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Platform Validation Study v2.0

Neurodiagnoses Web Platform Achieves Complete Equivalence with Traditional Biostatistical Methods for Multi-Omics Causal Validation in Alzheimer's Disease

Running Title: Web Platform Equivalence for Causal Validation

Authors: Manuel Menéndez1, Neurodiagnoses AI Development Team1

1 Fundación de Neurociencias, Spain

Correspondence: manuelmenendez@fneurociencias.org

Abstract

Background: Advanced multi-omics causal analyses in Alzheimer's disease (AD) traditionally require programming expertise and local computational infrastructure, limiting accessibility to specialized research centers.

Methods: We developed Neurodiagnoses, a web-accessible platform for tridimensional causal validation (Genetics→Molecular→Structural), and validated its equivalence against traditional Python-based biostatistical methods. Using multi-cohort data (SEA-AD n=84, ADNI n=1,000), we compared web platform APIs against conventional scripts (scipy.stats, pandas) for causal validation (case-control t-tests) and spatial validation (Pearson correlations).

Results: Perfect equivalence achieved between web platform and traditional methods. Causal validation (Genetics→Molecular): Neurodiagnoses API 62.5% vs Traditional scripts 62.5% (0.0% deviation, 5/8 biomarkers significant). Spatial validation (Molecular→Structural): Neurodiagnoses API 37.5% vs Traditional scripts 37.5% (0.0% deviation, 12/32 correlations significant). Both methods identified identical biomarkers: tau pathology (d=1.00, p<0.001), amyloid plaques (d=1.35, p<0.001), phospho-tau (d=0.58, p=0.018). Platform calibration achieved maximum statistical validation (p<0.000001, d=1.452). Strongest spatial associations: tau×inferior temporal volume (r=-0.602, p<0.001), tau×middle temporal (r=-0.497, p=0.003) - identical across methods.

Conclusions: The Neurodiagnoses web platform achieves complete methodological equivalence with traditional biostatistical scripts (causal validation: 0.0% deviation, spatial validation: 0.0% deviation, identical biomarkers and effect sizes). This demonstrates that sophisticated multi-omics causal analyses can be democratized via web interfaces without sacrificing statistical rigor. The platform provides both research-grade cohort analyses (matching journal standards) and clinical-grade individual assessments, proving that web-based AI can deliver the best of both worlds: scientific validity with global accessibility.

Keywords: Alzheimer's disease, Web-based analysis, Methodological equivalence, Multi-omics, Causal validation, APOE, Democratization of science

2.5 Platform Architecture: The Perfect Sphere (Unified Brain Stem)

The Neurodiagnoses platform implements a "Perfect Sphere" architecture to ensure scientific integrity and prevent logic divergence. All analytical tools route through a single master endpoint:

Unified Brain Stem Endpoint:

POST /api/v2/analyze
URL: https://the-alchemist-705695926498.us-central1.run.app/api/v2/analyze

This endpoint is context-aware, handling both individual patient analysis and cohort-level validation through the same underlying scientific logic:

Context 1: Individual (Clinical)

Returns individual diagnosis, confidence, causal validation score, spatial validation score.

Context 2: Cohort (Research)

Returns cohort-level statistics (t-tests, correlations), validation scores (62.5% causal, 37.5% spatial).

Critical Design: Both contexts use IDENTICAL validation logic, statistical thresholds, and biomarker mappings. This guarantees that individual and cohort analyses are scientifically congruent.

2.7 Usability & Production Readiness

Beyond scientific validation, we implemented comprehensive usability features to enable real-world clinical and research deployment:

Guided Onboarding (Epic 30)

  • • 3-question wizard routes users to appropriate tools
  • • Clinicians → Case Analyzer (individual patients)
  • • Researchers → Data Lab (cohort validation)
  • • Automated tool recommendations based on data availability

Template-Based Data Ingestion (Epic 28)

  • • CSV templates with exact column headers required by backend
  • • Client-side validation prevents format errors before submission
  • • Templates: proteomics_template.csv (9 columns), imaging_template.csv (9 brain regions)
  • • Download links embedded in upload workflows

Quality Assurance

  • • End-to-end testing with real patient data (test_case_analyzer_e2e.py)
  • • Automated congruence testing (test_scientific_congruence.py)
  • • Zero-error CSV upload rate achieved through template + validation system

Result: Platform is production-ready for both clinical deployment and research use, not merely a proof-of-concept.

3. Results (Summary)

Causal Validation

62.5%

Genetics (Axis 1) → Molecular (Axis 2)

  • • 5/8 biomarkers significant (p<0.05)
  • • Tau pathology: d=1.00, p<0.001
  • • Amyloid plaques: d=1.35, p<0.001
  • • Phospho-tau: d=0.58, p=0.018
  • API vs Script: 0.0% deviation

Spatial Validation

37.5%

Molecular (Axis 2) → Structural (Axis 3)

  • • 12/32 correlations significant (p<0.05)
  • • Tau × Inferior Temporal: r=-0.602, p<0.001
  • • Tau × Middle Temporal: r=-0.497, p=0.003
  • • Region-specific molecular-volume associations
  • API vs Script: 0.0% deviation

Perfect Sphere Congruence Test

Automated CI/CD test verifies that individual and cohort analysis paths produce congruent results:

  • • Same patient data sent to both endpoints
  • • Individual path: Binary validation (validated/not validated)
  • • Cohort path: Statistical validation (62.5% / 37.5%)
  • Result: 0% logic divergence detected

📦 Complete Reproducibility Package v2.0

The full manuscript (20+ pages), supplementary materials, and code are available:

  • ✓ Complete manuscript text (MD + HTML)
  • ✓ Traditional scripts (02_analysis_causal_validation.py, 03_analysis_spatial_validation.py)
  • ✓ Perfect Sphere guardrails (test_scientific_congruence.py, ARCHITECTURE_PERFECT_SPHERE.md)
  • ✓ CSV templates (proteomics_template.csv, imaging_template.csv)
  • ✓ User guides (case-analyzer-guide.md, data-lab-guide.md, studio-guide.md)
  • ✓ Statistical results (table2_causal_validation_statistics.csv, table3_spatial_validation_correlations.csv)
  • ✓ Figures (figure2_causal_validation.png, figure3_spatial_validation.png)

How to Cite

Menéndez-González, M., Neurodiagnoses AI Development Team (2025). Neurodiagnoses Web Platform Achieves Complete Equivalence with Traditional Biostatistical Methods for Multi-Omics Causal Validation in Alzheimer's Disease. Manuscript v2.0. Available at: https://neurodiagnoses.com/science/manuscript-v2