Leilei Zhao

Xiongri Shen, Jiaqi Wang, Zhenxi Song et al.

Mild cognitive impairment (MCI) and subjective cognitive decline (SCD) are closely associated with the early Alzheimer's disease continuum, where accurate and explainable diagnosis is important for early risk assessment and intervention. Existing connectome-based deep learning models can improve classification performance but often provide limited insight into disease-related functional and structural connectivity changes. This paper proposes an atlas-knowledge-guided Generative Counterfactual Attention-guided Network (GCAN) for explainable cognitive decline diagnosis using multimodal brain connectomes. GCAN formulates diagnosis as a source-to-target counterfactual generation problem, where target-label connectomes are generated from source-label inputs and their differences are used to construct counterfactual attention maps. To preserve connectome topology, an Atlas-aware Bidirectional Transformer (AABT) performs network-level token encoding and decoding under brain-atlas constraints. The framework is further extended from functional connectivity (FC) to joint functional and structural connectivity (SC) modeling, enabling counterfactual analysis of complementary functional reorganization and structural topology changes. Experiments on hospital-collected and ADNI datasets show that GCAN achieves competitive performance across HC vs. SCD, HC vs. MCI, and SCD vs. MCI classification tasks. Visualization, circular connectome analysis, CAM-based comparison, ablation studies, and confidence interval analysis further support the interpretability and reliability of the proposed framework. Modality-specific FC and SC pre-trained classifiers are used to provide target-state priors for counterfactual generation while being separated from the downstream diagnostic classifier to prevent data leakage.

Xiongri Shen, Jiaqi Wang, Yi Zhong et al.

Functional and structural connectivity (FC/SC) are key multimodal biomarkers for brain analysis, yet their clinical utility is hindered by costly acquisition, complex preprocessing, and frequent missing modalities. Existing foundation models either process single modalities or lack explicit mechanisms for cross-modal and cross-scale consistency. We propose BrainCSD, a hierarchical mixture-of-experts (MoE) foundation model that jointly synthesizes FC/SC biomarkers and supports downstream decoding tasks (diagnosis and prediction). BrainCSD features three neuroanatomically grounded components: (1) a ROI-specific MoE that aligns regional activations from canonical networks (e.g., DMN, FPN) with a global atlas via contrastive consistency; (2) a Encoding-Activation MOE that models dynamic cross-time/gradient dependencies in fMRI/dMRI; and (3) a network-aware refinement MoE that enforces structural priors and symmetry at individual and population levels. Evaluated on the datasets under complete and missing-modality settings, BrainCSD achieves SOTA results: 95.6\% accuracy for MCI vs. CN classification without FC, low synthesis error (FC RMSE: 0.038; SC RMSE: 0.006), brain age prediction (MAE: 4.04 years), and MMSE score estimation (MAE: 1.72 points). Code is available in \href{https://github.com/SXR3015/BrainCSD}{BrainCSD}

Xiongri Shen, Jiaqi Wang, Yi Zhong et al.

Magnetic resonance imaging (MRI), especially functional MRI (fMRI) and diffusion MRI (dMRI), is essential for studying neurodegenerative diseases. However, missing modalities pose a major barrier to their clinical use. Although GAN- and diffusion model-based approaches have shown some promise in modality completion, they remain limited in fMRI-dMRI synthesis due to (1) significant BOLD vs. diffusion-weighted signal differences between fMRI and dMRI in time/gradient axis, and (2) inadequate integration of disease-related neuroanatomical patterns during generation. To address these challenges, we propose PDS, introducing two key innovations: (1) a pattern-aware dual-modal 3D diffusion framework for cross-modality learning, and (2) a tissue refinement network integrated with a efficient microstructure refinement to maintain structural fidelity and fine details. Evaluated on OASIS-3, ADNI, and in-house datasets, our method achieves state-of-the-art results, with PSNR/SSIM scores of 29.83 dB/90.84\% for fMRI synthesis (+1.54 dB/+4.12\% over baselines) and 30.00 dB/77.55\% for dMRI synthesis (+1.02 dB/+2.2\%). In clinical validation, the synthesized data show strong diagnostic performance, achieving 67.92\%/66.02\%/64.15\% accuracy (NC vs. MCI vs. AD) in hybrid real-synthetic experiments. Code is available in \href{https://github.com/SXR3015/PDS}{PDS GitHub Repository}

Rongzhao He, Weihao Zheng, Leilei Zhao et al.

