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Thompson, P. M.

Publications and source records attributed to Thompson, P. M..

At least 37 records · Page 2Linked to original sources

Peri-Head Distance Coding in the Mouse Brainstem

Perceiving object distance in peri-personal space is essential for guiding movement and avoiding danger. During active sensation, distance information is often anchored to the body via touch; yet how early somatosensory circuits extract distance information from tactile inputs remains unclear. Here, we investigate how second-order neurons in the mouse whisker brainstem encode peri-head distance. Using in vivo extracellular recordings in awake mice in a naturalistic wall-passing paradigm, we find brainstem neurons employ two distance-coding schemes: a "proximity" code, where firing increases monotonically as objects approach the face; and a "map" code, where neurons exhibit peak tuning at specific distances to collectively tile peri-head space. The map code outperforms proximity code in population decoding of distance. Perturbation experiments reveal multi-whisker integration and internuclear inhibition contribute to the generation of map-like tuning. These findings highlight a previously underappreciated computational role for brainstem circuits, where inhibition acts as a neural comparator to transform proximity-based sensory inputs into a map-like representation of peri-personal space.

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Assessing the Influence of Tractography Methods on White Matter Microstructure and Tractometry Analysis in Alzheimer's Disease

Tractometry enables detailed mapping of white matter microstructure along individual tracts and is widely used to study disease effects such as those seen in Alzheimers disease (AD). However, how different tractography algorithms influence tractometry outcomes remains unclear. Here, we compared whole-brain deterministic and probabilistic tractography using the BUndle ANalytics (BUAN) framework in the Alzheimers Disease Neuroimaging Initiative (ADNI) dataset, including 118 AD and 728 cognitively normal (CN) participants. Both approaches revealed the expected pattern of lower fractional anisotropy (FA) and higher mean, radial, and axial diffusivity (MD, RD, AxD) in AD, consistent with white matter degeneration. Despite broadly similar global trends, substantial bundle-level differences emerged between the two tractography methods. Probabilistic tracking produced stronger and more spatially extended effects in the fornix, a small and highly curved limbic pathway vulnerable to AD-related degeneration, whereas deterministic tracking showed greater sensitivity in the posterior segments of the right superior longitudinal fasciculus (SLF R). These discrepancies highlight that the choice of tractography algorithm can alter detecting disease effects, emphasizing the need for cross-method validation to ensure the robustness and interpretability of along-tract measures.

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Evaluating Sample-Size Efficiency and Sensitivity of Tractometry in Alzheimer's Disease

Tractometry allows quantitative analysis of white matter microstructure along the brains fiber tracts, but the impact of study design parameters--such as sample size and along-tract resolution--on sensitivity and specificity is not well understood. In this study, we conducted tractometry bootstrap analysis using linear-mixed models across four diffusion tensor imaging (DTI) metrics to systematically evaluate how these factors affect the detection of dementia- and amyloidrelated effects. While coarser along-tract segments yield greater sensitivity and higher mean effect sizes, finer segments tend to produce higher peak effect sizes, revealing more spatially localized effects. Dementia-related effects were more widespread and detectable with fewer subjects, whereas amyloid-related effects were more subtle and localized, requiring larger cohorts to detect them. These findings highlight that tractometry offers improved spatial specificity and can reliably detect small, fine-scale effects, but study design should be tailored to specific research questions, considering the expected spatial extent and magnitude of effects, to optimize sample size efficiency and interpretability.

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MAVeRiC-AD: Mixture-of-experts Agentic Vision-Language Ensemble for Robust MRI Classification of Alzheimer's Disease

