Unmasking Dementia Detection by Masking Input Gradients: A JSM Approach to Model Interpretability and Precision

The evolution of deep learning and artificial intelligence has significantly reshaped technological landscapes. However, their effective application in crucial sectors such as medicine demands more than just superior performance, but trustworthiness as well. While interpretability plays a pivotal role, existing explainable AI (XAI) approaches often do not reveal {\em Clever Hans} behavior where a model makes (ungeneralizable) correct predictions using spurious correlations or biases in data. Likewise, current post-hoc XAI methods are susceptible to generating unjustified counterfactual examples. In this paper, we approach XAI with an innovative {\em model debugging} methodology realized through Jacobian Saliency Map (JSM). To cast the problem into a concrete context, we employ Alzheimer's disease (AD) diagnosis as the use case, motivated by its significant impact on human lives and the formidable challenge in its early detection, stemming from the intricate nature of its progression. We introduce an interpretable, multimodal model for AD classification over its multi-stage progression, incorporating JSM as a modality-agnostic tool that provides insights into volumetric changes indicative of brain abnormalities. Our extensive evaluation including ablation study manifests the efficacy of using JSM for model debugging and interpretation, while significantly enhancing model accuracy as well.

Diagnosing Alzheimer's Disease using Early-Late Multimodal Data Fusion with Jacobian Maps

Alzheimer's disease (AD) is a prevalent and debilitating neurodegenerative disorder impacting a large aging population. Detecting AD in all its presymptomatic and symptomatic stages is crucial for early intervention and treatment. An active research direction is to explore machine learning methods that harness multimodal data fusion to outperform human inspection of medical scans. However, existing multimodal fusion models have limitations, including redundant computation, complex architecture, and simplistic handling of missing data. Moreover, the preprocessing pipelines of medical scans remain inadequately detailed and are seldom optimized for individual subjects. In this paper, we propose an efficient early-late fusion (ELF) approach, which leverages a convolutional neural network for automated feature extraction and random forests for their competitive performance on small datasets. Additionally, we introduce a robust preprocessing pipeline that adapts to the unique characteristics of individual subjects and makes use of whole brain images rather than slices or patches. Moreover, to tackle the challenge of detecting subtle changes in brain volume, we transform images into the Jacobian domain (JD) to enhance both accuracy and robustness in our classification. Using MRI and CT images from the OASIS-3 dataset, our experiments demonstrate the effectiveness of the ELF approach in classifying AD into four stages with an accuracy of 97.19%.

A Brain-Computer Interface Augmented Reality Framework with Auto-Adaptive SSVEP Recognition

Brain-Computer Interface (BCI) initially gained attention for developing applications that aid physically impaired individuals. Recently, the idea of integrating BCI with Augmented Reality (AR) emerged, which uses BCI not only to enhance the quality of life for individuals with disabilities but also to develop mainstream applications for healthy users. One commonly used BCI signal pattern is the Steady-state Visually-evoked Potential (SSVEP), which captures the brain's response to flickering visual stimuli. SSVEP-based BCI-AR applications enable users to express their needs/wants by simply looking at corresponding command options. However, individuals are different in brain signals and thus require per-subject SSVEP recognition. Moreover, muscle movements and eye blinks interfere with brain signals, and thus subjects are required to remain still during BCI experiments, which limits AR engagement. In this paper, we (1) propose a simple adaptive ensemble classification system that handles the inter-subject variability, (2) present a simple BCI-AR framework that supports the development of a wide range of SSVEP-based BCI-AR applications, and (3) evaluate the performance of our ensemble algorithm in an SSVEP-based BCI-AR application with head rotations which has demonstrated robustness to the movement interference. Our testing on multiple subjects achieved a mean accuracy of 80\% on a PC and 77\% using the HoloLens AR headset, both of which surpass previous studies that incorporate individual classifiers and head movements. In addition, our visual stimulation time is 5 seconds which is relatively short. The statistically significant results show that our ensemble classification approach outperforms individual classifiers in SSVEP-based BCIs.