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Student-led study aims to improve diagnosis of early-onset dementia, a frequently misdiagnosed condition

Findings may reduce years of uncertainty for patients often misdiagnosed with psychiatric conditions.

14 July 2026

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Research led by a University of Sydney medical student could enable earlier and more accurate diagnosis of behavioural variant frontotemporal dementia – one of the most commonly misdiagnosed forms of early-onset dementia, which can begin as early as a person’s late 40s and is often mistaken for a psychiatric condition.

Published in Alzheimer’s & Dementia: Diagnosis, Assessment, & Disease Monitoring, the study was led by Doctor of Medicine graduate Dr Chloe Beydoun, now a clinical intern at Bankstown-Lidcombe Hospital, while undertaking her degree at Sydney Medical School.

The study examined how visual rating scales – structured guides that help clinicians assess specific brain regions for signs of atrophy on MRI scans – can be used in routine clinical practice. While these scales have existed in dementia research for years, they are not widely used in everyday diagnostic settings.

“Earlier diagnosis can make an enormous difference for patients and families living with behavioural variant frontotemporal dementia,” said Dr Beydoun.

The research found that applying the scales in clinical assessments could help clinicians more reliably identify patterns of brain atrophy linked to the disease, improving diagnostic confidence, supporting earlier diagnosis, providing earlier clarity for patients and better predicting how the disease will progress.

“Using structured visual rating scales could help clinicians identify the condition more consistently in routine care, particularly for younger patients whose symptoms are often mistaken for psychiatric illness,” said Dr Beydoun.

Finding a research question during medical school

In her second year of medical school, Ms Beydoun approached Associate Professor Ramon Landin-Romero, a clinical neuropsychologist at the Frontier Frontotemporal Dementia Clinic, part of the Brain and Mind Centre, after opting into the extended medical research stream, which allows students to begin research alongside their studies. 

“I was drawn to neurology early in my degree,” Ms Beydoun said. “On placement, I’d seen people living with cognitive impairment and found it confronting how much uncertainty can exist when diagnosis is unclear.

“I noticed the way neurologists diagnose behavioural variant frontotemporal dementia was fairly unexplored, and I could see a clear gap between research and clinical practice. I wanted to bring a clinical perspective to Ramon’s work, which was more lab and research focused.”

At that stage, the project sat alongside her clinical training, with most work completed outside regular study hours. 

“Medical school is demanding, you’re on placement or in lectures until about 5pm every day,” she said. “I met with Ramon during lunch breaks and spent weekends building my understanding of the project.”

Using structured visual rating scales could help clinicians identify the condition more consistently in routine care, particularly for younger patients whose symptoms are often mistaken for psychiatric illness.

Dr Chloe Beydoun

Doctor of Medicine graduate

From student project to published research

The study began as a student placement research project, where Dr Beydoun was trained to assess routine MRI scans using these visual rating scales for brain atrophy.

With the support of Associate Professor Landin-Romero it soon became clear the project had the potential to improve how the condition is diagnosed. 

When the project formally became part of her third-year integrated research term, Ms Beydoun became embedded within the Frontier Clinic team. 

“My nine-to-five became research,” she said. “I had a desk at the Brain and Mind Centre and worked alongside clinician-researchers every day.” 

Working alongside Dr Jessica Hazelton, Research Fellow at the Brain and Mind Centre, Dr Beydoun went on to lead the study’s analysis, draft the manuscript and navigate multiple rounds of peer review, earning first authorship while completing medical school.

Why early-onset dementia is often misdiagnosed

Behavioural variant frontotemporal dementia is a neurodegenerative disease that typically affects people in midlife and presents through changes in behaviour and personality rather than memory loss.

Because these symptoms can resemble depression, anxiety or other mental health conditions, studies suggest 50 to 70 percent of people with the condition may initially be misdiagnosed with a psychiatric disorder, often delaying diagnosis by four to five years.

“People with behavioural variant frontotemporal dementia can become apathetic, disinhibited, and show emotional changes that can look similar to psychiatric illness,” said Associate Professor Landin-Romero.

“Many are told they’re too young for a neurodegenerative disease and spend years moving between GPs, neurologists and psychiatrists. Improving diagnostic accuracy is essential to ending that long and stressful journey.”

He said the next step is encouraging broader clinical use of these tools through training and greater awareness.

“These visual rating scales are already available, what’s missing is consistent use in clinical practice. With the right training, they could be incorporated into routine assessment to support more reliable and comparable diagnoses.”

Student research with real-world clinical impact

“Chloe approached this research project with curiosity and determination, resulting in a published paper with clear clinical relevance. It shows what’s possible when students are given meaningful research opportunities and strong mentorship,” said co-author Dr Hazelton.

Now working as a clinical intern, Dr Beydoun said the experience continues to shape how she cares for patients.

“I understood the burden of dementia, but this project deepened my appreciation of how difficult diagnosis is,” she said.

“Diagnosis can bring families clarity, helping people access support earlier and plan for changes to work, driving ability and income. Being part of research that can improve that, especially as a student, was incredibly meaningful.”

 

Hero image: Stef Zingsheim, University of Sydney

An example of visual rating scales used to assess specific brain regions for signs of atrophy on MRI scans

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Link

Research

Beydoun C, Quang H, Matis S, Hazelton JL, Carrick J, Fumagalli GG, Piguet O, Landin-Romero R., Quantitative assessment of brain atrophy in bvFTD: Implications for diagnostic conversion, Alzheimer’s & Dementia (2026)

DOI: 10.1002/dad2.70307

Declaration

The authors declare no conflicts of interest.

The research was funded by ForeFront, a collaborative research group dedicated to the study of frontotemporal dementia and motor neuron disease, the National Health and Medical Research Council of Australia (NHMRC) [GNT1037746] and the Australian Research Council (ARC) Centre of Excellence in Cognition and its Disorders Memory Node (#CE110001021). OP is supported by an NHMRC Leadership Fellowship [GNT2008020]. RLR is supported by an NHMRC Emerging Leadership Fellowship [GNT1010064].

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