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    Area of Science:

    • Neuroimaging
    • Artificial Intelligence
    • Computational Neuroscience

    Background:

    • Integrating structural MRI (sMRI) and resting-state functional MRI (rs-fMRI) for Alzheimer's Disease (AD) diagnosis presents challenges in data fusion and clinical interpretability.
    • Existing methods struggle to effectively combine heterogeneous neuroimaging data while maintaining clinical relevance.

    Purpose of the Study:

    • To develop a novel transformer-based framework for unified multi-modal neuroimaging analysis in AD diagnosis.
    • To enhance diagnostic accuracy and clinical interpretability by integrating sMRI and rs-fMRI data.

    Main Methods:

    • A transformer-based framework was proposed, leveraging anatomical priors to guide attention to AD-relevant regions.
    • A learnable mapping transformed sMRI features into regional representations, with a consistency constraint for structural-functional coupling alignment.
    • Bayesian fusion integrated aligned multi-modal features for diagnosis.

    Main Results:

    • The proposed method achieved superior diagnostic accuracy on the ADNI dataset compared to state-of-the-art approaches.
    • The framework provided clinically interpretable insights into AD-related brain connectivity patterns.
    • Demonstrated effective unification of heterogeneous imaging features into coherent region-level representations.

    Conclusions:

    • The novel framework successfully integrates sMRI and rs-fMRI data for enhanced AD diagnosis.
    • The approach offers a significant advancement in multi-modal neuroimaging by balancing diagnostic performance with clinical interpretability.
    • This work paves the way for more effective AI-driven diagnostic tools in neurodegenerative diseases.