Robust classification of Alzheimers disease (AD) from structural T1-weighted MRI (T1w) images remains an unmet clinical need, especially when data is acquired at multiple sites that differ in scanning protocols and population demographics. In this paper, we present MAVeRiC-AD (Mixture-of-experts Agent-guided Vision-Language Ensemble for Robust Imaging-based classification of Alzheimers Disease), an agentic framework that dynamically utilizes the optimal inferencing tool for radiological queries to provide relevant answers to the user. In our framework, we tested three specialized models encoded as callable tools: (1) CNN-AD, a 3D DenseNet trained on T1w intensities only; (2) MOE-VLM, a vision-language model that jointly models the T1w with subject-specific demographics (age, sex, site) via a mixture-of-experts (MoE) projection head; (3) Retrieval engine, a similarity-search module that contextualizes a patient against others from the site and reports % prevalence of AD. A light-weight agent analyzes the user request and then routes the input (image, or image + text) to the appropriate tool, aggregates responses and returns the tool response augmented with its confidence derived from conformal prediction. Experiments were conducted using T1w images from the ADNI (N=4,098) and OASIS-3 (N=600) datasets. Single-site training baselines achieved ROC-AUC = 0.79 (CNN) and 0.82 (VLM) on ADNI. When trained jointly on both sites, MOE-VLM surpassed both image-only and standard vision-language models with ROC-AUC = 0.90 on ADNI and 0.81 on OASIS. MAVeRiC-AD demonstrates that agentic orchestration of complementary expert deep models, coupled with explicit demographic conditioning for multi-site data can improve robustness and interpretability of AD image analysis pipelines and serves as a blueprint for scalable, trustworthy clinical AI assistants.

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Generating diffusion MRI scalar maps from T1-weighted images using Reversible GANs

Diffusion tensor imaging (DTI) provides valuable insights into brain tissue microstructure, but acquiring high-quality DTI data is time-intensive and not always feasible. To mitigate data scarcity and enhance accessibility, we investigate the generation of synthetic DTI scalar maps--specifically mean diffusivity (MD)--from structural 3D volumetric T1-weighted brain MRI using a reversible generative adversarial network (RevGAN). Unlike conventional pipelines requiring multiple steps, our approach enables a single-step translation from T1 to diffusion-derived measures. We assess the quality and utility of the synthetic maps in two downstream tasks: sex classification and Alzheimers disease classification. Performance comparisons between models trained on real and synthetic DTI maps demonstrate that RevGAN-generated images retain meaningful microstructural features and offer competitive accuracy, underscoring their potential for data augmentation and analysis in neuroimaging workflows. We also examine how well models trained on these data generalize to a new population dataset from India (NIMHANS cohort).

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Using Diffusion Transformers to Generate Synthetic Diffusion Scalar Maps for Data Augmentation

Generation of high-quality synthetic brain MRI data could be beneficial for advancing neuroimaging research, particularly when access to large-scale, labeled datasets is limited. In this work, we leverage a pretrained Diffusion Transformer (DiT) architecture to synthesize 3D mean diffusivity (MD) scalar maps from the Cam-CAN dataset. To adapt the DiT model--originally trained on 2D natural images--for 3D neuroimaging data, we implemented a preprocessing strategy that tiles 2D slices from 3D volumes into composite 2D images, enabling effective finetuning. The quality of the generated synthetic images was evaluated using Multi-Scale Structural Similarity (MS-SSIM) and Maximum Mean Discrepancy (MMD) metrics, demonstrating high fidelity and anatomical coherence. To assess the utility of synthetic data in downstream tasks, we conducted transfer learning experiments for dementia classification on the ADNI dataset. A sex classification model, trained on both real and synthetic Cam-CAN data, was repurposed for this task, showing that synthetic samples can enhance model performance. These results highlight the potential of diffusion-based generative models for augmenting neuroimaging datasets and supporting clinical applications.

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Evaluation of Deep Learning Algorithms to Predict Multiple Dementia-Related Neuropathologies from Brain MRI, Clinical and Genetic Data

Alzheimers disease and related dementias (ADRD) involve overlapping neurodegenerative and vascular pathologies--such as amyloid-{beta} (A{beta}), tau, cerebral amyloid angiopathy (CAA), TDP-43, and alpha-synuclein--that complicate diagnosis and treatment. While PET and CSF biomarkers are useful for detecting A{beta} and tau, they are invasive, expensive, and not widely available. In contrast, magnetic resonance imaging (MRI) is non-invasive and widely accessible, offering an opportunity for pathology prediction when combined with deep learning. Most prior studies have focused on single-pathology detection, but there remains a need for models that can jointly predict multiple co-occurring pathologies. In this work, we evaluate deep learning models that integrate structural MRI with demographic, clinical, and genetic data to classify six autopsy-confirmed neuropathologies: A{beta}, tau, CAA, TDP-43, hippocampal sclerosis, and dementia with Lewy bodies. We compare our hybrid deep learning model to AutoGluon, an automated machine learning framework. Our findings support the potential of multimodal AI to enable non-invasive, comprehensive neuropathological profiling in ADRD.

