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The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic symptoms in all...

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An interpretable approach for schizophrenia classification using fMRI and sMRI features.

Archita Chakraborty1, Linkon Chowdhury2, Selvarajah Thuseethan2

  • 1School of Science, Engineering and Technology, East Delta University, Chittagong, 4209 Bangladesh.

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Summary

This study introduces a novel machine learning framework using multimodal magnetic resonance imaging (MRI) for improved schizophrenia diagnosis. The approach enhances classification accuracy and provides interpretable visualizations of brain abnormalities.

Keywords:
Machine learningModel interpretabilityMultimodal MRINeuroimagingSchizophrenia classification

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Area of Science:

  • Neuroscience
  • Artificial Intelligence
  • Medical Imaging

Background:

  • Schizophrenia diagnosis relies on neuroimaging, but multimodal data integration and interpretability remain challenging.
  • Existing machine learning models face limitations in visualizing complex neuroimaging features for schizophrenia classification.

Purpose of the Study:

  • To develop a novel framework integrating structural MRI (sMRI) and functional MRI (fMRI) for enhanced schizophrenia classification.
  • To improve the interpretability of machine learning models in neuroimaging for clinical decision-making.

Main Methods:

  • Utilized independent component analysis (ICA) for feature extraction from sMRI and fMRI data.
  • Developed a multi-scale recurrent neural network (MsRNN) for classification.
  • Employed layer-wise relevance propagation and gradient-weighted class activation mapping for explainable AI (XAI).

Main Results:

  • Achieved 83.33% accuracy on the MLSP dataset and 89.8% on the COBRE dataset.
  • Generated clinically meaningful visualizations highlighting discriminative brain regions.
  • Demonstrated superior performance compared to conventional models.

Conclusions:

  • The proposed multimodal, XAI-integrated framework offers improved accuracy and transparency for schizophrenia diagnosis.
  • This approach aids in identifying disorder-specific abnormalities and supports clinical decision-making.