用大脑连接模式解释精神疾病诊断,让模型决策更透明可信。
Interpretable Neuropsychiatric Diagnosis via Concept-Guided Graph Neural Networks
- 用大语言模型生成可解释的脑区连接概念,构建结构化子图。
- 在多个数据集上准确率超越传统模型,且能揭示疾病特异连接模式。
- 适合临床医生与研究者使用,帮助理解诊断依据并提出新假设。
近五分之一青少年患有焦虑、抑郁或品行障碍等精神或行为健康问题,凸显开发精准可解释诊断工具的紧迫性。静息态功能磁共振成像(rs-fMRI)通过将脑区建模为节点、区域间同步性作为边,提供可用于精神疾病诊断的临床生物标志物。尽管已有研究采用图神经网络(GNN)进行疾病预测,但其仍为复杂黑箱,限制了可靠性与临床转化。本文提出CONCEPTNEURO,一种基于概念的诊断框架,利用大语言模型(LLMs)与神经生物学领域知识,自动生成、筛选并编码可解释的功能连接概念。每个概念以特定脑区间的结构化子图表示,并输入概念分类器。该设计确保预测基于临床意义明确的连接模式,兼顾可解释性与强预测性能。多组学精神疾病数据集上的实验表明,经CONCEPTNEURO增强的GNN始终优于基线模型,提升准确率的同时提供透明、符合临床认知的解释。概念分析进一步揭示与专家知识一致的疾病特异性连接模式,提示未来研究新方向,确立该框架在精神疾病诊断中的可解释性与领域指导价值。
原文摘要 · Abstract (English)
Nearly one in five adolescents currently live with a diagnosed mental or behavioral health condition, such as anxiety, depression, or conduct disorder, underscoring the urgency of developing accurate and interpretable diagnostic tools. Resting-state functional magnetic resonance imaging (rs-fMRI) provides a powerful lens into large-scale functional connectivity, where brain regions are modeled as nodes and inter-regional synchrony as edges, offering clinically relevant biomarkers for psychiatric disorders. While prior works use graph neural network (GNN) approaches for disorder prediction, they remain complex black-boxes, limiting their reliability and clinical translation. In this work, we propose CONCEPTNEURO, a concept-based diagnosis framework that leverages large language models (LLMs) and neurobiological domain knowledge to automatically generate, filter, and encode interpretable functional connectivity concepts. Each concept is represented as a structured subgraph linking specific brain regions, which are then passed through a concept classifier. Our design ensures predictions through clinically meaningful connectivity patterns, enabling both interpretability and strong predictive performance. Extensive experiments across multiple psychiatric disorder datasets demonstrate that CONCEPTNEURO-augmented GNNs consistently outperform their vanilla counterparts, improving accuracy while providing transparent, clinically aligned explanations. Furthermore, concept analyses highlight disorder-specific connectivity patterns that align with expert knowledge and suggest new hypotheses for future investigation, establishing CONCEPTNEURO as an interpretable, domain-informed framework for psychiatric disorder diagnosis.
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