Longitudinal Progression Prediction of Alzheimer's Disease with Tabular Foundation Model

Alzheimer's disease is a progressive neurodegenerative disorder that remains challenging to predict due to its multifactorial etiology and the complexity of multimodal clinical data. Accurate forecasting of clinically relevant biomarkers, including diagnostic and quantitative measures, is essential for effective monitoring of disease progression. This work introduces L2C-TabPFN, a method that integrates a longitudinal-to-cross-sectional (L2C) transformation with a pre-trained Tabular Foundation Model (TabPFN) to predict Alzheimer's disease outcomes using the TADPOLE dataset. L2C-TabPFN converts sequential patient records into fixed-length feature vectors, enabling robust prediction of diagnosis, cognitive scores, and ventricular volume. Experimental results demonstrate that, while L2C-TabPFN achieves competitive performance on diagnostic and cognitive outcomes, it provides state-of-the-art results in ventricular volume prediction. This key imaging biomarker reflects neurodegeneration and progression in Alzheimer's disease. These findings highlight the potential of tabular foundational models for advancing longitudinal prediction of clinically relevant imaging markers in Alzheimer's disease.

A Guide for Manual Annotation of Scientific Imagery: How to Prepare for Large Projects

Despite the high demand for manually annotated image data, managing complex and costly annotation projects remains under-discussed. This is partly due to the fact that leading such projects requires dealing with a set of diverse and interconnected challenges which often fall outside the expertise of specific domain experts, leaving practical guidelines scarce. These challenges range widely from data collection to resource allocation and recruitment, from mitigation of biases to effective training of the annotators. This paper provides a domain-agnostic preparation guide for annotation projects, with a focus on scientific imagery. Drawing from the authors' extensive experience in managing a large manual annotation project, it addresses fundamental concepts including success measures, annotation subjects, project goals, data availability, and essential team roles. Additionally, it discusses various human biases and recommends tools and technologies to improve annotation quality and efficiency. The goal is to encourage further research and frameworks for creating a comprehensive knowledge base to reduce the costs of manual annotation projects across various fields.

Multiscale Neuroimaging Features for the Identification of Medication Class and Non-Responders in Mood Disorder Treatment

In the clinical treatment of mood disorders, the complex behavioral symptoms presented by patients and variability of patient response to particular medication classes can create difficulties in providing fast and reliable treatment when standard diagnostic and prescription methods are used. Increasingly, the incorporation of physiological information such as neuroimaging scans and derivatives into the clinical process promises to alleviate some of the uncertainty surrounding this process. Particularly, if neural features can help to identify patients who may not respond to standard courses of anti-depressants or mood stabilizers, clinicians may elect to avoid lengthy and side-effect-laden treatments and seek out a different, more effective course that might otherwise not have been under consideration. Previously, approaches for the derivation of relevant neuroimaging features work at only one scale in the data, potentially limiting the depth of information available for clinical decision support. In this work, we show that the utilization of multi spatial scale neuroimaging features - particularly resting state functional networks and functional network connectivity measures - provide a rich and robust basis for the identification of relevant medication class and non-responders in the treatment of mood disorders. We demonstrate that the generated features, along with a novel approach for fast and automated feature selection, can support high accuracy rates in the identification of medication class and non-responders as well as the identification of novel, multi-scale biomarkers.