Attention-based methods have demonstrated exceptional performance in modelling long-range dependencies on spherical cortical surfaces, surpassing traditional Geometric Deep Learning (GDL) models. However, their extensive inference time and high memory demands pose challenges for application to large datasets with limited computing resources. Inspired by the state space model in computer vision, we introduce the attention-free Vision Mamba (Vim) to spherical surfaces, presenting a domain-agnostic architecture for analyzing data on spherical manifolds. Our method achieves surface patching by representing spherical data as a sequence of triangular patches derived from a subdivided icosphere. The proposed Surface Vision Mamba (SiM) is evaluated on multiple neurodevelopmental phenotype regression tasks using cortical surface metrics from neonatal brains. Experimental results demonstrate that SiM outperforms both attention- and GDL-based methods, delivering 4.8 times faster inference and achieving 91.7% lower memory consumption compared to the Surface Vision Transformer (SiT) under the Ico-4 grid partitioning. Sensitivity analysis further underscores the potential of SiM to identify subtle cognitive developmental patterns. The code is available at https://github.com/Rongzhao-He/surface-vision-mamba.

Jiaqi Wang, Liutao Yu, Xiongri Shen et al.

Spiking neural networks (SNNs) offer a promising path toward energy-efficient speech command recognition (SCR) by leveraging their event-driven processing paradigm. However, existing SNN-based SCR methods often struggle to capture rich temporal dependencies and contextual information from speech due to limited temporal modeling and binary spike-based representations. To address these challenges, we first introduce the multi-view spiking temporal-aware self-attention (MSTASA) module, which combines effective spiking temporal-aware attention with a multi-view learning framework to model complementary temporal dependencies in speech commands. Building on MSTASA, we further propose SpikCommander, a fully spike-driven transformer architecture that integrates MSTASA with a spiking contextual refinement channel MLP (SCR-MLP) to jointly enhance temporal context modeling and channel-wise feature integration. We evaluate our method on three benchmark datasets: the Spiking Heidelberg Dataset (SHD), the Spiking Speech Commands (SSC), and the Google Speech Commands V2 (GSC). Extensive experiments demonstrate that SpikCommander consistently outperforms state-of-the-art (SOTA) SNN approaches with fewer parameters under comparable time steps, highlighting its effectiveness and efficiency for robust speech command recognition.

Jiaqi Wang, Zhengyu Ma, Xiongri Shen et al.

Auditory attention detection (AAD) aims to decode listeners' focus in complex auditory environments from electroencephalography (EEG) recordings, which is crucial for developing neuro-steered hearing devices. Despite recent advancements, EEG-based AAD remains hindered by the absence of synergistic frameworks that can fully leverage complementary EEG features under energy-efficiency constraints. We propose S$^2$M-Former, a novel spiking symmetric mixing framework to address this limitation through two key innovations: i) Presenting a spike-driven symmetric architecture composed of parallel spatial and frequency branches with mirrored modular design, leveraging biologically plausible token-channel mixers to enhance complementary learning across branches; ii) Introducing lightweight 1D token sequences to replace conventional 3D operations, reducing parameters by 14.7$\times$. The brain-inspired spiking architecture further reduces power consumption, achieving a 5.8$\times$ energy reduction compared to recent ANN methods, while also surpassing existing SNN baselines in terms of parameter efficiency and performance. Comprehensive experiments on three AAD benchmarks (KUL, DTU and AV-GC-AAD) across three settings (within-trial, cross-trial and cross-subject) demonstrate that S$^2$M-Former achieves comparable state-of-the-art (SOTA) decoding accuracy, making it a promising low-power, high-performance solution for AAD tasks. Code is available at https://github.com/JackieWang9811/S2M-Former.