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Latest clinical frontiers related to autism diagnostic strategies

Latest clinical frontiers related to autism diagnostic strategies
Latest clinical frontiers related to autism diagnostic strategies
The diagnosis of autism is currently based on the developmental history, direct observation of behavior, reported symptoms, and scoring of rating scales/tools - which is influenced by the clinician’s knowledge and experience- with no established diagnostic biomarkers. A growing body of research has been conducted over the past decades to improve diagnostic accuracy. Here, we provide an overview of the current diagnostic assessment process as well as of recent and ongoing developments in terms of genetic evaluation, telemedicine, digital technologies, use of machine learning/artificial intelligence, and research on candidate diagnostic biomarkers. Genetic testing can effectively contribute to the diagnostic process, but caution is required when interpreting negative results and more work is needed to strengthen the transferability of genetic information into clinical practice. Digital diagnostic and machine learning-based approaches are emerging as promising approaches, but larger and more robust studies are needed. Finally, to date, there are no available diagnostic biomarkers. Moving forward, international collaborations may help develop multimodal datasets to identify biomarkers, ensure reproducibility, and support clinical translation.
artificial intelligence, autism, biomarkers, diagnosis, genetics, machine learning, telemedicine
2666-3791
Cortese, Samuele
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Bellato, Alessio
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Gabellone, Alessandra
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Marzulli, Lucia
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Matera, Emilia
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Parlatini, Valeria
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Petruzelli, Maria Giuseppina
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Persico, Antonio M.
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Delorme, Richard
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Fusar-Poli, Paolo
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Gosling, Corentin J.
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Solmi, Marco
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Margari, Lucia
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Cortese, Samuele
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Bellato, Alessio
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Gabellone, Alessandra
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Marzulli, Lucia
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Matera, Emilia
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Parlatini, Valeria
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Petruzelli, Maria Giuseppina
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Persico, Antonio M.
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Delorme, Richard
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Fusar-Poli, Paolo
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Gosling, Corentin J.
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Solmi, Marco
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Margari, Lucia
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Cortese, Samuele, Bellato, Alessio, Gabellone, Alessandra, Marzulli, Lucia, Matera, Emilia, Parlatini, Valeria, Petruzelli, Maria Giuseppina, Persico, Antonio M., Delorme, Richard, Fusar-Poli, Paolo, Gosling, Corentin J., Solmi, Marco and Margari, Lucia (2025) Latest clinical frontiers related to autism diagnostic strategies. Cell Reports Medicine, 6 (2), [101916]. (doi:10.1016/j.xcrm.2024.101916).

Record type: Review

Abstract

The diagnosis of autism is currently based on the developmental history, direct observation of behavior, reported symptoms, and scoring of rating scales/tools - which is influenced by the clinician’s knowledge and experience- with no established diagnostic biomarkers. A growing body of research has been conducted over the past decades to improve diagnostic accuracy. Here, we provide an overview of the current diagnostic assessment process as well as of recent and ongoing developments in terms of genetic evaluation, telemedicine, digital technologies, use of machine learning/artificial intelligence, and research on candidate diagnostic biomarkers. Genetic testing can effectively contribute to the diagnostic process, but caution is required when interpreting negative results and more work is needed to strengthen the transferability of genetic information into clinical practice. Digital diagnostic and machine learning-based approaches are emerging as promising approaches, but larger and more robust studies are needed. Finally, to date, there are no available diagnostic biomarkers. Moving forward, international collaborations may help develop multimodal datasets to identify biomarkers, ensure reproducibility, and support clinical translation.

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Submitted date: 18 December 2024
Accepted/In Press date: 18 December 2024
e-pub ahead of print date: 28 January 2025
Published date: 18 February 2025
Keywords: artificial intelligence, autism, biomarkers, diagnosis, genetics, machine learning, telemedicine

Identifiers

Local EPrints ID: 498151
URI: http://eprints.soton.ac.uk/id/eprint/498151
ISSN: 2666-3791
PURE UUID: c6d81c3e-563e-4585-97ea-0ef29e2583bd
ORCID for Samuele Cortese: ORCID iD orcid.org/0000-0001-5877-8075
ORCID for Alessio Bellato: ORCID iD orcid.org/0000-0001-5330-6773
ORCID for Valeria Parlatini: ORCID iD orcid.org/0000-0002-4754-2494

Catalogue record

Date deposited: 11 Feb 2025 17:47
Last modified: 14 May 2025 02:12

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Contributors

Author: Samuele Cortese ORCID iD
Author: Alessio Bellato ORCID iD
Author: Alessandra Gabellone
Author: Lucia Marzulli
Author: Emilia Matera
Author: Valeria Parlatini ORCID iD
Author: Maria Giuseppina Petruzelli
Author: Antonio M. Persico
Author: Richard Delorme
Author: Paolo Fusar-Poli
Author: Corentin J. Gosling
Author: Marco Solmi
Author: Lucia Margari

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