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DTI versus NODDI White Matter Microstructural Biomarkers of Alzheimer's Disease

Diffusion MRI (dMRI) is a powerful tool to assess white matter (WM) microstructural abnormalities in Alzheimers disease (AD). The fourth phase of the Alzheimers Disease Neuroimaging Initiative (ADNI) now includes multiple multishell dMRI protocols, enabling both traditional and advanced dMRI model analyses. There is a need to evaluate whether multishell data offer deeper insights into WM pathology in AD than more widely available single-shell data by overcoming single-shell model limitations. Here, we fit single-shell DTI and multishell NODDI to dMRI data from 533 ADNI3/4 participants to assess their sensitivity to key clinical indicators of AD such as cognitive impairment, amyloid-beta and tau PET burden. Overall, we found that NODDI offered no major advantages in detecting cognitive impairment and tau pathology, but NODDI was marginally more sensitive to amyloid pathology.

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Streamline Density Normalization: A Robust Approach to Mitigate Bundle Variability in Multi-Site Diffusion MRI

Tractometry enables quantitative analysis of tissue microstructure is sensitive to variability introduced during tractography and bundle segmentation. Differences in processing parameters and bundle geometry can lead to inconsistent streamline reconstructions and sampling, ultimately affecting the reproducibility of tractometry analysis. In this study, we introduce Streamline Density Normalization (SDNorm), a supervised two-step method designed to reduce variability in bundle reconstructions. SDNorm first computes streamline weights using linear regression to match a subjects bundle to a template streamline density map, then iteratively prunes streamlines to achieve a target density using a novel metric called effective Streamline Point Density (eSPD). We evaluate SDNorm across multiple bundles and acquisition protocols in dMRI data from a subset of subjects from Alzheimers Disease Neuroimaging Initiative and demonstrate that it can significantly reduce variability in streamline density, improve consistency in along-tract microstructure profiles, and provide useful metrics for automated bundle quality control. These results suggest that SDNorm can help enhance the reproducibility and robustness of bundle reconstruction across heterogeneous image acquisition protocols and tractography settings, making it well-suited for large-scale and multi-site neuroimaging studies.

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White matter microstructure changes across the lifespan: a meta-analysis of longitudinal diffusion MRI studies

BackgroundWhite matter in the human brain is known to play a critical role in facilitating communication between different brain regions. White matter microstructure is often quantified using fractional anisotropy (FA) derived from diffusion-weighted MRI and is often considered a key measure of neural efficiency that is positively associated with motor and cognitive functioning. While lifespan trajectories of FA have been well studied in cross-sectional designs, it remains less clear how FA changes longitudinally with age across the lifespan, and whether the rates of change are influenced by genetic variation. MethodsWe systematically reviewed the evidence of white matter changes, as measured by fractional anisotropy (FA) with diffusion magnetic resonance imaging longitudinally across the lifespan, and the genetic influences on this change. Searches were conducted in Medline, PsycInfo, and EMBASE up to August 2023 with terms related to DTI/FA and longitudinal/change. Following this, genetic-related search terms were applied to the results, and the search was broadened to include other measures of white matter change. Our systematic search resulted in 29 studies that met our criteria. In addition, 14 studies investigated genetic influences on FA change rates across the lifespan. A meta-regression using a thin-plate spline model was conducted to examine annual whole-brain FA change as a function of age. ResultsAcross childhood and adolescence, FA increased, and the rate of increase slowed into early adulthood. Between ages 20 and 35, changes in FA were not statistically significant. This was followed by a significant decline in FA between ages 36 and 50. The decreases plateaued between ages 51 and 61 and then continued at a slightly slower rate towards the upper end of the age range assessed (77 years). Average FA change per year relative to baseline assessment reached a maximum of +1.1% during development, and-0.6% per year, during ageing. Significant heritability was found for change in local but not global FA during development. During ageing, common variants in genes that have been related to increased risk for neuropsychiatric disorders (APOE, HTT, MAPT) were associated in some studies with accelerated local FA decreases over time. ConclusionsIn conclusion, there are changes in white matter microstructure within individuals across the lifespan, with increases during childhood, adolescence and early adulthood, followed by a period of relative stability during early to mid-adulthood, and subsequent gradual declines from midlife onwards. Evidence is emerging for genetic influences on white matter changes over time, shaping individual trajectories.

