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Concepts and Prototypes01:24

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The human nervous system handles vast amounts of information by translating sensory stimuli into neural impulses, which the brain processes, creating thoughts expressed through language or stored as memories. The brain also synthesizes information from emotions and memories, which significantly influence thoughts and behaviors. This intricate process creates a comprehensive mental picture.
The brain organizes this information using concepts, which are mental categories grouping linguistic data,...
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A hierarchical prompt and prototype learning framework for brain disorder classification.

Yuxiao Liu1, Kaicong Sun2, Yaping Wu3

  • 1School of Biomedical Engineering & State Key Laboratory of Advanced Medical Materials & Devices, ShanghaiTech University, Shanghai, 201210, China; Lingang Laboratory, Shanghai, 200031, China.

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|April 21, 2026
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Summary
This summary is machine-generated.

This study introduces a Hierarchical Prompt and Prototype Learning (HP2L) framework for brain disorder (BD) diagnosis, improving accuracy by mimicking radiologists' multi-level diagnostic processes. HP2L enhances diagnosis for both common and rare BDs, outperforming existing methods.

Keywords:
Explanation analysisHierarchical classificationMulti-level frameworkPrompt learningPrototype learning

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Area of Science:

  • Artificial Intelligence
  • Medical Imaging
  • Computational Neuroscience

Background:

  • Accurate brain disorder (BD) diagnosis is clinically challenging.
  • Current deep learning methods often use a one-step diagnosis, risking misdiagnosis for complex or rare BDs.
  • Radiologists employ a step-wise, multi-level diagnostic approach.

Purpose of the Study:

  • To develop a novel deep learning framework, Hierarchical Prompt and Prototype Learning (HP2L), that emulates multi-level diagnostic procedures for improved BD diagnosis.
  • To capture and leverage the hierarchical relationships among 23 BDs across coarse, intermediate, and fine-grained diagnostic levels.
  • To enhance diagnostic accuracy and interpretability in brain disorder classification.

Main Methods:

  • Introduced the HP2L framework integrating a Hierarchical Prompting Vision Transformer (ViT) backbone for coarse-to-fine feature extraction.
  • Employed Prompt Learning with optimizable prompt tokens encoding diagnostic knowledge for hierarchical classification.
  • Utilized Prototype Learning to enrich prompt tokens with BD-specific prototypes, enhancing diagnostic performance.

Main Results:

  • HP2L achieved a balanced accuracy of 88.43% on 54,360 subjects across six multi-center datasets.
  • Outperformed state-of-the-art methods by 8.42 percentage points, demonstrating superior performance for common and long-tail BDs.
  • Improved model interpretability by aligning predictions and attention visualizations with clinical hierarchical reasoning.

Conclusions:

  • The HP2L framework effectively emulates clinical multi-level diagnostic processes for enhanced brain disorder diagnosis.
  • HP2L demonstrates significant improvements in accuracy and interpretability compared to existing methods, particularly for challenging BDs.
  • The proposed approach offers a promising direction for developing more robust and reliable AI-driven diagnostic tools in clinical practice.