The study presents an explainable multimodal deep‑learning framework that combines a 3D CNN for T1‑weighted MRI with a feedforward network for harmonized clinical and demographic data to diagnose Alzheimer’s disease. Using 6,479 ADNI records and 1,703 OASIS‑3 records, the authors compare various model configurations on three‑way and pairwise diagnostic tasks, finding that performance and explanations vary by task, modality, fusion strategy, and cohort. SHAP and Integrated Gradients consistently highlight the MMSE score as the most influential tabular feature, while CAM‑based explanations differ across model setups and cohorts, indicating that explainability is not a stable property under cohort shift.
By Yusuf Brima, Marcellin Atemkeng, Lakshmana Rao Namamula, Antoine Vacavant
arXiv:2606. 20037v1 Announce Type: new Abstract: Alzheimer's disease (AD) is an irreversible neurodegenerative disorder and a leading cause of death worldwide.
By Loukas Ilias, Anthi-Maria Vozinaki, Christos Ntanos, Dimitris Askounis
arXiv:2609.15888v1 Announce Type: cross
Abstract: Deep networks trained on structural MRI for Alzheimer's disease (AD) staging often reach reasonable accuracy while attending to anatomically irreleva...
By Paul-Gabriel Nicolae, Irina Georgiana Mocanu
PANDA (Prototype‑Anchored Data Alignment) is a two‑stage framework that enables a primary‑modality model to benefit from auxiliary modalities even when those modalities are only partially paired or absent at inference. In Stage 1, a shared embedding is learned from the paired subset and class prototypes are estimated from the auxiliary data; in Stage 2, the primary encoder is trained on all subjects using cross‑entropy and alignment to the frozen prototypes. PANDA was evaluated on Alzheimer’s MRI and TCGA‑Lung pathology, achieving significant AUC gains and improved survival prediction while requiring no auxiliary inputs during deployment.
By Sheethal Bhat, Mahfuzur Rahman Chowdhury, Paula Andrea Perez-Toro, Stephan Wunderlich, Rose Dawn Bharat, Siming Bayer, Andreas Maier
The study investigates whether a compact, supervised 3D CNN pretrained for brain‑age prediction can act as a reusable foundation model for various Alzheimer's‑related neuroimaging tasks. By freezing the 7.18 million weights and adding only ~1 % of trainable parameters via Low‑Rank Adaptation, the model achieved high performance across six experiments, including dementia classification, MCI progression prediction, amyloid positivity detection, and volume estimation of hippocampal and white matter hypointensities. The results demonstrate that the pretrained brain‑age model generalizes well to new datasets without retraining, offering a data‑efficient alternative to larger networks.
By Reza Rajabli, D. Louis Collins
MMAP is a Multimodal Missing‑Aware Alignment Pretraining method designed to learn image‑tabular representations from incomplete data. It uses a sigmoid contrastive learning image encoder with generative reconstruction, a tabular encoder based on a foundation model, and a missing token generator to handle missing modalities. The approach is evaluated on longitudinal Alzheimer’s tasks—predicting disease stage conversion and amyloid status—and outperforms both multimodal and unimodal baselines.
By Fiona Kekwick, Matthew Baugh, Bernhard Kainz, Paul M. Matthews, Wenjia Bai
MINT (Multimodal Imaging-to-Speech Knowledge Transfer) is a three-stage framework that transfers MRI-derived biomarkers to speech representations for early Alzheimer’s screening. An MRI teacher creates a compact embedding space for CN‑versus‑MCI classification, and a residual projection head aligns speech features to this space using a geometric loss, allowing imaging‑free inference. Experiments on ADNI‑4 show that aligned speech matches speech baselines, while multimodal fusion outperforms MRI alone, and ablations highlight dropout regularization and self‑supervised pretraining as key design choices.
By Vrushank Ahire, Yogesh Kumar, Anouck Girard, M. A. Ganaie
arXiv:2512. 10966v3 Announce Type: replace-cross Abstract: Accurate and early diagnosis of Alzheimer's disease (AD) is critical for effective intervention and requires integrating complementary information from multimodal neuroimaging data.
By Farica Zhuang, Shu Yang, Dinara Aliyeva, Zixuan Wen, Duy Duong-Tran, Christos Davatzikos, Tianlong Chen, Song Wang, Li Shen
The paper introduces Neuro‑JEPA, a sparse multimodal foundation model that learns unified representations of brain MRI across T1w, T2w, and FLAIR sequences using a latent predictive objective and a Mixture‑of‑Experts architecture. It was pretrained on over 1.5 million scans from 428,647 studies and systematically evaluates architectural, masking, objective, and sparsity choices for robust multimodal representation learning. Across 47 tasks from three health systems and 12 public datasets, Neuro‑JEPA consistently outperforms a simple CNN baseline, demonstrating its effectiveness for both clinical and research applications.
By Haoxu Huang, Long Chen, Jingyun Chen, Jinu Hyun, James Ryan Loftus, Kara Melmed, Daniel Orringer, Jennifer Frontera, Seena Dehkharghani, Arjun Masurkar, Narges Razavian
arXiv:2607. 15047v1 Announce Type: cross Abstract: Mild Cognitive Impairment is a critical early stage of cognitive decline that frequently precedes Alzheimer's disease, yet its automated detection from neuropsychological drawing tests remains fundamentally constrained by data scarcity, class imbalance, and diagnostic ambiguity near clinical boundaries.
By Javad Khoramdel, Farhad Hoseyni, Amirhossein Nikoofard
arXiv:2607. 11007v1 Announce Type: new Abstract: Few-shot multimodal classification commonly attaches a lightweight head, such as $k$-nearest neighbors, logistic regression, or a linear SVM, to a frozen pretrained encoder.
By Jingxiang Zhang, Lujia Zhong, Zijie Zhu, Shuo Huang, Yuang Xu
arXiv:2606. 18354v1 Announce Type: cross Abstract: Recent advances in generative machine learning models have significantly improved medical imaging, offering promising solutions for data augmentation, privacy preservation, and improved model generalization.
By Muge Zhang, Muhammad Ali Khaliq, Jamal Alsakran, Byeong Kil Lee, Jeeho Ryoo