Home › Research › Digital health tools
Agentic artificial intelligence in cognitive screening: A translational roadmap for dementia care
Kevin Mekulu, Faisal Aqlan, Hui Yong Yang. Journal of Alzheimer s Disease Reports, 2025-01-01
Topic: Amyloid, tau and blood-test diagnosis
Conventional dementia screening tools, whether paper tests or static artificial intelligence (AI) models, capture only a snapshot of cognition and need to be adminstered periodically. Yet decline is dynamic, shaped by environment, comorbidities, and life history. Current approaches rarely adapt, integrate feedback, or provide transparent reasoning that clinicians can trust. We propose agentic AI systems: modular agents built on large language models (LLMs) that collaborate, adapt, and mirror interdisciplinary care. The Cognitive Agent Lab exemplifies this framework, emphasizing functional aspects (inputs, outputs, workflows) and non-functional aspects (transparency, adaptivity, robustness, clinical alignment). Embedding reasoning and collaboration, agentic AI offers a roadmap toward more personalized and explainable cognitive health tools.
Key findings
- Yet decline is dynamic, shaped by environment, comorbidities, and life history.
- Current approaches rarely adapt, integrate feedback, or provide transparent reasoning that clinicians can trust.
- We propose agentic AI systems: modular agents built on large language models (LLMs) that collaborate, adapt, and mirror interdisciplinary care.
- The Cognitive Agent Lab exemplifies this framework, emphasizing functional aspects (inputs, outputs, workflows) and non-functional aspects (transparency, adaptivity, robustness, clinical alignment).
- Embedding reasoning and collaboration, agentic AI offers a roadmap toward more personalized and explainable cognitive health tools.
Why it matters
This paper proposes using 'agentic AI' systems built on large language models to make dementia cognitive screening more adaptive and explainable. It is a proposed roadmap, not a tested treatment, cure, or prevention for Alzheimer's disease.
New to this subject? Start with our plain-English guide: Digital health →
Study details
- Evidence strengthLow
How this study scored 33/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it. We have no data on impact for its field and year, so that was left out: it earned 31 of the 94 points we could judge it on, which is 33 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Alzheimer s Disease Reports) |
| Journal's citation record | 0 / 4 | Journal of Alzheimer s Disease Reports: journal h-index 40 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Hui Yong Yang: h-index 35 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Pennsylvania State University: institution h-index 1,397 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41393341) |
| Free to read | 2 / 2 | Free to read |
| Points | 31 / 94 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 31 of the 94 points we could judge it on is 33 out of 100. |
| Total | 33 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1177/25424823251407989
- PubMed: 41393341
- Original source →
- Free full text: Journal of Alzheimer s Disease Reports →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Mekulu, K., Aqlan, F., & Yang, H. Y. (2025). Agentic artificial intelligence in cognitive screening: A translational roadmap for dementia care. Journal of Alzheimer s Disease Reports. https://doi.org/10.1177/25424823251407989
Vancouver
Mekulu K, Aqlan F, Yang HY. Agentic artificial intelligence in cognitive screening: A translational roadmap for dementia care. Journal of Alzheimer s Disease Reports. 2025. doi:10.1177/25424823251407989. PMID: 41393341.
BibTeX
@article{mekulu2025-41393341,
author = {Mekulu, Kevin and Aqlan, Faisal and Yang, Hui Yong},
title = {{Agentic artificial intelligence in cognitive screening: A translational roadmap for dementia care}},
journal = {Journal of Alzheimer s Disease Reports},
year = {2025},
doi = {10.1177/25424823251407989},
pmid = {41393341},
url = {https://doi.org/10.1177/25424823251407989}
}
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.