Not Only Grey Matter: OmniBrain for Robust Multimodal Classification of Alzheimer's Disease

Alzheimer's disease affects over 55 million people worldwide and is projected to more than double by 2050, necessitating rapid, accurate, and scalable diagnostics. However, existing approaches are limited because they cannot achieve clinically acceptable accuracy, generalization across datasets, robustness to missing modalities, and explainability all at the same time. This inability to satisfy all these requirements simultaneously undermines their reliability in clinical settings. We propose OmniBrain, a multimodal framework that integrates brain MRI, radiomics, gene expression, and clinical data using a unified model with cross-attention and modality dropout. OmniBrain achieves $92.2 \pm 2.4\%$accuracy on the ANMerge dataset and generalizes to the MRI-only ADNI dataset with $70.4 \pm 2.7\%$ accuracy, outperforming unimodal and prior multimodal approaches. Explainability analyses highlight neuropathologically relevant brain regions and genes, enhancing clinical trust. OmniBrain offers a robust, interpretable, and practical solution for real-world Alzheimer's diagnosis.

Parameter-Efficient Fine-Tuning of 3D DDPM for MRI Image Generation Using Tensor Networks

We address the challenge of parameter-efficient fine-tuning (PEFT) for three-dimensional (3D) U-Net-based denoising diffusion probabilistic models (DDPMs) in magnetic resonance imaging (MRI) image generation. Despite its practical significance, research on parameter-efficient representations of 3D convolution operations remains limited. To bridge this gap, we propose Tensor Volumetric Operator (TenVOO), a novel PEFT method specifically designed for fine-tuning DDPMs with 3D convolutional backbones. Leveraging tensor network modeling, TenVOO represents 3D convolution kernels with lower-dimensional tensors, effectively capturing complex spatial dependencies during fine-tuning with few parameters. We evaluate TenVOO on three downstream brain MRI datasets-ADNI, PPMI, and BraTS2021-by fine-tuning a DDPM pretrained on 59,830 T1-weighted brain MRI scans from the UK Biobank. Our results demonstrate that TenVOO achieves state-of-the-art performance in multi-scale structural similarity index measure (MS-SSIM), outperforming existing approaches in capturing spatial dependencies while requiring only 0.3% of the trainable parameters of the original model. Our code is available at: https://github.com/xiaovhua/tenvoo

Enhancing Quantum Federated Learning with Fisher Information-Based Optimization

Federated Learning (FL) has become increasingly popular across different sectors, offering a way for clients to work together to train a global model without sharing sensitive data. It involves multiple rounds of communication between the global model and participating clients, which introduces several challenges like high communication costs, heterogeneous client data, prolonged processing times, and increased vulnerability to privacy threats. In recent years, the convergence of federated learning and parameterized quantum circuits has sparked significant research interest, with promising implications for fields such as healthcare and finance. By enabling decentralized training of quantum models, it allows clients or institutions to collaboratively enhance model performance and outcomes while preserving data privacy. Recognizing that Fisher information can quantify the amount of information that a quantum state carries under parameter changes, thereby providing insight into its geometric and statistical properties. We intend to leverage this property to address the aforementioned challenges. In this work, we propose a Quantum Federated Learning (QFL) algorithm that makes use of the Fisher information computed on local client models, with data distributed across heterogeneous partitions. This approach identifies the critical parameters that significantly influence the quantum model's performance, ensuring they are preserved during the aggregation process. Our research assessed the effectiveness and feasibility of QFL by comparing its performance against other variants, and exploring the benefits of incorporating Fisher information in QFL settings. Experimental results on ADNI and MNIST datasets demonstrate the effectiveness of our approach in achieving better performance and robustness against the quantum federated averaging method.

