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Deep learning models reveal replicable, generalizable, and behaviorally relevant sex differences in human functional
Srikanth Ryali1, Yuan Zhang1, Carlo de Los Angeles1
1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA 94305.
Summary
Sex differences in brain organization are significant and replicable, challenging the continuum model. AI analysis reveals distinct male and female brain patterns linked to cognitive profiles, aiding personalized medicine for neurological disorders.
Area of Science:
- Neuroscience
- Artificial Intelligence
- Genetics
Background:
- Sex significantly influences brain development, aging, and disease manifestation.
- Previous studies on sex differences in brain organization yielded inconsistent and unreproducible findings.
Purpose of the Study:
- To develop a novel AI model to identify reliable sex differences in human functional brain organization.
- To investigate the behavioral relevance and generalizability of these sex differences.
Main Methods:
- A spatiotemporal deep neural network (stDNN) was employed to analyze functional brain dynamics.
- Explainable AI (XAI) techniques were used to identify key brain features distinguishing sexes.
- The model was validated across multiple sessions and three independent cohorts (N ≈ 1,500).
Main Results:
- The stDNN model achieved high accuracy (>90%) in differentiating male and female brains, demonstrating strong replicability and generalizability.
- XAI identified significant sex differences in the default mode network, striatum, and limbic network.
- XAI-derived brain features predicted sex-specific cognitive profiles with high accuracy.
Conclusions:
- Functional brain organization exhibits robust, generalizable, and behaviorally relevant sex differences.
- These findings challenge the concept of a male-female brain continuum and highlight sex as a critical biological factor.
- The study provides AI-driven tools for personalized, sex-specific biomarker development in neurological and psychiatric disorders.

