PROscope Concussion Assessment Technology
Dr. Bottiglieri, with his research team, is actively involved in the development of ProScope, a novel, research-driven diagnostic tool designed to bring objective measurement to concussion evaluation-an area that has historically relied heavily on subjective symptoms and clinical judgment.
PROscope is a non-invasive, software-based technology that analyzes subtle biometric signals related to brain and body function to help detect and quantify concussion-related changes.
A New Approach to Concussion Diagnosis
Traditional concussion assessments often depend on patient-reported symptoms and clinical interpretation, which can vary and may miss subtle findings.
PROscope is built on the discovery of a novel biomarker linked to proprioception and head/neck stability, which has been shown to change in patients with concussion.
Using advanced algorithms and machine learning, the system captures and analyzes these signals to generate a quantifiable measure of neurophysiologic function, helping distinguish normal from abnormal findings.
How the Test Works
- The test is non-invasive and performed in minutes
- Patients wear a headset and focus on a visual target
- The system measures subtle, involuntary head and neck movements
- Proprietary software analyzes these signals and produces an objective result
The entire process takes approximately 3 minutes and requires minimal setup.
Why PROscope Matters
PROscope represents a significant advancement in concussion care by providing:
- Objective data rather than relying solely on symptoms
- Improved diagnostic confidence for clinicians
- Early detection of subtle neurologic changes
- Ability to track recovery over time
- More informed return-to-play decisions
Because the biomarker reflects an unconscious neurologic pathway, it is not easily influenced or manipulated-making it a more reliable indicator than many traditional tests.
A Research-Driven Innovation
PROscope is currently an investigational technology being studied and refined through ongoing clinical research at Columbia and New York-Presbyterian.
Early data suggest strong potential for improving how concussions are diagnosed, managed, and monitored-not only in athletes, but also in broader patient populations.
How It Fits into Your Care
PROscope is part of a comprehensive concussion evaluation that may also include:
- Clinical examination
- Vestibular and neurologic testing
- Imaging (when indicated)
By integrating advanced tools like PROscope, we aim to provide more precise, data-driven care and support safer decision-making for recovery and return to activity.