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White Matter Tract Vulnerability to Amyloid Pathology on the Alzheimer's Disease Continuum

Alzheimers disease (AD) is marked by progressive cognitive decline and memory loss, due to the abnormal accumulation of amyloid-beta (A{beta}) plaques, which facilitate the spread of tau pathology, and a gradually spreading pattern of neuronal loss. Understanding how amyloid positivity affects the brains neural pathways is critical for understanding how the brain changes with AD pathology. Tractometry offers a powerful approach for the in vivo, 3D quantitative assessment of white matter tracts, enabling the localization of microstructural abnormalities in diseased populations and those at risk. In this study, we applied BUAN (Bundle Analytics) tractometry to multi-cohort diffusion MRI data from a total of 1,908 participants: 606 participants in ADNI3 (Alzheimers Disease Neuroimaging Initiative Phase 3) and 1,302 participants from the HABS-HD (Health and Aging Brain Study-Health Disparities). Using BUAN and along-tract statistical analysis, we assessed the localized effects of amyloid positivity on white-matter pathways, which may be further influenced by downstream tau accumulation. Amyloid positivity was quantified via amyloid-sensitive positron emission tomography (PET). BUAN enables tract-specific quantification of white matter microstructure and supports statistical testing along the full length of fiber bundles to detect subtle, spatially localized associations. We present 3D visualizations of tractwise amyloid associations, highlighting distinct patterns of white matter degeneration in AD.

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Deterministic versus Probabilistic Tractography: Impact on White Matter Bundle Shape

In diffusion MRI-based tractography, deterministic and probabilistic algorithms reconstruct white matter using distinct strategies, yet their impact on bundle morphology remains uncertain. Using bundle shape similarity analysis, we compared both methods for the left arcuate fasciculus (AF_L) (The left arcuate fasciculus is a critical white matter tract that connects language comprehension and production areas in the human brain, enabling fluent language processing) across four datasets: Alzheimers Disease Neuroimaging Initiative (ADNI), Human Connectome Project-Aging (HCP-A), National Institute of Mental Health and Neurosciences (NIMHANS), and Pediatric Imaging, Neurocognition, and Genetics (PING). Probabilistic tractography consistently produced higher inter-subject shape similarity, by capturing broader anatomical trajectories and enhancing reproducibility. However, this extensive coverage may obscure subtle pathological variations critical for clinical detection. Bundle shape similarity analysis with atlas corroborated these findings, showing stronger alignment for probabilistic tracking and highlighting its utility in quantitative quality control. These results emphasize the need to balance morphological consistency with sensitivity to neuroanatomical variation when selecting tractography methods for research and clinical applications.

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A Core Pattern of Cerebellar and Brainstem Degeneration and Reduced Cerebrocerebellar Structural Covariance in Spinocerebellar Ataxia Type 3 (SCA3): MRI Volumetrics from ENIGMA-Ataxia

