cognitiveTree

CognitiveTree is an automated pipeline designed to detect cognitive disorders from T1-weighted brain MRI scans. It processes anonymized MRI brain volumes in NIFTI format and generates a PDF report that provides a differential diagnosis across seven cognitive conditions.
The cognitiveTree pipeline builds on the innovative concept of the “lifespan tree of brain anatomy”, transforming raw MRI data into intuitive maps that track disease-related brain changes across the lifespan. By modeling the trajectories of more than one hundred brain structures, it uncovers the subtle anatomical signatures that distinguish between overlapping neurodegenerative conditions. Leveraging advanced dimensionality reduction and smart data augmentation, cognitiveTree generates interpretable and clinically meaningful patterns, moving beyond opaque “black-box” outputs. The result is a powerful diagnostic assistant that not only surpasses conventional AI models but also equips clinicians with clearer insights for patient care.
Specifically, cognitiveTree is trained to discriminate between Cognitively heathly Normal aging (CN), Alzheimer’s disease (AD), behavioral variant Frontotemporal Dementia (bvFTD), Semantic Dementia (SD), Progressive Nonfluent Aphasia (PNFA), Progressive Supranuclear Palsy (PSP), and Dementia with Lewy Bodies (DLB). The lifespan tree model provides a probability score for each cognitive disorder, reflecting the subject’s proximity to the tree branches representing the seven conditions. In addition, cognitiveTree delivers a map of brain structures deviating from normal aging, highlighting the regions that drive the final diagnosis.
All the considered structures are segmented using AssemblyNet
Please note that cognitiveTree is designed exclusively to distinguish AD, bvFTD, SD, PNFA, PSP, and DLB from healthy controls. It should not be applied to other pathologies (e.g., Parkinson's disease, Vascular dementia, etc.).

Report
Once the process is finished you will be notified by e-mail so you will be able to download a package including some image files and two (CSV and PDF) reports presenting the probability for the seven considered classes (i.e., CN, AD, bvFTD, SD, PNFA, PSP and DLB). Moreover, the report provides an abnormality map indicating the most divergent structures compared to normal aging.
Download PDF Report
References
P. Coupé, B. Mansencal, J. V. Manjon, P. Péran, W. G. Meissner, T. Tourdias, V. Planche, Lifespan tree of brain anatomy: diagnostic values for motor and cognitive neurodegenerative diseases, Humain Brain Mapping, 2025. PDF
P. Coupé, B. Mansencal, M. Clément, R. Giraud, B. Denis de Senneville, V.-T Ta, V. Lepetit, J. V. Manjon. AssemblyNet: A large ensemble of CNNs for 3D Whole Brain MRI Segmentation. NeuroImage, 219, 117026, 2020. PDF
de Senneville, B.D., Manjon, J.V. and Coupé, P., 2020. RegQCNET: Deep quality control for image-to-template brain MRI affine registration. Physics in Medicine & Biology, 65(22), p.225022. PDF