Multimodal surface-based transformer model for early diagnosis of Alzheimer’s disease
Bibliographic record
Abstract
Current deep learning methods for diagnosing Alzheimer's disease (AD) typically rely on analyzing all or parts of high-resolution 3D volumetric features, which demand expensive computational resources and powerful GPUs, particularly when using multimodal data. In contrast, lightweight cortical surface representations offer a more efficient approach for quantifying AD-related changes across different cortical regions, such as alterations in cortical structures, impaired glucose metabolism, and the deposition of pathological biomarkers like amyloid-β and tau. Despite these advantages, few studies have focused on diagnosing AD using multimodal surface-based data. This study pioneers a novel method that leverages multimodal, lightweight cortical surface features extracted from MRI and PET scans, providing an alternative to computationally intensive 3D volumetric features. Our model employs a middle-fusion approach with a cross-attention mechanism to efficiently integrate features from different modalities. Experimental evaluations on the ADNI series dataset, using T1-weighted MRI and [Formula: see text]Fluorodeoxyglucose PET, demonstrate that the proposed model outperforms volume-based methods in both early AD diagnosis accuracy and computational efficiency. The effectiveness of our model is further validated with the combination of T1-weighted MRI, Aβ PET, and Tau PET scans, yielding favorable results. Our findings highlight the potential of surface-based transformer models as a superior alternative to conventional volume-based approaches.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".