ObjectiveSpinocerebellar ataxia type 3 (SCA3) is a rare, inherited neurodegenerative disease. Here, we profile the spatial spread of atrophy across the whole brain, determine whether brain degeneration preferentially maps onto specific functional networks, and investigate the relationship between cerebellar and cerebral anatomical changes. MethodsWhole-brain grey and white matter (GM and WM) voxel-based morphometry was performed on 408 individuals with SCA3 (82 pre-ataxic) and 293 controls. The SCA3 cohort was stratified by ataxia severity to investigate disease progression, with cerebellar GM atrophy mapped onto a task-based functional atlas. Volume was correlated with disease duration and intensity. Cerebrocerebellar volumetric covariance was assessed to determine whether atrophy was coupled between infra- and supratentorial regions. ResultsThe pattern of atrophy is spatially consistent but progressive in magnitude across the disease course. The greatest atrophy was found in the pons, cerebellar WM, and cerebellar peduncles; correlations with disease severity and duration were also strongest in these regions. Cerebellar GM atrophy was greatest in functional regions associated with motor execution and planning, attention, and emotional processing. Sparse cerebral cortical atrophy appears only in the most severe disease subgroup, while striatal atrophy begins in the earliest stages. Reduced cerebrocerebellar structural covariance is observed in SCA3 participants versus controls. InterpretationWhile cerebellar and brainstem atrophy become more severe, the pattern of atrophy remains largely consistent as SCA3 progresses. Cerebellar GM degeneration occurs in regions associated with motor, cognitive, and affective control, in line with clinical presentation. Cerebellar atrophy is not directly mirrored by cerebral changes.

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Gene dosage effects of 22q11.2 copy number variants on in-vivo measures of white matter axonal density and dispersion

22q11.2 deletion (22qDel) and duplication (22qDup) carriers have an increased risk of neurodevelopmental disorders and exhibit altered brain structure, including white matter microstructure. However, the underlying cellular architecture and age-related changes contributing to these white matter alterations remain poorly understood. Neurite orientation dispersion and density imaging (NODDI) was used on mixed cross-sectional and longitudinal data to examine group differences and age-related trajectories in measures of axonal density (i.e., intracellular volume fraction; ICVF), axonal orientation (orientation dispersion index; ODI) and free water diffusion (isotropic volume fraction; ISO) in 50 22qDel (n scans = 69, mean age = 20.7, age range = 7.4-51.1, 64.0% female) and 24 22qDup (n scans = 34, mean age = 21.6, age range = 8.3-49.4, 54.2% female) carriers, and 890 controls (n scans = 901, mean age = 21.9, age range = 7.8-51.1, 54.5% female). The results showed widespread gene dosage effects, with higher ICVF in 22qDel and lower ICVF in 22qDup compared to controls, and region-specific effects of the 22qDel and 22qDup on ODI and ISO measures. However, 22qDel and 22qDup carriers did not exhibit altered age-related trajectories relative to controls. Observed differences in ICVF suggest higher white matter axonal density in 22qDel and lower axonal density in 22qDup compared to controls. Conversely, differences in ODI are highly localized, indicating region-specific effects on axonal dispersion in white matter. We do not find evidence for altered developmental trajectories of axonal density or dispersion among 22q11.2 CNV carriers, suggesting stable disruptions to neurodevelopmental events before childhood.

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Lifestyle, Early-life, and Genetic Health Risk Factors Underlying the Brain Age Gap: A Mega-Analysis Across 3,934 Individuals from the ENIGMA MDD Consortium

BackgroundLarge-scale studies show that adults with major depressive disorder (MDD) generally have a higher imaging-predicted age relative to their chronological age (i.e., positive brain age gap) compared to controls, though considerable within-group variation exists. This study examines lifestyle, early-life, and genetic health risk factors contributing to the brain age gap. Identifying risk and resilience factors could help protect brain and mental health. MethodsUsing an established model trained on FreeSurfer-derived brain regions (www.photon-ai.com/enigma_brainage), we generated brain age predictions for 1,846 controls and 2,088 individuals with MDD (aged 18-75) from 12 international cohorts. Polygenic risk scores (PRS) were calculated for major depression, C-reactive protein, and body mass index (BMI) using large-scale GWAS results. Linear mixed models were applied to assess lifestyle (BMI, smoking, education), early-life childhood trauma, and genetic (PRS) health risk associations with the brain age gap. Additionally, we evaluated the link between the brain age gap and peripheral biological age indicators (epigenetic clocks). ResultsHigher brain age gaps were significantly associated with BMI ({beta}=0.01, PFDR=0.02) and smoking ({beta}=0.11, PFDR=0.02), while lower brain age gaps were linked to higher education ({beta}=-0.02, PFDR=0.02). Higher childhood trauma scores predicted a higher brain age gap ({beta}=0.04, P=0.01). Higher brain age gaps were positively associated with all PRS ({beta}s=0.04-0.16, PsFDR=0.02-0.03). There were no significant interactions between diagnosis and assessed factors on the brain age gap. In a multivariable model, only modifiable health factors--BMI, smoking, and education--remained uniquely associated with brain age gaps. ConclusionsGenetic liability for depression and related traits is linked to poorer brain health, but health behaviors potentially offer a key opportunity for intervention. This study underscores the importance of targeting modifiable lifestyle factors to mitigate poor brain health in depressed individuals, an approach perhaps under-recognized in clinical practice.