Mono-Modalizing Extremely Heterogeneous Multi-Modal Medical Image Registration

In clinical practice, imaging modalities with functional characteristics, such as positron emission tomography (PET) and fractional anisotropy (FA), are often aligned with a structural reference (e.g., MRI, CT) for accurate interpretation or group analysis, necessitating multi-modal deformable image registration (DIR). However, due to the extreme heterogeneity of these modalities compared to standard structural scans, conventional unsupervised DIR methods struggle to learn reliable spatial mappings and often distort images. We find that the similarity metrics guiding these models fail to capture alignment between highly disparate modalities. To address this, we propose M2M-Reg (Multi-to-Mono Registration), a novel framework that trains multi-modal DIR models using only mono-modal similarity while preserving the established architectural paradigm for seamless integration into existing models. We also introduce GradCyCon, a regularizer that leverages M2M-Reg's cyclic training scheme to promote diffeomorphism. Furthermore, our framework naturally extends to a semi-supervised setting, integrating pre-aligned and unaligned pairs only, without requiring ground-truth transformations or segmentation masks. Experiments on the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset demonstrate that M2M-Reg achieves up to 2x higher DSC than prior methods for PET-MRI and FA-MRI registration, highlighting its effectiveness in handling highly heterogeneous multi-modal DIR. Our code is available at https://github.com/MICV-yonsei/M2M-Reg.

Diffusion with a Linguistic Compass: Steering the Generation of Clinically Plausible Future sMRI Representations for Early MCI Conversion Prediction

Early prediction of Mild Cognitive Impairment (MCI) conversion is hampered by a trade-off between immediacy--making fast predictions from a single baseline sMRI--and accuracy--leveraging longitudinal scans to capture disease progression. We propose MCI-Diff, a diffusion-based framework that synthesizes clinically plausible future sMRI representations directly from baseline data, achieving both real-time risk assessment and high predictive performance. First, a multi-task sequence reconstruction strategy trains a shared denoising network on interpolation and extrapolation tasks to handle irregular follow-up sampling and learn robust latent trajectories. Second, an LLM-driven "linguistic compass" is introduced for clinical plausibility sampling: generated feature candidates are quantized, tokenized, and scored by a fine-tuned language model conditioned on expected structural biomarkers, guiding autoregressive generation toward realistic disease patterns. Experiments on ADNI and AIBL cohorts show that MCI-Diff outperforms state-of-the-art baselines, improving early conversion accuracy by 5-12%.

Multi-task Learning for Heterogeneous Multi-source Block-Wise Missing Data

Multi-task learning (MTL) has emerged as an imperative machine learning tool to solve multiple learning tasks simultaneously and has been successfully applied to healthcare, marketing, and biomedical fields. However, in order to borrow information across different tasks effectively, it is essential to utilize both homogeneous and heterogeneous information. Among the extensive literature on MTL, various forms of heterogeneity are presented in MTL problems, such as block-wise, distribution, and posterior heterogeneity. Existing methods, however, struggle to tackle these forms of heterogeneity simultaneously in a unified framework. In this paper, we propose a two-step learning strategy for MTL which addresses the aforementioned heterogeneity. First, we impute the missing blocks using shared representations extracted from homogeneous source across different tasks. Next, we disentangle the mappings between input features and responses into a shared component and a task-specific component, respectively, thereby enabling information borrowing through the shared component. Our numerical experiments and real-data analysis from the ADNI database demonstrate the superior MTL performance of the proposed method compared to other competing methods.

Distance Transform Guided Mixup for Alzheimer's Detection

Alzheimer's detection efforts aim to develop accurate models for early disease diagnosis. Significant advances have been achieved with convolutional neural networks and vision transformer based approaches. However, medical datasets suffer heavily from class imbalance, variations in imaging protocols, and limited dataset diversity, which hinder model generalization. To overcome these challenges, this study focuses on single-domain generalization by extending the well-known mixup method. The key idea is to compute the distance transform of MRI scans, separate them spatially into multiple layers and then combine layers stemming from distinct samples to produce augmented images. The proposed approach generates diverse data while preserving the brain's structure. Experimental results show generalization performance improvement across both ADNI and AIBL datasets.

