AI4PD · AI for Parkinson's disease

We infer the unseen.

Parkinson's reaches well beyond tremor, and the evidence about any one patient arrives scattered across clinic visits, imaging, biomarkers, wearables, genetics, and the health record. AI4PD assembles that evidence into one living, uncertainty-aware model of the patient, so that clinicians work from the individual record rather than the population average, and every output goes to the physician first.

  • Retrospective evidence base
  • Decision support only
  • Seeking prospective validation partners

Oden Institute · The University of Texas at Austin · CVC Lab · TACC infrastructure · Supported by the Michael J. Fox Foundation

Patient portal

Making the invisible visible

An interactive portal for clinicians: enter a patient's data and watch personalized motion and gait on an anatomical model, driven by PPMI metrics and wearable sensor signals rather than a population template.

Research evidence for clinicians and partners; not a clinical decision tool.

  • Personalized modeling

    Patient-specific inference instead of population averages. Clinicians enter one patient’s data and see that patient’s motion and gait modeled on an anatomical figure.

  • Built for the clinic

    An interactive tool that saves clinician time and is built for accuracy and reliability, so physiological dynamics become something you can see, compare, and question.

  • A living showcase

    The same portal demonstrates tangible progress to proposal reviewers and philanthropic partners: not a slide, the working system.

Evidence to date (retrospective)

What the analyses show

Preprints, an accepted conference paper, and two manuscripts on established Parkinson's cohorts (PPMI, BioFIND, PDBP, FoxInsight, S4). The headlines are below; full cohorts, methods, and limitations are on the Evidence page. These results are retrospective and hypothesis-generating: the calibrated substrate the twin is built on, not the mechanism claim itself.

Calibrated motor states · PPMI + BioFIND

Motor phenotyping that reports its own overconfidence

Across 29,366 PPMI visits from 4,773 patients, motor states stay stable on average yet 25.5% of patients shift over time, and the model discloses its overconfidence (0.989 nominal vs 0.849 empirical) instead of hiding it.

Details

Validity gates · 2026 manuscript

Seven verdicts, not one headline score

Across 5,404 future-only cutoffs from 1,058 PPMI participants, a small internal increment survives participant separation but fails calendar and transport gates, so the protocol stops the claim before deployment language begins.

Details

Signed laterality · 2026 manuscript

Signed dopaminergic asymmetry tracks the opposite body side

Keeping the left–right sign of putamen binding recovers reproducible contralateral anatomy in PPMI (r = 0.676) and an independent S4 cohort (r = 0.551), and adds modest future side-balance information.

Details

Genetics + wearables · medRxiv

LRRK2 risk and wearable gait, in one stratification

LRRK2 G2019S carries a 1.92× PD prevalence ratio and +4.35 motor points; wearable arm-swing asymmetry (27%) and a risk model (AUC 0.717) add scalable digital signal.

Details

How it works

A twin a clinician can question

Underneath those results sits the patient-specific digital twin. Its interpretable core is a structured prior for how a patient's state evolves, with functional reserve, coupling between subsystems, dissipation, and therapy ports, not a claim of physical energy conservation, and it updates as new visits, sensors, and biomarkers arrive.

On top of the twin, multi-agent diagnostic and therapy-planning agents reason over a dynamic knowledge network, surfacing disagreement, uncertainty, and gaps rather than smoothing them over. Letting a clinician simulate a candidate DBS change in the twin before changing patient settings is a prospective-validation hypothesis, not a current capability.

Read the full approach
AI4PD architecture: clinical and validation partners feed a Texas-core AI platform that maintains a patient-specific twin and returns clinician-facing guidance
Clinical partners and multimodal evidence feed a Texas-core AI platform; the platform maintains a shared patient-specific twin and returns diagnosis, intervention, and follow-up guidance to clinicians.

One program

Where to go next

Everything about the Parkinson's program lives under this one address: the approach, the clinician workflow, the evidence, the research companion, and how to partner.

How the twin works

Approach

A structure-preserving digital twin organized by a port-Hamiltonian core, fed by four method thrusts, with modality-specialized agents and evidence arbitration on top.

Open

From cohort to one patient

Clinician workflow

Subgroup discovery, nearest-neighbor placement, and what the treating neurologist actually sees.

Open

Cohorts, methods, limits

Evidence

Every study behind the program with its cohorts, effect sizes, and limitations in the authors’ own wording.

Open

Two new manuscripts

PD Research Companion

Longitudinal validity gates and signed dopaminergic asymmetry, with outcome-blind patient dossiers and every figure at full resolution.

Open

Validate on your cohort

Partners

How engagement works, data-use terms, governance, and what a clinical partner contributes and receives.

Open

People, datasets, documentation

Team & resources

Who builds AI4PD, the core datasets it rests on, and the lab documentation and engagement channels.

Open

Project pages

Detailed pages for the individual studies, with figures, methods, and citations.

The evidence layer is the work, and the ask

AI4PD is decision support, never an autonomous prescriber, and its hardest constraint is not the model. It is the multi-institution longitudinal evidence layer needed to validate it. We are looking for movement-disorders neurologists and institutions that govern longitudinal Parkinson's cohorts to partner on clinical data and prospective validation, on terms that meet your standard of proof.