Multi-modal Imputation for Alzheimer's Disease Classification

Deep learning has been successful in predicting neurodegenerative disorders, such as Alzheimer's disease, from magnetic resonance imaging (MRI). Combining multiple imaging modalities, such as T1-weighted (T1) and diffusion-weighted imaging (DWI) scans, can increase diagnostic performance. However, complete multimodal datasets are not always available. We use a conditional denoising diffusion probabilistic model to impute missing DWI scans from T1 scans. We perform extensive experiments to evaluate whether such imputation improves the accuracy of uni-modal and bi-modal deep learning models for 3-way Alzheimer's disease classification-cognitively normal, mild cognitive impairment, and Alzheimer's disease. We observe improvements in several metrics, particularly those sensitive to minority classes, for several imputation configurations.

ERMoE: Eigen-Reparameterized Mixture-of-Experts for Stable Routing and Interpretable Specialization

Mixture-of-Experts (MoE) architectures expand model capacity by sparsely activating experts but face two core challenges: misalignment between router logits and each expert's internal structure leads to unstable routing and expert underutilization, and load imbalances create straggler bottlenecks. Standard solutions, such as auxiliary load-balancing losses, can reduce load disparities but often weaken expert specialization and hurt downstream performance. To address these issues, we propose ERMoE, a sparse MoE transformer that reparameterizes each expert in a learned orthonormal eigenbasis and replaces learned gating logits with an "Eigenbasis Score", defined as the cosine similarity between input features and an expert's basis. This content-aware routing ties token assignments directly to experts' representation spaces, stabilizing utilization and promoting interpretable specialization without sacrificing sparsity. Crucially, ERMoE removes the need for explicit balancing losses and avoids the interfering gradients they introduce. We show that ERMoE achieves state-of-the-art accuracy on ImageNet classification and cross-modal image-text retrieval benchmarks (e.g., COCO, Flickr30K), while naturally producing flatter expert load distributions. Moreover, a 3D MRI variant (ERMoE-ba) improves brain age prediction accuracy by more than 7\% and yields anatomically interpretable expert specializations. ERMoE thus introduces a new architectural principle for sparse expert models that directly addresses routing instabilities and enables improved performance with scalable, interpretable specialization.

Diffusion Bridge Models for 3D Medical Image Translation

Diffusion tensor imaging (DTI) provides crucial insights into the microstructure of the human brain, but it can be time-consuming to acquire compared to more readily available T1-weighted (T1w) magnetic resonance imaging (MRI). To address this challenge, we propose a diffusion bridge model for 3D brain image translation between T1w MRI and DTI modalities. Our model learns to generate high-quality DTI fractional anisotropy (FA) images from T1w images and vice versa, enabling cross-modality data augmentation and reducing the need for extensive DTI acquisition. We evaluate our approach using perceptual similarity, pixel-level agreement, and distributional consistency metrics, demonstrating strong performance in capturing anatomical structures and preserving information on white matter integrity. The practical utility of the synthetic data is validated through sex classification and Alzheimer's disease classification tasks, where the generated images achieve comparable performance to real data. Our diffusion bridge model offers a promising solution for improving neuroimaging datasets and supporting clinical decision-making, with the potential to significantly impact neuroimaging research and clinical practice.

Transferring Models Trained on Natural Images to 3D MRI via Position Encoded Slice Models

Transfer learning has remarkably improved computer vision. These advances also promise improvements in neuroimaging, where training set sizes are often small. However, various difficulties arise in directly applying models pretrained on natural images to radiologic images, such as MRIs. In particular, a mismatch in the input space (2D images vs. 3D MRIs) restricts the direct transfer of models, often forcing us to consider only a few MRI slices as input. To this end, we leverage the 2D-Slice-CNN architecture of Gupta et al. (2021), which embeds all the MRI slices with 2D encoders (neural networks that take 2D image input) and combines them via permutation-invariant layers. With the insight that the pretrained model can serve as the 2D encoder, we initialize the 2D encoder with ImageNet pretrained weights that outperform those initialized and trained from scratch on two neuroimaging tasks -- brain age prediction on the UK Biobank dataset and Alzheimer's disease detection on the ADNI dataset. Further, we improve the modeling capabilities of 2D-Slice models by incorporating spatial information through position embeddings, which can improve the performance in some cases.