XDementNET: An Explainable Attention Based Deep Convolutional Network to Detect Alzheimer Progression from MRI data

A common neurodegenerative disease, Alzheimer's disease requires a precise diagnosis and efficient treatment, particularly in light of escalating healthcare expenses and the expanding use of artificial intelligence in medical diagnostics. Many recent studies shows that the combination of brain Magnetic Resonance Imaging (MRI) and deep neural networks have achieved promising results for diagnosing AD. Using deep convolutional neural networks, this paper introduces a novel deep learning architecture that incorporates multiresidual blocks, specialized spatial attention blocks, grouped query attention, and multi-head attention. The study assessed the model's performance on four publicly accessible datasets and concentrated on identifying binary and multiclass issues across various categories. This paper also takes into account of the explainability of AD's progression and compared with state-of-the-art methods namely Gradient Class Activation Mapping (GradCAM), Score-CAM, Faster Score-CAM, and XGRADCAM. Our methodology consistently outperforms current approaches, achieving 99.66\% accuracy in 4-class classification, 99.63\% in 3-class classification, and 100\% in binary classification using Kaggle datasets. For Open Access Series of Imaging Studies (OASIS) datasets the accuracies are 99.92\%, 99.90\%, and 99.95\% respectively. The Alzheimer's Disease Neuroimaging Initiative-1 (ADNI-1) dataset was used for experiments in three planes (axial, sagittal, and coronal) and a combination of all planes. The study achieved accuracies of 99.08\% for axis, 99.85\% for sagittal, 99.5\% for coronal, and 99.17\% for all axis, and 97.79\% and 8.60\% respectively for ADNI-2. The network's ability to retrieve important information from MRI images is demonstrated by its excellent accuracy in categorizing AD stages.

End-to-end Cortical Surface Reconstruction from Clinical Magnetic Resonance Images

Surface-based cortical analysis is valuable for a variety of neuroimaging tasks, such as spatial normalization, parcellation, and gray matter (GM) thickness estimation. However, most tools for estimating cortical surfaces work exclusively on scans with at least 1 mm isotropic resolution and are tuned to a specific magnetic resonance (MR) contrast, often T1-weighted (T1w). This precludes application using most clinical MR scans, which are very heterogeneous in terms of contrast and resolution. Here, we use synthetic domain-randomized data to train the first neural network for explicit estimation of cortical surfaces from scans of any contrast and resolution, without retraining. Our method deforms a template mesh to the white matter (WM) surface, which guarantees topological correctness. This mesh is further deformed to estimate the GM surface. We compare our method to recon-all-clinical (RAC), an implicit surface reconstruction method which is currently the only other tool capable of processing heterogeneous clinical MR scans, on ADNI and a large clinical dataset (n=1,332). We show a approximately 50 % reduction in cortical thickness error (from 0.50 to 0.24 mm) with respect to RAC and better recovery of the aging-related cortical thinning patterns detected by FreeSurfer on high-resolution T1w scans. Our method enables fast and accurate surface reconstruction of clinical scans, allowing studies (1) with sample sizes far beyond what is feasible in a research setting, and (2) of clinical populations that are difficult to enroll in research studies. The code is publicly available at https://github.com/simnibs/brainnet.

Edge-boosted graph learning for functional brain connectivity analysis

Predicting disease states from functional brain connectivity is critical for the early diagnosis of severe neurodegenerative diseases such as Alzheimer's Disease and Parkinson's Disease. Existing studies commonly employ Graph Neural Networks (GNNs) to infer clinical diagnoses from node-based brain connectivity matrices generated through node-to-node similarities of regionally averaged fMRI signals. However, recent neuroscience studies found that such node-based connectivity does not accurately capture ``functional connections" within the brain. This paper proposes a novel approach to brain network analysis that emphasizes edge functional connectivity (eFC), shifting the focus to inter-edge relationships. Additionally, we introduce a co-embedding technique to integrate edge functional connections effectively. Experimental results on the ADNI and PPMI datasets demonstrate that our method significantly outperforms state-of-the-art GNN methods in classifying functional brain networks.