Daniele Piccolo, MD, BEng, PhD

Neurosurgeon · Clinician-Scientist · ex-founder & PE healthcare advisor

Consultant Neurosurgeon — Neurosurgery Department, Azienda Sanitaria Universitaria Friuli Centrale (Udine, Italy)

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Source: OpenAlex · live

Consultant Neurosurgeon at the Department of Neurosurgery, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Udine, Italy. Clinical practice focuses on hydrocephalus (notably idiopathic Normal Pressure Hydrocephalus (iNPH) and LOVA), vascular neurosurgery and neuro-oncology, in both adult and paediatric patients. More than 1,000 neurosurgical procedures attended to date.

Research activity is developed jointly with the University of Pavia (PhD in Experimental Medicine, track: Experimental Surgery and Microsurgery) and the University of Udine, and applies quantitative neuroimaging, machine learning, radiomics and — in a translational research setting — quantum-inspired algorithms to improve preoperative stratification and surgical candidate selection. The publication record is available on ORCID, OpenAlex and PubMed.

Training combines an engineering background (BEng in Civil Engineering, University of Udine, 2011), Medicine and Surgery (MD, 110/110 cum laude, University of Udine, 2017) and Residency in Neurosurgery (110/110 cum laude, University of Padua, 2023). This clinical-academic profile is complemented by prior entrepreneurial experience as founder of a medtech start-up developing mixed-reality surgical guidance systems, and by previous advisory work in the healthcare sector with institutional investors.

Education

2022 – 2026PhD in Experimental Medicine, track Experimental Surgery and Microsurgery — University of Pavia. Dissertation: Evolving Applications of Artificial Intelligence in Emergency Surgery and Neurosurgery. 2018 – 2023Residency in Neurosurgery — University of Padua (110/110 cum laude). Thesis: Deep-Learning Cortical Thickness Analysis as Predictor for Shunt Surgery Effectiveness in Possible Idiopathic Normal Pressure Hydrocephalus Patients. 2011 – 2017MD — Medicine and Surgery, University of Udine (110/110 cum laude). Thesis: Incidental low-grade gliomas: clinical and molecular features, and surgical considerations. 2006 – 2011BEng — Civil Engineering, University of Udine.

Current role & prior experience

2024 –Consultant Neurosurgeon, Department of Neurosurgery — Azienda Sanitaria Universitaria Friuli Centrale, Udine (permanent appointment). 2017 – 2022Founder & CEO, Nucleode SRL (Gorizia, Italy) — medtech start-up: mixed-reality surgical guidance systems (HoloLens), cloud EHR-HIS software, clinical research platforms. 2022 – 2023Clinical Advisor — Advent International (private equity, healthcare). 2020Visiting Researcher — Institute of Image-Guided Surgery (IHU), Strasbourg (Prof. Mariano Gimenez Lab). 2015Research Fellow — Center for Vaccine Research, University of Pittsburgh (Prof. Ivona Pandrea Lab). 2013Research Fellow — Department of Physiology, Northwestern University, Chicago (Prof. Marco Martina Lab, cerebellar neurosciences).

Research lines

Active research areas, integrated with clinical neurosurgical practice.

  • Idiopathic Normal Pressure Hydrocephalus (iNPH) and LOVA — quantitative neuroimaging, CSF dynamics, deep-learning cortical thickness, resting-state connectivity, CSF biomarkers.
  • Neuro-oncologyglioblastoma (radiomics integrated with transcriptomic data), meningiomas (tumor microenvironment), posterior fossa paediatric tumors.
  • Vascular neurosurgery — complex aneurysms, arteriovenous malformations and cavernomas, endovascular embolization, management of post flow-diverter recurrences.
  • Functional neuromodulationvagus nerve stimulation (VNS) for drug-resistant epilepsy, candidate selection, predictive models.
  • Artificial intelligence, radiomics, multi-omics — applications of machine learning, deep learning and quantum algorithms to tumor classification, surgical selection and outcome prediction.
  • Augmented and mixed reality in neurosurgery — preoperative planning and intraoperative guidance. Research line rooted in prior entrepreneurial experience (Nucleode SRL, 2017-2022).

