Face2Gene suggests MRD7 after an 18-year misdiagnosis

Face2Gene suggested MRD7 for a 22-year-old misdiagnosed with Cornelia de Lange at age 4; exome sequencing confirmed a DYRK1A variant.

AI system

System

Face2Gene (DeepGestalt facial phenotyping)

Model

Not assessed

Release

Not assessed

Application developer

FDNA

Role

Not assessed

Configuration

Not assessed

Inputs and outputs

Not assessed

Autonomy

Not assessed

Workflow

Frontal facial photograph plus clinical features uploaded to Face2Gene. A prior clinical diagnosis that no longer fit the clinical score. Access to whole-exome sequencing to confirm.

Human oversight

Not assessed

Relation to AI

Face2Gene listed MRD7 among four candidates. The paper gives no ranking. Whole-exome sequencing made the diagnosis. The AI redirected the differential after the clinical score undermined the prior diagnosis.

AI contribution

Face2Gene listed MRD7 among four candidates. The paper gives no ranking. Whole-exome sequencing made the diagnosis. The AI redirected the differential after the clinical score undermined the prior diagnosis.

Benefits

Outcome identifiers

Not assessed

Benefit

Face2Gene suggested MRD7 for a 22-year-old misdiagnosed with Cornelia de Lange at age 4; exome sequencing confirmed a DYRK1A variant.

Category

Improved Physical Health

Status

Not assessed

Beneficiary groups

People.

Beneficiaries

Not assessed

Reach

Not assessed

Distribution and access

Not assessed

Duration

Not assessed

Expected?

Yes

Costs and harms

Not assessed

Measurement

Studies

Not assessed

Study design

Not assessed

Measurement

Not assessed

Setting and sample

Not assessed

Measures

Not assessed

Comparison

the clinical diagnosis of Cornelia de Lange syndrome made at age four

Results

Reference: At four years of age, he was clinically diagnosed with Cornelia de Lange syndrome (CdLS; OMIM 122470, 300590, 300882, 610759, and 614701) due to his facial dysmorphism, microcephaly, short stature, and intellectual disability. Result: Face2Gene introduced the following candidate diseases: Angelman syndrome (AS, OMIM 105833), Witteveen-Kolk syndrome (WKOS; MIM 613406), Rubinstein-Taybi syndrome (RTS; OMIM 180849), and MRD7.

Additional value from AI

Not assessed

Limitations

Not assessed

Denominators

Not assessed

Materials for replication

Not assessed

Money

Kind of value

Not assessed

Amount

Not assessed

Currency and prices

Not assessed

Period and unit

Not assessed

Realization

Not assessed

Recipients and payers

Not assessed

Gross or net

Not assessed

Included costs

Not assessed

Comparison

Not assessed

Method

Not assessed

Return and payback

Not assessed

People and places

Participants

Developer: FDNA. Operator: Department of Neurology, National Hospital Organization Akita National Hospital.

Jurisdictions

Benefit: Yurihonjo, Japan. Developer: United States. Operator: Japan.

Ownership and control

Not assessed

Dependencies

Not assessed

Cross-border connections

Not assessed

Geopolitical implications

Not assessed

Follow-up

Conditions for replication

The true syndrome is represented in Face2Gene's training data (authors note MRD7 recommendations improve as cases are registered). Clinicians pursue a candidate that is one of several suggestions.

Replication attempts

1 follow-up entries. Benefit recurred: 1.

Later findings

No later development found.

Availability

Not assessed

Institutional decision

Not assessed

Grounds

Not assessed

Action and result

Not assessed

Success criterion

Not assessed

Evidence

Source numbers

AIBD-0037-source-0001

Citations

Numbered references below.

Language

Not assessed

Source relationships

Operator

Original evidence

Not assessed

Access and versions

Not assessed

Supported findings

Not assessed

Evidence strength

Not assessed

Missing evidence

Not assessed

Grades

Assessed benefits

People.

Depth

People: 2.

Reasons

People: A correct molecular diagnosis replaced a misdiagnosis held since age four. The report documents no treatment change, so material rather than life-changing.

Observed or intended

Not assessed

Rubric

Not assessed

Assessor and date

Not assessed

Alternative assessments

Not assessed

Fill

The deployer's account

Entry details

Kind

Not assessed

Field

Healthcare / clinical genetics. Rare disease diagnosis.

Purpose

Face2Gene is built to suggest candidate syndromes from facial images and clinical features. This suggestion was that purpose.

Dates

Date basis unassessed: 2023 (precision unassessed). Updated: 21 October 2026.

Stage

Not assessed

Version

SHA-256: d5a1a59dc709…

References

Other identifiers

AI Incident Database: 582.

Category mappings

Not assessed

Brief

Not assessed

Revisions

7 revisions. Latest: 21 October 2026.

Sources

  1. Case report Deployer

    Obara K, Abe E, Toyoshima I (2023). Whole-Exome Sequencing Identified a Novel DYRK1A Variant in a Patient With Intellectual Developmental Disorder, Autosomal Dominant 7. Cureus (PMC9822525).