First Glance Diagnosis: Brain Disease Classification with Single fMRI Volume

In neuroimaging analysis, functional magnetic resonance imaging (fMRI) can well assess brain function changes for brain diseases with no obvious structural lesions. So far, most deep-learning-based fMRI studies take functional connectivity as the basic feature in disease classification. However, functional connectivity is often calculated based on time series of predefined regions of interest and neglects detailed information contained in each voxel, which may accordingly deteriorate the performance of diagnostic models. Another methodological drawback is the limited sample size for the training of deep models. In this study, we propose BrainFormer, a general hybrid Transformer architecture for brain disease classification with single fMRI volume to fully exploit the voxel-wise details with sufficient data dimensions and sizes. BrainFormer is constructed by modeling the local cues within each voxel with 3D convolutions and capturing the global relations among distant regions with two global attention blocks. The local and global cues are aggregated in BrainFormer by a single-stream model. To handle multisite data, we propose a normalization layer to normalize the data into identical distribution. Finally, a Gradient-based Localization-map Visualization method is utilized for locating the possible disease-related biomarker. We evaluate BrainFormer on five independently acquired datasets including ABIDE, ADNI, MPILMBB, ADHD-200 and ECHO, with diseases of autism, Alzheimer's disease, depression, attention deficit hyperactivity disorder, and headache disorders. The results demonstrate the effectiveness and generalizability of BrainFormer for multiple brain diseases diagnosis. BrainFormer may promote neuroimaging-based precision diagnosis in clinical practice and motivate future study in fMRI analysis. Code is available at: https://github.com/ZiyaoZhangforPCL/BrainFormer.