A Monosemantic Attribution Framework for Stable Interpretability in Clinical Neuroscience Large Language Models

Interpretability remains a key challenge for deploying large language models (LLMs) in clinical settings such as Alzheimer's disease progression diagnosis, where early and trustworthy predictions are essential. Existing attribution methods exhibit high inter-method variability and unstable explanations due to the polysemantic nature of LLM representations, while mechanistic interpretability approaches lack direct alignment with model inputs and outputs and do not provide explicit importance scores. We introduce a unified interpretability framework that integrates attributional and mechanistic perspectives through monosemantic feature extraction. By constructing a monosemantic embedding space at the level of an LLM layer and optimizing the framework to explicitly reduce inter-method variability, our approach produces stable input-level importance scores and highlights salient features via a decompressed representation of the layer of interest, advancing the safe and trustworthy application of LLMs in cognitive health and neurodegenerative disease.

Unified Generative Latent Representation for Functional Brain Graphs

Functional brain graphs are often characterized with separate graph-theoretic or spectral descriptors, overlooking how these properties covary and partially overlap across brains and conditions. We anticipate that dense, weighted functional connectivity graphs occupy a low-dimensional latent geometry along which both topological and spectral structures display graded variations. Here, we estimated this unified graph representation and enabled generation of dense functional brain graphs through a graph transformer autoencoder with latent diffusion, with spectral geometry providing an inductive bias to guide learning. This geometry-aware latent representation, although unsupervised, meaningfully separated working-memory states and decoded visual stimuli, with performance further enhanced by incorporating neural dynamics. From the diffusion modeled distribution, we were able to sample biologically plausible and structurally grounded synthetic dense graphs.