Liu Yuxiao, Liu Mianxin, Zhang Yuanwang, Guan Yihui, Guo Qihao, Xie Fang, Shen Dinggang
IEEE Trans Med Imaging. 2025 Apr;44(4):1809-1820. doi: 10.1109/TMI.2024.3525022. Epub 2025 Apr 3.
Amyloid- positron emission tomography can reflect the Amyloid- protein deposition in the brain and thus serves as one of the golden standards for Alzheimer's disease (AD) diagnosis. However, its practical cost and high radioactivity hinder its application in large-scale early AD screening. Recent neuroscience studies suggest a strong association between changes in functional connectivity network (FCN) derived from functional MRI (fMRI), and deposition patterns of Amyloid- protein in the brain. This enables an FCN-based approach to assess the Amyloid- protein deposition with less expense and radioactivity. However, an effective FCN-based Amyloid- assessment remains lacking for practice. In this paper, we introduce a novel deep learning framework tailored for this task. Our framework comprises three innovative components: 1) a pre-trained Large Language Model Nodal Embedding Encoder, designed to extract task-related features from fMRI signals; 2) a task-oriented Hierarchical-order FCN Learning module, used to enhance the representation of complex correlations among different brain regions for improved prediction of Amyloid- deposition; and 3) task-feature consistency losses for promoting similarity between predicted and real Amyloid- values and ensuring effectiveness of predicted Amyloid- in downstream classification task. Experimental results show superiority of our method over several state-of-the-art FCN-based methods. Additionally, we identify crucial functional sub-networks for predicting Amyloid- depositions. The proposed method is anticipated to contribute valuable insights into the understanding of mechanisms of AD and its prevention.
淀粉样蛋白正电子发射断层扫描能够反映大脑中的淀粉样蛋白沉积,因此是阿尔茨海默病(AD)诊断的金标准之一。然而,其实际成本和高放射性阻碍了它在大规模AD早期筛查中的应用。最近的神经科学研究表明,源自功能磁共振成像(fMRI)的功能连接网络(FCN)变化与大脑中淀粉样蛋白的沉积模式之间存在密切关联。这使得基于FCN的方法能够以更低的成本和放射性来评估淀粉样蛋白沉积。然而,在实际应用中,仍然缺乏一种有效的基于FCN的淀粉样蛋白评估方法。在本文中,我们介绍了一种针对该任务量身定制的新型深度学习框架。我们的框架包含三个创新组件:1)一个预训练的大语言模型节点嵌入编码器,旨在从fMRI信号中提取与任务相关的特征;2)一个面向任务的分层顺序FCN学习模块,用于增强不同脑区之间复杂相关性的表示,以改进对淀粉样蛋白沉积的预测;3)任务特征一致性损失,用于促进预测的和真实的淀粉样蛋白值之间的相似性,并确保预测的淀粉样蛋白在下游分类任务中的有效性。实验结果表明,我们的方法优于几种基于FCN的现有先进方法。此外,我们确定了用于预测淀粉样蛋白沉积的关键功能子网。预计所提出的方法将为理解AD的机制及其预防提供有价值的见解。