用脑部影像和临床先验知识,自动辅助帕金森病早期诊断。
PD-Diag-Net: Clinical-Priors guided Network on Brain MRI for Auxiliary Diagnosis of Parkinson's Disease
- 融合脑区相关性和加速衰老的临床先验,指导模型聚焦关键区域。
- 外部测试准确率达86%,早期诊断准确超96%,领先现有方法20%以上。
- 适合需要提升诊断效率的医院与神经科医生使用。
帕金森病(PD)是一种常见神经退行性疾病,全球发病率近年显著上升。当前诊断流程复杂且高度依赖神经科医生经验,常导致早期发现延迟与干预错失。为此,我们提出一种端到端自动化诊断方法PD-Diag-Net,直接从原始MRI扫描中实现风险评估与辅助诊断。该框架首先引入MRI预处理模块(MRI-Processor),通过灵活整合主流医学影像预处理工具,缓解个体间与扫描仪间的差异。随后融入两种临床先验:(1)脑区相关性先验(Relevance-Prior),明确与PD强关联的脑区;(2)脑区老化先验(Aging-Prior),反映PD相关脑区的加速老化特征。基于此,设计两个专用模块:相关性先验引导的特征聚合模块(Aggregator),在跨被试层面引导模型关注关键脑区;老化先验引导的诊断模块(Diagnoser),在个体内层面利用脑龄差作为辅助约束,提升诊断准确率与临床可解释性。此外,我们在合作医院获取外部测试数据。实验结果表明,PD-Diag-Net在外部测试中达到86%准确率,早期诊断准确率超过96%,优于现有先进方法20%以上。
原文摘要 · Abstract (English)
Parkinson's disease (PD) is a common neurodegenerative disorder that severely diminishes patients' quality of life. Its global prevalence has increased markedly in recent decades. Current diagnostic workflows are complex and heavily reliant on neurologists' expertise, often resulting in delays in early detection and missed opportunities for timely intervention. To address these issues, we propose an end-to-end automated diagnostic method for PD, termed PD-Diag-Net, which performs risk assessment and auxiliary diagnosis directly from raw MRI scans. This framework first introduces an MRI Pre-processing Module (MRI-Processor) to mitigate inter-subject and inter-scanner variability by flexibly integrating established medical imaging preprocessing tools. It then incorporates two forms of clinical prior knowledge: (1) Brain-Region-Relevance-Prior (Relevance-Prior), which specifies brain regions strongly associated with PD; and (2) Brain-Region-Aging-Prior (Aging-Prior), which reflects the accelerated aging typically observed in PD-associated regions. Building on these priors, we design two dedicated modules: the Relevance-Prior Guided Feature Aggregation Module (Aggregator), which guides the model to focus on PD-associated regions at the inter-subject level, and the Age-Prior Guided Diagnosis Module (Diagnoser), which leverages brain age gaps as auxiliary constraints at the intra-subject level to enhance diagnostic accuracy and clinical interpretability. Furthermore, we collected external test data from our collaborating hospital. Experimental results show that PD-Diag-Net achieves 86\% accuracy on external tests and over 96% accuracy in early-stage diagnosis, outperforming existing advanced methods by more than 20%.
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