用分频图神经专家模型提升阿尔茨海默病的脑电识别准确率
Variational Mixture of Graph Neural Experts for Alzheimer's Disease Recognition across Frequency Bands in EEG Brain Networks
- 分频建模:每个专家专注一个脑电频段,用图神经网络捕捉特定频段连接模式
- 性能出色:在健康人与阿尔茨海默病区分任务中AUC达0.89,优于传统方法
- 可解释性强:结果与认知评分相关,揭示后部θ/α频段和β频段的病理变化
阿尔茨海默病(AD)和额颞叶痴呆(FTD)等痴呆症在脑电图(EEG)中表现出重叠的电生理特征,难以精准诊断。现有基于EEG的方法受限于全频段分析,难以区分痴呆亚型和严重程度。为此,我们提出变分图神经专家混合模型(VMoGE),结合多频段分析、变分图神经网络与专家混合架构。每个专家专注于特定脑电频段,使用高斯马尔可夫随机场先验建模脑连接,通过变分门控机制自适应融合输出。该设计使模型能学习频段特异性脑网络表征,并通过变分推断建模潜在不确定性。在两个癫痫痴呆数据集上的实验表明,VMoGE在健康对照组(HC) vs. AD分类任务中取得AUC 0.89的优异表现,且在痴呆亚型区分和临床痴呆量表(CDR)分期任务中也表现良好。临床上,该模型具有三重转化价值:专家门控权重与简易精神状态检查(MMSE)评分及CDR严重程度相关;慢波δ/θ频段贡献与阿尔茨海默病相关的脑电迟滞及疾病进展有关;空间局部激活图揭示后部θ/α频段改变和区域特异性的β频段异常,呈现与已知阿尔茨海默病病理一致的神经生理可解释模式。
原文摘要 · Abstract (English)
Dementia disorders such as Alzheimer's disease (AD) and frontotemporal dementia (FTD) exhibit overlapping electrophysiological signatures in electroencephalography (EEG) that challenge accurate diagnosis. Existing EEG-based methods are limited by full-band frequency analysis, which hinders precise differentiation of dementia subtypes and severity stages. To address this limitation, we propose a Variational Mixture of Graph Neural Experts (VMoGE) framework that integrates multi-band EEG analysis with variational graph neural networks and a mixture-of-experts architecture. Each expert specializes in a specific EEG frequency band and models brain connectivity using a Gaussian Markov Random Field prior, while a variational gating mechanism adaptively integrates expert outputs. This design enables the model to learn frequency-specific brain network representations while modeling latent uncertainty through variational inference. Experimental results on two EEG dementia datasets show that VMoGE achieves strong performance, with an area under the curve (AUC) of 0.89 for healthy controls (HC) vs. AD classification in the main comparison and competitive results across dementia subtyping and Clinical Dementia Rating (CDR) staging tasks. Clinically, VMoGE offers three key translational values: the expert gating weights correlate with Mini-Mental State Examination (MMSE) scores and CDR severity, slow-wave $δ/ θ$-band contributions are associated with AD-related EEG slowing and disease progression, and spatially localized activation maps reveal posterior $θ$/$α$-band alterations and region-specific $β$-band changes, providing neurophysiologically interpretable patterns aligned with known AD neuropathology.
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