Helping to detect and monitor Motor Neuron Disease from scans of the tongue

What's the problem?

Motor Neuron Disease (MND) is a progressive neurodegenerative disease that weakens muscles used for movement, speech and swallowing.

Diagnosis can take around 12 months after symptoms first appear, delaying access to treatment, support, voice banking and clinical trials.

Clinicians currently have limited ways to objectively measure changes in tongue muscles, despite tongue weakness being associated with poorer outcomes and reduced survival for many people living with MND.

Dr Thomas Shaw using software in front of an MRI machine.
Dr Thomas Shaw is using AI to detect and monitor MND through MRI tongue scans. Photo credit: FightMND

What's UQ's innovation?

UQ researchers led by Dr Thomas Shaw have developed an AI-assisted tongue labelling approach that uses standard MRI scans to measure tongue muscle shape and volume in both people living with MND and healthy control participants.

Because routine brain scans will often incidentally capture the tongue, the method can take almost all existing clinical scans and measure the tongue muscles with high accuracy, in 3D, without having to complete invasive or specialised procedures.

The team examined more than 200 MRI scans, including those from people living with MND. By leveraging a combination of the latest medical imaging AI-based models and ‘traditional’ advanced image analysis techniques, Dr Shaw and colleagues were able to identify and quantify differences in tongue muscles between people with and without the disease, and over the spectrum of the disease.

The approach provides an objective way to detect and track tongue muscle changes linked to disease progression, while speeding access to care pathways and eventually assisting in clinical trial stratification and endpoints.

What’s the impact?

For people living with MND, earlier detection of tongue muscle deterioration could lead to faster diagnosis, which enables earlier access to clinical trials, support services and voice banking.

We know that tongue degeneration is especially important for both quality of life and the speed with which the disease progresses. Therefore, tools that enable clinicians to monitor disease progression and plan care are a top priority.

The AI methods developed at UQ are now being tested in over 5000 individuals worldwide, by collaborators of Dr Shaw and his team across Australia, China, South Korea, India, The Netherlands and Germany.

Led by

AI Research StrengthHuman-Centered AI 
Industry Portfolio Health & Biomedical 
Key Partners

Royal Brisbane and Women’s Hospital

Griffith University

Queensland Health

Neuroscience Research Australia

Google DeepMind

The University of Sydney

Key Publications

Shaw, T.B. et al. (2025). Segmentation of the human tongue musculature using MRI: Field guide and validation in motor neuron disease. Computers in Biology and Medicine, 196, 110824. DOI: 10.1016/j.compbiomed.2025.110824

Ribeiro, F.L. et al. (2025). An annotated multi-site and multi-contrast magnetic resonance imaging dataset for the study of the human tongue musculature. Scientific Data, 12, 790. DOI: 10.1038/s41597-025-05092-8

Published 15 September 2026

99 more AI innovations at UQ