AI system
- System
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Face2Gene (DeepGestalt facial phenotyping)
- Model
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Not assessed
- Release
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Not assessed
- Application developer
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FDNA - Role
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Not assessed
- Configuration
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Not assessed
- Inputs and outputs
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Not assessed
- Autonomy
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Not assessed
- Workflow
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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
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Not assessed
- Relation to AI
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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
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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
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Not assessed
- Benefit
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Face2Gene suggested MRD7 for a 22-year-old misdiagnosed with Cornelia de Lange at age 4; exome sequencing confirmed a DYRK1A variant.
- Category
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Improved Physical Health
- Status
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Not assessed
- Beneficiary groups
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People.
- Beneficiaries
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Not assessed
- Reach
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Not assessed
- Distribution and access
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Not assessed
- Duration
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Not assessed
- Expected?
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Yes
- Costs and harms
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Not assessed
Measurement
- Studies
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Not assessed
- Study design
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Not assessed
- Measurement
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Not assessed
- Setting and sample
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Not assessed
- Measures
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Not assessed
- Comparison
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the clinical diagnosis of Cornelia de Lange syndrome made at age four
- Results
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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
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Not assessed
- Limitations
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Not assessed
- Denominators
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Not assessed
- Materials for replication
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Not assessed
Money
- Kind of value
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Not assessed
- Amount
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Not assessed
- Currency and prices
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Not assessed
- Period and unit
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Not assessed
- Realization
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Not assessed
- Recipients and payers
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Not assessed
- Gross or net
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Not assessed
- Included costs
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Not assessed
- Comparison
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Not assessed
- Method
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Not assessed
- Return and payback
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Not assessed
People and places
- Participants
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Developer:
FDNA. Operator: Department of Neurology, National Hospital Organization Akita National Hospital. - Jurisdictions
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Benefit: Yurihonjo,
Japan. Developer:
United States. Operator:
Japan. - Ownership and control
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Not assessed
- Dependencies
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Not assessed
- Cross-border connections
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Not assessed
- Geopolitical implications
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Not assessed
Follow-up
- Conditions for replication
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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
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1 follow-up entries. Benefit recurred: 1.
- Later findings
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No later development found.
- Availability
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Not assessed
- Institutional decision
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Not assessed
- Grounds
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Not assessed
- Action and result
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Not assessed
- Success criterion
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Not assessed
Evidence
- Source numbers
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AIBD-0037-source-0001
- Citations
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Numbered references below.
- Language
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Not assessed
- Source relationships
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Operator
- Original evidence
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Not assessed
- Access and versions
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Not assessed
- Supported findings
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Not assessed
- Evidence links
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Not assessed
- Evidence strength
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Not assessed
- Missing evidence
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Not assessed
Grades
- Assessed benefits
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People.
- Depth
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People: 2.
- Reasons
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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
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Not assessed
- Rubric
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Not assessed
- Assessor and date
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Not assessed
- Alternative assessments
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Not assessed
- Fill
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The deployer's account
Entry details
- Kind
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Not assessed
- Related entries
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Clinician-facing diagnostic algorithm: Face2Gene redirected an 18-year misdiagnosis, while a race-adjusted lung-function diagnostic algorithm led to inaccurate or delayed diagnoses for Black men at the University of Pennsylvania Health System.
Racial Bias in Lung Function Diagnostic Algorithm Leads to Underdiagnosis in Black Men
- Field
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Healthcare / clinical genetics. Rare disease diagnosis.
- Purpose
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Face2Gene is built to suggest candidate syndromes from facial images and clinical features. This suggestion was that purpose.
- Dates
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Date basis unassessed: 2023 (precision unassessed). Updated: 21 October 2026.
- Stage
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Not assessed
- Version
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SHA-256: d5a1a59dc709…
References
- Other identifiers
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AI Incident Database: 582.
- Category mappings
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Not assessed
- Brief
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Not assessed
- Revisions
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7 revisions. Latest: 21 October 2026.
Sources
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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).
As a 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.
Collections: Cross-border cases.