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Mapping Along-Tract White Matter Microstructural Differences in Autism

Previous diffusion magnetic resonance imaging (dMRI) research has indicated altered white matter microstructure in autism, but the implicated regions are highly inconsistent across studies. Such prior work has largely used conventional dMRI analysis methods, including the traditional microstructure model, based on diffusion tensor imaging (DTI). However, these methods are limited in their ability to precisely map microstructural differences and accurately resolve complex fiber configurations. In our study, we investigated white matter microstructure alterations in autism using the refined along-tract analytic approach, BUndle ANalytics (BUAN), and an advanced microstructure model, the tensor distribution function (TDF). We analyzed dMRI data from 365 autistic and neurotypical participants (5-24 years; 34% female) from 10 cohorts to examine commissural and association tracts. Autism was associated with lower fractional anisotropy and higher diffusivity in localized portions of nearly every commissural and association tract examined; these tracts inter-connected a wide range of brain regions, including frontal, temporal, parietal, and occipital. Taken together, BUAN and TDF allow robust and spatially precise mapping of microstructural properties in autism. Our findings rigorously demonstrate that white matter microstructure alterations in autism may be greater within specific regions of individual tracts, and that the implicated tracts are distributed across the brain.

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Synthetic Diffusion Tensor Imaging Maps Generated by 2D and 3D Probabilistic Diffusion Models: Evaluation and Applications

Diffusion tensor imaging (DTI) is a key neuroimaging modality for assessing brain tissue microstructure, yet high-quality acquisitions are costly, time-intensive, and prone to artifacts. To address data scarcity and privacy concerns - and to augment the available data for training deep learning methods - synthetic DTI generation has gained interest. Specifically, denoising diffusion probabilistic models (DDPMs) have emerged as a promising approach due to their superior fidelity, diversity, controllability, and stability compared to generative adversarial networks (GANs) and variational autoencoders (VAEs). In this work, we evaluate the quality, fidelity and added value for downstream applications of synthetic DTI mean diffusivity (MD) maps generated by 2D slice-wise and 3D volume-wise DDPMs. We evaluate their computational efficiency and utility for data augmentation in two downstream tasks: sex classification and dementia classification using 2D and 3D convolutional neural networks (CNNs). Our findings show that 3D synthesis outperforms 2D slice-wise generation in downstream tasks. We present a benchmark analysis of synthetic diffusion-weighted imaging approaches, highlighting key trade-offs in image quality, diversity, efficiency, and downstream performance.

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Deep Learning to Predict Future Cognitive Decline: A Multimodal Approach Using Brain MRI and Clinical Data

Predicting the trajectory of clinical decline in aging individuals is a pressing challenge, especially for people with mild cognitive impairment, Alzheimers disease, Parkinsons disease, or vascular dementia. Accurate predictions can guide treatment decisions, identify risk factors, and optimize clinical trials. In this study, we compared two deep learning approaches for forecasting changes, over a 2-year interval, in the Clinical Dementia Rating scale sum of boxes score (sobCDR). This is a key metric in dementia research, and scores range from 0 (no impairment) to 18 (severe impairment). To predict decline, we trained a hybrid convolutional neural network that integrates 3D T1-weighted brain MRI scans with tabular clinical and demographic features (including age, sex, body mass index (BMI), and baseline sobCDR). We benchmarked its performance against AutoGluon, an automated multimodal machine learning framework that selects an appropriate neural network architecture. Our results demonstrate the importance of combining image and tabular data in predictive modeling for clinical applications. Deep learning algorithms can fuse image-based brain signatures and tabular clinical data, with potential for personalized prognostics in aging and dementia.

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