用稀疏注意力融合多模态数据,精准预测帕金森病严重程度。
A Sparse-Attention Deep Learning Model Integrating Heterogeneous Multimodal Features for Parkinson's Disease Severity Profiling
- 通过跨模态注意力机制融合影像与临床数据,动态聚焦关键信息。
- 在703人数据上达到98%准确率,精确率-召回率曲线下面积达1.00。
- 模型可解释性强,临床评估贡献约60%权重,符合医学诊断逻辑。
帕金森病表现多样,需整合生物与临床指标构建统一预测框架。现有模型常面临可解释性差、类别不平衡及高维影像与表格数据融合困难等问题。为此,我们提出类加权稀疏注意力融合网络(SAFN),一种可解释的深度学习框架,用于鲁棒的多模态疾病分型。SAFN利用模态专用编码器融合皮层厚度MRI、体积测量MRI、临床评估和人口学变量,并通过对称交叉注意力机制捕捉影像与临床表征间的非线性交互。稀疏约束的注意力门控融合层动态优先选择有信息量的模态,类平衡焦点损失(beta=0.999, gamma=1.5)在不依赖合成过采样的情况下缓解数据不平衡。在包含703名受试者(570例帕金森病患者,133例健康对照)的帕金森进展标志物计划数据集上,采用受试者级五折交叉验证,SAFN实现准确率0.98±0.02,精确率-召回率曲线下面积1.00±0.00,优于主流机器学习与深度学习基线。可解释性分析显示决策过程具有临床一致性,约60%的预测权重来自临床评估,符合运动障碍协会诊断原则。SAFN为神经退行性疾病计算分型提供了可复现、透明的多模态建模范式。
原文摘要 · Abstract (English)
Characterising the heterogeneous presentation of Parkinson's disease (PD) requires integrating biological and clinical markers within a unified predictive framework. While multimodal data provide complementary information, many existing computational models struggle with interpretability, class imbalance, or effective fusion of high-dimensional imaging and tabular clinical features. To address these limitations, we propose the Class-Weighted Sparse-Attention Fusion Network (SAFN), an interpretable deep learning framework for robust multimodal profiling. SAFN integrates MRI cortical thickness, MRI volumetric measures, clinical assessments, and demographic variables using modality-specific encoders and a symmetric cross-attention mechanism that captures nonlinear interactions between imaging and clinical representations. A sparsity-constrained attention-gating fusion layer dynamically prioritises informative modalities, while a class-balanced focal loss (beta = 0.999, gamma = 1.5) mitigates dataset imbalance without synthetic oversampling. Evaluated on 703 participants (570 PD, 133 healthy controls) from the Parkinson's Progression Markers Initiative using subject-wise five-fold cross-validation, SAFN achieves an accuracy of 0.98 plus or minus 0.02 and a PR-AUC of 1.00 plus or minus 0.00, outperforming established machine learning and deep learning baselines. Interpretability analysis shows a clinically coherent decision process, with approximately 60 percent of predictive weight assigned to clinical assessments, consistent with Movement Disorder Society diagnostic principles. SAFN provides a reproducible and transparent multimodal modelling paradigm for computational profiling of neurodegenerative disease.
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