AFBT GAN: enhanced explainability and diagnostic performance for cognitive decline by counterfactual generative adversarial network

Existing explanation results of functional connectivity (FC) are normally generated by using classification result labels and correlation analysis methods such as Pearson's correlation or gradient backward. However, the diagnostic model is still trained on the black box model and might lack the attention of FCs in important regions during the training. To enhance the explainability and improve diagnostic performance, providing prior knowledge on neurodegeneration-related regions when healthy subjects (HC) develop into subject cognitive decline (SCD) and mild cognitive impairment (MCI) for the diagnostic model is a key step. To better determine the neurodegeneration-related regions, we employ counterfactual reasoning to generate the target label FC matrices derived from source label FC and then subtract source label FC with target label FC. The counterfactual reasoning architecture is constructed by adaptive forward and backward transformer generative adversarial network (AFBT GAN), which is specifically designed by network property in FC and inverse patch embedding operation in the transformer. The specific design can make the model focus more on the current network correlation and employ the global insight of the transformer to reconstruct FC, which both help the generation of high-quality target label FC. The validation experiments are conducted on both clinical and public datasets, the generated attention map are both vital correlated to cognitive function and the diagnostic performance is also significant. The code is available at https://github.com/SXR3015/AFBT-GAN.

HA-HI: Synergising fMRI and DTI through Hierarchical Alignments and Hierarchical Interactions for Mild Cognitive Impairment Diagnosis

Early diagnosis of mild cognitive impairment (MCI) and subjective cognitive decline (SCD) utilizing multi-modal magnetic resonance imaging (MRI) is a pivotal area of research. While various regional and connectivity features from functional MRI (fMRI) and diffusion tensor imaging (DTI) have been employed to develop diagnosis models, most studies integrate these features without adequately addressing their alignment and interactions. This limits the potential to fully exploit the synergistic contributions of combined features and modalities. To solve this gap, our study introduces a novel Hierarchical Alignments and Hierarchical Interactions (HA-HI) method for MCI and SCD classification, leveraging the combined strengths of fMRI and DTI. HA-HI efficiently learns significant MCI- or SCD- related regional and connectivity features by aligning various feature types and hierarchically maximizing their interactions. Furthermore, to enhance the interpretability of our approach, we have developed the Synergistic Activation Map (SAM) technique, revealing the critical brain regions and connections that are indicative of MCI/SCD. Comprehensive evaluations on the ADNI dataset and our self-collected data demonstrate that HA-HI outperforms other existing methods in diagnosing MCI and SCD, making it a potentially vital and interpretable tool for early detection. The implementation of this method is publicly accessible at https://github.com/ICI-BCI/Dual-MRI-HA-HI.git.