AI Driven Digital Cognitive Twin for Brain Health Monitoring
Authors
Computer Science & Engineering Acharya Institute of Technology Bengaluru (India)
Computer Science & Engineering Acharya Institute of Technology Bengaluru (India)
Computer Science & Engineering Acharya Institute of Technology Bengaluru (India)
Computer Science & Engineering Acharya Institute of Technology Bengaluru (India)
Computer Science & Engineering Acharya Institute of Technology Bengaluru (India)
Computer Science & Engineering Acharya Institute of Technology Bengaluru (India)
Article Information
DOI: 10.51244/IJRSI.2026.1310000079
Subject Category: Artificial Intelligence
Volume/Issue: 13/10 | Page No: 1050-1058
Publication Timeline
Submitted: 2026-10-09
Accepted: 2026-10-14
Published: 2026-11-01
Abstract
Cognitive health is usually checked in clinics. That makes it hard to keep track of changes over the time. This paper introduces CogTwin, a web-based platform where a person can complete five cognitive tasks—reaction time, memory recall, pattern recognition, attention span and decision making—and see how their own results change over the time. Of comparing the user to population averages the platform creates the personal baseline using data from the user’s past sessions. This baseline acts like the cognitive twin. Each new session is compared to this baseline using a z-scores. A regression line shows the trend and a TensorFlow.js neural network predicts a what the session’s scores might be. A language model gives explanations in the everyday language following rules that keep it from making any diagnostic claims. The system is built using React, Node.js, Express and the MongoDB Atlas. User accounts are secured with the bcrypt and JWT. At this point CogTwin has only been tested as the software. No real users have been involved yet so the paper does not say that it measures the cognition accurately. The model and the rules for detecting an anomalies are described in full. A pilot study protocol is also included, covering test–retest reliability, comparison, with the MoCA and prediction error compared to the baseline. CogTwin is meant to help with monitoring a changes not to diagnose any condition.
Keywords
digital twin, cognitive monitoring, brain health, TensorFlow.js, z-score, linear regression
Downloads
References
1. M. Alsuhaibani, A. Pourramezan Fard, J. Sun, F. Far Poor, P. S. Pressman, and M. H. Mahoor, “A review of machine learning approaches for non-invasive cognitive impairment detection,” IEEE Access, vol. 13, pp. 56355–56384, 2025, doi: 10.1109/ACCESS.2025.3555176. [Google Scholar] [Crossref]
2. C.-L. Lin, T.-C. Chu, M.-H. Wu, M.-Y. Deng, W.-C. Chiu, C.-H. Chen, P.-S. Sung, W.-L. Tsao, and T.-C. Lin, “Evaluation of novel cognitive assessment system for testing visual memory of the elderly,” IEEE Access, vol. 9, pp. 47330–47337, 2021, doi: 10.1109/ACCESS.2021.3065684. [Google Scholar] [Crossref]
3. Jung, J. Kim, M. Kim, C. W. Won, and K.-R. Mun, “Classifying the risk of cognitive impairment using sequential gait characteristics and long short-term memory networks,” IEEE J. Biomed. Health Inform., vol. 25, no. 10, pp. 4029–4040, 2021, doi: 10.1109/JBHI.2021.3073372. [Google Scholar] [Crossref]
4. M. R. Pacheco-Lorenzo et al., “Analysis of voice biomarkers for the detection of cognitive impairment,” IEEE Access, 2024, doi: 10.1109/ACCESS.2024.3442431. [Google Scholar] [Crossref]
5. S. Khan, U. Anwar, A. Khan, and T. Arslan, “RF-based sensing and AI decision support for stroke patient monitoring: A digital twin approach,” IEEE Access, 2025. [Google Scholar] [Crossref]
6. S. Dan, J. Ghosh, B. Sarkar, and J. Bhattacharya, “AI and digital twins: A breakthrough approach to mental health diagnosis and therapy,” IGI Global, 2025. [Google Scholar] [Crossref]
7. J. Chen, Y. Shi, C. Yi, H. Du, J. Kang, and D. Niyato, “Generative-AI-driven human digital twin in IoT healthcare: A comprehensive survey,” IEEE Internet Things J., 2024. [Google Scholar] [Crossref]
8. Z. Momand, P. Mongkolnam, J. H. Chan, N. Charoenkitkarn, and D. Pal, “Building digital twins for elderly care: An end-to-end framework from data acquisition to modeling,” IEEE Access, 2025. [Google Scholar] [Crossref]
9. Blasch, “Digital twins for cognitive situation awareness,” in Proc. IEEE CogSIMA, 2024. [Google Scholar] [Crossref]
10. G. Shubar, K. Ramakrishnan, and C.-K. Ho, “Optimizing machine learning models for accessible early cognitive impairment prediction: A novel cost-effective model selection algorithm,” IEEE Access, vol. 12, pp. 180792–180814, 2024, doi: 10.1109/ACCESS.2024.3505038. [Google Scholar] [Crossref]
11. M. Irfan, S. Shahrestani, and M. Elkhodr, “Early detection of Alzheimer’s disease using cognitive features: A voting-based ensemble machine learning approach,” IEEE Eng. Manag. Rev., vol. 51, no. 1, pp. 16–25, Mar. 2023. [Google Scholar] [Crossref]
12. M. Baytaş, “Predicting progression from mild cognitive impairment to Alzheimer’s dementia with adversarial attacks,” IEEE J. Biomed. Health Inform., vol. 28, no. 6, pp. 3750–3760, 2024. [Google Scholar] [Crossref]
Metrics
Views & Downloads
Similar Articles
- The Role of Artificial Intelligence in Revolutionizing Library Services in Nairobi: Ethical Implications and Future Trends in User Interaction
- ESPYREAL: A Mobile Based Multi-Currency Identifier for Visually Impaired Individuals Using Convolutional Neural Network
- Comparative Analysis of AI-Driven IoT-Based Smart Agriculture Platforms with Blockchain-Enabled Marketplaces
- AI-Based Dish Recommender System for Reducing Fruit Waste through Spoilage Detection and Ripeness Assessment
- SEA-TALK: An AI-Powered Voice Translator and Southeast Asian Dialects Recognition