Enhancing Brain Age Estimation with a Multimodal 3D CNN Approach Combining Structural MRI and AI-Synthesized Cerebral Blood Volume Data

The growing global aging population necessitates enhanced methods for assessing brain aging and related neurodegenerative changes. Brain Age Gap Estimation (BrainAGE) offers a neuroimaging biomarker for understanding these changes by predicting brain age from MRI scans. Current approaches primarily use T1-weighted magnetic resonance imaging (T1w MRI) data, capturing only structural brain information. To address the lack of functional data, we integrated AI-generated Cerebral Blood Volume (AICBV) with T1w MRI, combining both structural and functional metrics. We developed a deep learning model using a VGG-based architecture to predict brain age. Our model achieved a mean absolute error (MAE) of 3.95 years and a correlation of \(R^2 = 0.94\) on the test set (\(n = 288\)), outperforming existing models trained on similar data. We have further created gradient-based class activation maps (Grad-CAM) to visualize the regions of the brain that most influenced the model's predictions, providing interpretable insights into the structural and functional contributors to brain aging.