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Dual-path mixture of experts for Alzheimer’s diagnosis using volume and entropy MRI features

조회 482

Background

Alzheimer’s disease (AD) is a progressive neurodegenerative disorder marked by brain atrophy, observable via MRI. Volumetric measures like hippocampal volume are widely used but often miss early microstructural changes. Texture features such as intensity entropy capture tissue heterogeneity and may improve early diagnosis. Combining these orthogonal modalities could yield better biomarkers.

New method

We propose a Dual-Path Mixture of Experts (DP-MoE) model that integrates volumetric and entropy-based MRI features through two expert subnetworks and a self-attention gating mechanism. A residual fusion branch preserves raw input distributions, enhancing flexibility and expressiveness. The code is available at https://github.com/syoonni/DP-MOE. 

Results

The model was evaluated on three binary classification tasks (CN vs. AD, CN vs. MCI, MCI vs. AD) using T1-weighted and entropy-derived MRI. For CN vs. AD, it achieved an accuracy of 93.02% (0.9302 ± 0.0109) and an AUC of 0.975 ± 0.004, outperforming both the baseline MoE and logistic fusion models. Ablation studies confirmed the importance of both attention and residual components.

Comparison with existing methods

Prior methods used concatenation or fixed weighting, neglecting modality-specific characteristics. Volume and entropy provide orthogonal, complementary information. While Mixture of Experts is common in other fields, it remains underused in AD imaging. Our adaptive fusion approach improved both interpretability and accuracy, especially in early-stage discrimination. 


Conclusions

DP-MoE offers an effective, interpretable framework for fusing heterogeneous MRI biomarkers and holds promise for deployment in early Alzheimer’s diagnosis workflows.


1. Department of Biomedical Engineering, Korea University, Seoul, Republic of Korea 

   Sangyoon Park, Yongha Gi, Hyeongjin Lim


2. College of Medicine, Korea University, Seoul, Republic of Korea
   Byung‑Jo Kim, Seol‑Hee Baek

3. FieldCure Co., Ltd., Seoul, Republic of Korea
  Jong Hyun Kim, Myonggeun Yoon