用扩散模型生成脑影像时间序列,提升阿尔茨海默早期检测精度
DiGAN: Diffusion-Guided Attention Network for Early Alzheimer's Disease Detection
- 结合扩散模型与注意力卷积网络,模拟真实随访轨迹
- 在ADNI数据集上准确率超越现有最佳方法
- 适合临床时间点不规则的早期神经退行性疾病研究
阿尔茨海默病(AD)的早期诊断仍面临挑战,因其前驱期结构脑变化细微且时间不规律。现有深度学习方法依赖大量纵向数据,难以建模真实临床数据中的时间连续性与模态不规则性。为此,我们提出扩散引导注意力网络(DiGAN),将潜在扩散建模与注意力引导卷积网络相结合。扩散模型从有限训练数据中合成真实的纵向神经影像轨迹,增强时间上下文并提升对不等间距随访的鲁棒性。注意力卷积层则捕捉区分认知正常者、轻度认知障碍及主观认知下降者的结构-时间特征。在ADNI数据集上的实验表明,DiGAN优于现有最先进基线,展现出早期AD检测的潜力。
原文摘要 · Abstract (English)
Early diagnosis of Alzheimer's disease (AD) remains a major challenge due to the subtle and temporally irregular progression of structural brain changes in the prodromal stages. Existing deep learning approaches require large longitudinal datasets and often fail to model the temporal continuity and modality irregularities inherent in real-world clinical data. To address these limitations, we propose the Diffusion-Guided Attention Network (DiGAN), which integrates latent diffusion modelling with an attention-guided convolutional network. The diffusion model synthesizes realistic longitudinal neuroimaging trajectories from limited training data, enriching temporal context and improving robustness to unevenly spaced visits. The attention-convolutional layer then captures discriminative structural-temporal patterns that distinguish cognitively normal subjects from those with mild cognitive impairment and subjective cognitive decline. Experiments on the ADNI dataset demonstrate that DiGAN outperforms existing state-of-the-art baselines, showing its potential for early-stage AD detection.
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