用张量分解与几何变换，让小样本下阿尔茨海默病诊断更高效。

Parameter-efficient fine-tuning (PEFT) has emerged as a promising paradigm for adapting pretrained models under limited data conditions. However, most existing PEFT methods are designed for matrix-structured parameters and are not well suited for high-dimensional convolutional kernels in medical imaging models. Moreover, they typically rely on additive updates and lack mechanisms to preserve the geometric structure of pretrained parameters, while multiplicative (geometry-aware) updates are difficult to integrate within a unified framework. To address this issue, this paper proposes GLT-PEFT, a gated Lie-Tucker parameter-efficient fine-tuning framework for Alzheimer's disease (AD) diagnosis. The proposed approach transfers a hippocampal segmentation pretrained model to a downstream classification task. Tucker decomposition enables tensor-aware low-rank adaptation of 3D convolutional kernels, while Lie group-based transformations provide structure-preserving multiplicative updates. A gating mechanism further reconciles additive and multiplicative update forms, resulting in a unified and more stable fine-tuning strategy. Extensive experiments demonstrate that GLT-PEFT achieves effective cross-task transfer while significantly reducing trainable parameters, highlighting its effectiveness for efficient and robust adaptation in medical imaging models.