Zhou Houliang, He Lifang, Chen Brian Y, Shen Li, Zhang Yu
IEEE Trans Med Imaging. 2025 Jan;44(1):142-153. doi: 10.1109/TMI.2024.3432531. Epub 2025 Jan 2.
The interconnection between brain regions in neurological disease encodes vital information for the advancement of biomarkers and diagnostics. Although graph convolutional networks are widely applied for discovering brain connection patterns that point to disease conditions, the potential of connection patterns that arise from multiple imaging modalities has yet to be fully realized. In this paper, we propose a multi-modal sparse interpretable GCN framework (SGCN) for the detection of Alzheimer's disease (AD) and its prodromal stage, known as mild cognitive impairment (MCI). In our experimentation, SGCN learned the sparse regional importance probability to find signature regions of interest (ROIs), and the connective importance probability to reveal disease-specific brain network connections. We evaluated SGCN on the Alzheimer's Disease Neuroimaging Initiative database with multi-modal brain images and demonstrated that the ROI features learned by SGCN were effective for enhancing AD status identification. The identified abnormalities were significantly correlated with AD-related clinical symptoms. We further interpreted the identified brain dysfunctions at the level of large-scale neural systems and sex-related connectivity abnormalities in AD/MCI. The salient ROIs and the prominent brain connectivity abnormalities interpreted by SGCN are considerably important for developing novel biomarkers. These findings contribute to a better understanding of the network-based disorder via multi-modal diagnosis and offer the potential for precision diagnostics. The source code is available at https://github.com/Houliang-Zhou/SGCN.
神经疾病中脑区之间的相互连接为生物标志物和诊断方法的发展编码了至关重要的信息。尽管图卷积网络被广泛应用于发现指向疾病状态的脑连接模式,但多种成像模态所产生的连接模式的潜力尚未得到充分实现。在本文中,我们提出了一种多模态稀疏可解释图卷积网络框架(SGCN),用于检测阿尔茨海默病(AD)及其前驱阶段,即轻度认知障碍(MCI)。在我们的实验中,SGCN学习稀疏区域重要性概率以找到感兴趣的特征区域(ROI),并学习连接重要性概率以揭示疾病特异性脑网络连接。我们在阿尔茨海默病神经影像倡议数据库上使用多模态脑图像对SGCN进行了评估,并证明SGCN学习到的ROI特征对于增强AD状态识别是有效的。所识别出的异常与AD相关临床症状显著相关。我们进一步在大规模神经系统层面以及AD/MCI中与性别相关的连接异常方面解释了所识别出的脑功能障碍。SGCN所解释的显著ROI和突出的脑连接异常对于开发新型生物标志物相当重要。这些发现有助于通过多模态诊断更好地理解基于网络的疾病,并为精准诊断提供了潜力。源代码可在https://github.com/Houliang-Zhou/SGCN获取。