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Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
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Application of Granger Causality Analysis of the Directed Functional Connection in Alzheimer's Disease and Mild Cognitive Impairment
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Interpretable Network-Level Biomarker Discovery for Alzheimer's Stage Assessment Using Resting-State fNIRS Complexity

Min-Kyoung Kang1, Agatha Elisabet1, So-Hyeon Yoo2

  • 1School of Mechanical Engineering, Pusan National University, Busan 46241, Republic of Korea.

Brain Sciences
|February 27, 2026
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Summary
This summary is machine-generated.

This study presents a new graph-based method for resting-state fNIRS analysis, identifying brain network biomarkers for mild cognitive impairment and Alzheimer's disease. The framework offers reproducible and interpretable insights into neurodegenerative changes.

Keywords:
Alzheimer’s diseasefunctional near-infrared spectroscopy (fNIRS)graph neural networksresting-state brain networkssignal complexity

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Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Data Science

Background:

  • Resting-state functional near-infrared spectroscopy (fNIRS) is valuable for Alzheimer's disease (AD) assessment.
  • Existing fNIRS methods often lack network-level insights and reproducibility.
  • Coordinated network dynamics are crucial for understanding neurodegenerative processes.

Purpose of the Study:

  • To develop a reproducible and interpretable graph-based framework for resting-state fNIRS.
  • To enable network-level biomarker discovery for Alzheimer's disease (AD) and mild cognitive impairment (MCI).
  • To move beyond static, channel-wise analyses towards dynamic network assessments.

Main Methods:

  • Represented resting-state prefrontal fNIRS signals as subject-level graphs.
  • Utilized sliding-window analysis to capture nonlinear signal complexity fluctuations for edge computation.
  • Employed graph neural networks (GNNs) for network pattern identification and interpretability analysis.

Main Results:

  • The complexity-fluctuation graph approach surpassed conventional amplitude-based connectivity.
  • Identified statistically significant prefrontal network biomarkers distinguishing MCI from healthy aging (p=0.001).
  • Observed more heterogeneous network patterns in AD, with MCI showing more consistent alterations.

Conclusions:

  • Established a reproducible and interpretable framework for fNIRS analysis focusing on complexity dynamics.
  • Network alterations are most consistently detected at the MCI stage, indicating its significance.
  • The framework shows potential for longitudinal monitoring and clinical assessment of neurodegenerative diseases.