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Dementia01:30

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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
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Multi-model deep learning for dementia detection: addressing data and model limitations.

Areej Y Bayahya1,2, Fares Jammal3, Haneen Banjar1,4,5,6

  • 1Computer Science Department, Faculty of Computing and Information Technology, King Abdulaziz University, Jeddah, Saudi Arabia.

Frontiers in Neuroscience
|December 11, 2025
PubMed
Summary
This summary is machine-generated.

This study evaluated deep learning models for dementia diagnosis using structural MRI scans. Multimodal attention and 3D-CNN models showed the best performance, but challenges in precision and generalization remain for accurate classification.

Keywords:
3D-CNNAICNNsViTXAIcaps networkdeep neural networkdementia

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Area of Science:

  • Artificial Intelligence
  • Medical Imaging Analysis
  • Neuroscience

Background:

  • Deep neural networks (DNNs) have advanced medical imaging, especially for structural MRI (sMRI) classification.
  • Current DNN models face limitations in preprocessing and feature extraction for dementia diagnosis.
  • This research addresses these challenges by evaluating various architectures for dementia classification.

Purpose of the Study:

  • To assess the performance of multiple deep learning architectures for classifying dementia, mild cognitive impairment (MCI), and healthy controls using sMRI data.
  • To identify the most effective models for dementia diagnosis based on accuracy, specificity, and sensitivity.

Main Methods:

  • Evaluated eight pretrained Convolutional Neural Networks (CNNs), a Vision Transformer (ViT), a multimodal attention model, and a Capsule Network (CapsNet).
  • Utilized a balanced dataset from ADNI comprising 10,000 training, 3,000 validation, and 850 test images per class (dementia, MCI, healthy controls).
  • Performed classification using 2D slices from sMRI scans, measuring accuracy, specificity, and sensitivity.

Main Results:

  • 3D-CNN and multimodal attention models achieved the highest performance (e.g., 86% accuracy, 86% sensitivity for multimodal attention).
  • ViT and CapsNet showed 100% sensitivity for Alzheimer's disease (AD) but low precision (43% for AD, 0% for others), indicating class imbalance issues.
  • All models exhibited reduced performance and bias towards specific classes.

Conclusions:

  • Current deep learning architectures have limitations in sMRI dementia classification, including suboptimal feature extraction and class biases.
  • Multimodal attention and 3D-CNN models offer better overall performance but require improvements in precision and generalization.
  • Future research should explore advanced computer vision techniques and architectural modifications to enhance diagnostic accuracy and efficiency.