Noun Project Normative Sample • 1,530 individuals • Framingham Heart Study: testing since 2011 • Cognitively healthy by consensus diagnosis at time of testing Clinical Sample • 1,382 individuals • Referred for cognitive or neurological complaints • Cognitive impairment by consensus diagnosis at time of testing
  • 21.
    21 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Classify via AI Feature measurements Report via ML Proprietary Algorithms
  • 22.
    22 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. DCTclock™ Excels as a General Assessment Removed highly impaired – analysis on mildly impaired segment only. AUC is the accuracy of distinguishing healthy from impaired measured by the area under the ROC curve. 1 represents a perfect test; an area of .5 represents a worthless test. A rough guide: Excellent (.9-1), Good (.8-.9), Fair (.7-.8), Poor (.6-.7), Fail (.5-.6) Detects Mild Impairment Better • Area Under the Curve (AUC) is a measure of accuracy • The closer to 1 the more accurate • Chart shows only MMSE > 26 • DCTclock’s AUC is highest at .83 DCTclock Score (.83) MMSE Score (.72) MoCA clock (.66) MiniCog clock (.62)
  • 23.
    23 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Distinguishes Disease Stages - 23 -
  • 24.
    24 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Association with ApoE Genetic Risk and MRI • DCTclock Score (p=0.004) and multiple Composite Scales differentiated high and low risk groups • 1220 Dementia and stroke-free FHS participants genotyped for ApoE classified into risk groups: – High (ApoE4+, n=261) – Low (ApoE4-, n=931) • DCTclock Score showed significant positive association with overall gray matter volume and specific regions • 454 dementia and stroke-free Framingham Heart Study (FHS) participants with MRI
  • 25.
    25 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Better Correlation with Biomarkers - 25 - Amyloid (global PiB) Entorhinal Tau DCTclock Sel. Remind. MMSE Trails A
  • 26.
    26 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. … works … is fast, inexpensive, culture fair, scalable, broadly applicable, provides a global platform Early detection is empowering Slowing disease progress is extraordinarily valuable Our Solution
  • 27.
    27 ©2017 Digital CognitionTechnologies, Inc. All Rights Reserved. Questions nbriefs@digitalcogtech.com
  • 29.
    Emma Yang @emmayang78 emmayang.com • 13Years Old, 9th Grader • Founder of Timeless • Co-Founder of Food4Thought
  • 30.
  • 31.
    The Challenges Alzheimer’sPatients Face • Remembering events • Taking in new information • Recognizing people & places • Separating fact from fiction
  • 32.
    A real lifeexample
  • 33.
    Lack of Solutions Thereare many tools in the market but none of them help the patients improve their daily lives
  • 34.
    A First ofits kind, Simple, Easy to use App For Alzheimer’s and Dementia patients to remember events, stay connected and engaged with friends and family, and to recognize people through artificial intelligence based facial recognition technology
  • 35.
    Updates Today ContactsIdentify Timeless
  • 36.
    Network of Sponsorsand Mentors Dr. Melissa Kramps New York-Presbyterian Hospital Partner AND Expert Support Liliia Mandrino Human Experience Designer
  • 37.
    Worldwide Press Coverage USABBC World Service Malaysia Spain
  • 38.
    Wide Reach onSocial Media Over 33K views on the demo video
  • 39.
  • 40.
  • 41.
  • 42.
    Empower the lastgeneration!
  • 43.
  • 44.
  • 45.
    Big data providesnew insights into learning outcomes Belén Guerra-Carrillo Doctoral Candidate Psychology Department, UC Berkeley 2017 SharpBrains Virtual Summit
  • 46.
    Technology enables usto measure the cognitive effects of prolonged enriching experiences
  • 47.
    Education is along-lasting multifaceted experience
  • 48.
    Does education honecognitive functioning and learning efficacy?
  • 49.
    Higher educational attainmentassociated with better performance across the age range
  • 50.
    Educational attainment moderatesthe age of peak cognitive performance
  • 51.
    Education explains greatervariance in performance on more cognitively complex tasks Task pictures from www.lumosity.com
  • 52.
    Minimal effect ofeducational attainment on novel learning
  • 53.
  • 54.
  • 55.
    Thank you, Speakers& Participants!
  • 56.
  • 57.
  • 58.
    To learn more,visit sharpbrains.com