Selected recent publications

  • Piccolo D, Bagatto D, D'Agostini S, et al. Cortical thickness analysis combined with CSF dynamics improves diagnostic stratification in idiopathic normal pressure hydrocephalus. Neurosurgical Review, 2026.
  • Piccolo D, Vindigni M. Radiomic Features of MRI Subcompartments Associate with Angiogenic and Inflammatory Transcriptomic Programs in Glioblastoma. Cancers, 2026; 18(8):1293. DOI
  • Piccolo D, Cannizzo KM, Vindigni M, Sponza M, Gavrilovic V. Endovascular coil embolization through a previously implanted Contour intrasaccular device. J NeuroInterv Surg, 2025. DOI
  • Belgrado E, Tuniz F, Piccolo D, et al. AQP4 levels in CSF correlate with clinical severity in iNPH patients. Journal of the Neurological Sciences, 2026.
  • Piccolo D, Fabbro S, Tuniz F, et al. Clipping, Aneurysmotomy, and Thrombectomy of an Enlarged Thrombosed Giant PCA Aneurysm After Flow Diverter Treatment. Operative Neurosurgery, 2024. DOI
  • Cobianchi L, Piccolo D, Dal Mas F, et al. Surgeons' perspectives on artificial intelligence to support clinical decision-making in trauma. World Journal of Emergency Surgery, 2023; 18(1). DOI
  • Cobianchi L, Verde JM, Loftus TJ, et al. Artificial Intelligence and Surgery: Ethical Dilemmas and Open Issues. Journal of the American College of Surgeons, 2022; 235(2):268-275. DOI

Full updated list: ORCID · OpenAlex · PubMed.

Selected talks & congresses

2025 · DubaiWFNS 2025 — 19th World Congress of Neurosurgery. Endovascular coil embolization through a previously implanted Contour intrasaccular device. 2025 · LyonISPN 2025 — 51st Annual Meeting of the International Society for Pediatric Neurosurgery. Prediction of cerebellar mutism syndrome in posterior fossa tumors. 2025 · ToulouseHydrocephalus 2025 — Distinct White Matter Connectivity Profiles in iNPH Revealed by Quantitative Anisotropy Connectometry. 2024 · NagoyaHydrocephalus 2024 — The Super Learner Algorithm: Enhancing iNPH Diagnosis with AI-Enhanced Cortical Analysis. 2024 · RomeFunzionalMENTE — SINch Functional Neurosurgery Section Congress. VNS efficacy in drug-resistant epilepsy: analysis with quantum algorithms and AI. 2024 · VeniceCa' Foscari Challenge School — From the Bit to the Atom (invited cross-disciplinary lecture). 2023 · PaduaSINch 2023 (Italian Society of Neurosurgery) — Resting-State Functional MRI in iNPH; Immediate Preoperative Embolization in Skull Base Meningioma Resection; VNS in drug-resistant epilepsy. 2023 · HamburgHydrocephalus 2023 — Cognitive Improvement after Endoscopic Third Ventriculostomy in Long-standing Overt Ventriculomegaly. 2022 · San FranciscoCNS Annual Meeting (Congress of Neurological Surgeons) — Deep-Learning cortical thickness analysis as predictor for shunt surgery effectiveness in iNPH. 2022 · GothenburgHydrocephalus 2022 — IVIM MRI in probable iNPH; Deep-Learning cortical thickness analysis in iNPH. 2021DGKN — 65th Congress, German Society for Clinical Neurophysiology and Functional Imaging. Implementation of augmented reality into neurosurgical planning and execution.

Technical skills

Quantitative neuroimaging: processing of MRI, DTI and connectomics data for surgical planning and research — FSL, 3D Slicer, MRtrix3, FreeSurfer, FastSurfer, CAT12, DSI Studio, TrackVis, MRIcroGL, Horos, Surfice.

Data Science & Quantum Computing: multivariate statistical analysis, machine learning and quantum algorithms applied to clinical problems — R, Python, MATLAB.

Mixed Reality: development and coordination of mixed-reality surgical guidance systems (HoloLens) and digital-health projects.

Cloud architecture: design and supervision of cloud-native EHR-HIS systems.

Industry & advisory engagements

Open to selective clinical strategy advisory work with medtech, neurotech, healthcare VC & PE.

See advisory profile