Emiliano Santarnecchi

Alexandra-Maria Tautan, Elias Casula, Ilaria Borghi et al.

Transcranial magnetic stimulation co-registered with electroencephalographic (TMS-EEG) has previously proven a helpful tool in the study of Alzheimer's disease (AD). In this work, we investigate the use of TMS-evoked EEG responses to classify AD patients from healthy controls (HC). By using a dataset containing 17AD and 17HC, we extract various time domain features from individual TMS responses and average them over a low, medium and high density EEG electrode set. Within a leave-one-subject-out validation scenario, the best classification performance for AD vs. HC was obtained using a high-density electrode with a Random Forest classifier. The accuracy, sensitivity and specificity were of 92.7%, 96.58% and 88.2% respectively.

Alexandra-Maria Tautan, Elias Casula, Ilaria Borghi et al.

Transcranial Magnetic Stimulation (TMS) combined with EEG recordings (TMS-EEG) has shown great potential in the study of the brain and in particular of Alzheimer's Disease (AD). In this study, we propose an automatic method of determining the duration of TMS induced perturbation of the EEG signal as a potential metric reflecting the brain's functional alterations. A preliminary study is conducted in patients with Alzheimer's disease (AD). Three metrics for characterizing the strength and duration of TMS evoked EEG (TEP) activity are proposed and their potential in identifying AD patients from healthy controls was investigated. A dataset of TMS-EEG recordings from 17 AD and 17 healthy controls (HC) was used in our analysis. A Random Forest classification algorithm was trained on the extracted TEP metrics and its performance is evaluated in a leave-one-subject-out cross-validation. The created model showed promising results in identifying AD patients from HC with an accuracy, sensitivity and specificity of 69.32%, 72.23% and 66.41%, respectively.

Emanuele Balloni, Emanuele Frontoni, Chiara Matti et al.

Reconstructing visual stimuli from non-invasive electroencephalography (EEG) remains challenging due to its low spatial resolution and high noise, particularly under realistic low-density electrode configurations. To address this, we present EEG2Vision, a modular, end-to-end EEG-to-image framework that systematically evaluates reconstruction performance across different EEG resolutions (128, 64, 32, and 24 channels) and enhances visual quality through a prompt-guided post-reconstruction boosting mechanism. Starting from EEG-conditioned diffusion reconstruction, the boosting stage uses a multimodal large language model to extract semantic descriptions and leverages image-to-image diffusion to refine geometry and perceptual coherence while preserving EEG-grounded structure. Our experiments show that semantic decoding accuracy degrades significantly with channel reduction (e.g., 50-way Top-1 Acc from 89% to 38%), while reconstruction quality slight decreases (e.g., FID from 76.77 to 80.51). The proposed boosting consistently improves perceptual metrics across all configurations, achieving up to 9.71% IS gains in low-channel settings. A user study confirms the clear perceptual preference for boosted reconstructions. The proposed approach significantly boosts the feasibility of real-time brain-2-image applications using low-resolution EEG devices, potentially unlocking this type of applications outside laboratory settings.

Emanuele Balloni, Emanuele Frontoni, Chiara Matti et al.

Decoding visual information from electroencephalography (EEG) has recently achieved promising results, primarily focusing on reconstructing two-dimensional (2D) images from brain activity. However, the reconstruction of three-dimensional (3D) representations remains largely unexplored. This limits the geometric understanding and reduces the applicability of neural decoding in different contexts. To address this gap, we propose Brain3D, a multimodal architecture for EEG-to-3D reconstruction based on EEG-to-image decoding. It progressively transforms neural representations into the 3D domain using geometry-aware generative reasoning. Our pipeline first produces visually grounded images from EEG signals, then employs a multimodal large language model to extract structured 3D-aware descriptions, which guide a diffusion-based generation stage whose outputs are finally converted into coherent 3D meshes via a single-image-to-3D model. By decomposing the problem into structured stages, the proposed approach avoids direct EEG-to-3D mappings and enables scalable brain-driven 3D generation. We conduct a comprehensive evaluation comparing the reconstructed 3D outputs against the original visual stimuli, assessing both semantic alignment and geometric fidelity. Experimental results demonstrate strong performance of the proposed architecture, achieving up to 85.4% 10-way Top-1 EEG decoding accuracy and 0.648 CLIPScore, supporting the feasibility of multimodal EEG-driven 3D reconstruction.

Xiaofeng Liu, Helen A. Shih, Fangxu Xing et al.

Deep learning (DL) models for segmenting various anatomical structures have achieved great success via a static DL model that is trained in a single source domain. Yet, the static DL model is likely to perform poorly in a continually evolving environment, requiring appropriate model updates. In an incremental learning setting, we would expect that well-trained static models are updated, following continually evolving target domain data -- e.g., additional lesions or structures of interest -- collected from different sites, without catastrophic forgetting. This, however, poses challenges, due to distribution shifts, additional structures not seen during the initial model training, and the absence of training data in a source domain. To address these challenges, in this work, we seek to progressively evolve an ``off-the-shelf" trained segmentation model to diverse datasets with additional anatomical categories in a unified manner. Specifically, we first propose a divergence-aware dual-flow module with balanced rigidity and plasticity branches to decouple old and new tasks, which is guided by continuous batch renormalization. Then, a complementary pseudo-label training scheme with self-entropy regularized momentum MixUp decay is developed for adaptive network optimization. We evaluated our framework on a brain tumor segmentation task with continually changing target domains -- i.e., new MRI scanners/modalities with incremental structures. Our framework was able to well retain the discriminability of previously learned structures, hence enabling the realistic life-long segmentation model extension along with the widespread accumulation of big medical data.