GL-ICNN: An End-To-End Interpretable Convolutional Neural Network for the Diagnosis and Prediction of Alzheimer's Disease

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Main Authors: Kang, Wenjie, Jiskoot, Lize, De Deyn, Peter, Biessels, Geert, Koek, Huiberdina, Claassen, Jurgen, Middelkoop, Huub, Flier, Wiesje, Jansen, Willemijn J., Klein, Stefan, Bron, Esther
Format: Preprint
Published: 2025
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author Kang, Wenjie
Jiskoot, Lize
De Deyn, Peter
Biessels, Geert
Koek, Huiberdina
Claassen, Jurgen
Middelkoop, Huub
Flier, Wiesje
Jansen, Willemijn J.
Klein, Stefan
Bron, Esther
author_facet Kang, Wenjie
Jiskoot, Lize
De Deyn, Peter
Biessels, Geert
Koek, Huiberdina
Claassen, Jurgen
Middelkoop, Huub
Flier, Wiesje
Jansen, Willemijn J.
Klein, Stefan
Bron, Esther
contents Deep learning methods based on Convolutional Neural Networks (CNNs) have shown great potential to improve early and accurate diagnosis of Alzheimer's disease (AD) dementia based on imaging data. However, these methods have yet to be widely adopted in clinical practice, possibly due to the limited interpretability of deep learning models. The Explainable Boosting Machine (EBM) is a glass-box model but cannot learn features directly from input imaging data. In this study, we propose a novel interpretable model that combines CNNs and EBMs for the diagnosis and prediction of AD. We develop an innovative training strategy that alternatingly trains the CNN component as a feature extractor and the EBM component as the output block to form an end-to-end model. The model takes imaging data as input and provides both predictions and interpretable feature importance measures. We validated the proposed model on the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset and the Health-RI Parelsnoer Neurodegenerative Diseases Biobank (PND) as an external testing set. The proposed model achieved an area-under-the-curve (AUC) of 0.956 for AD and control classification, and 0.694 for the prediction of conversion of mild cognitive impairment (MCI) to AD on the ADNI cohort. The proposed model is a glass-box model that achieves a comparable performance with other state-of-the-art black-box models. Our code is publicly available at: https://anonymous.4open.science/r/GL-ICNN.
format Preprint
id arxiv_https___arxiv_org_abs_2501_11715
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle GL-ICNN: An End-To-End Interpretable Convolutional Neural Network for the Diagnosis and Prediction of Alzheimer's Disease
Kang, Wenjie
Jiskoot, Lize
De Deyn, Peter
Biessels, Geert
Koek, Huiberdina
Claassen, Jurgen
Middelkoop, Huub
Flier, Wiesje
Jansen, Willemijn J.
Klein, Stefan
Bron, Esther
Computer Vision and Pattern Recognition
Artificial Intelligence
Deep learning methods based on Convolutional Neural Networks (CNNs) have shown great potential to improve early and accurate diagnosis of Alzheimer's disease (AD) dementia based on imaging data. However, these methods have yet to be widely adopted in clinical practice, possibly due to the limited interpretability of deep learning models. The Explainable Boosting Machine (EBM) is a glass-box model but cannot learn features directly from input imaging data. In this study, we propose a novel interpretable model that combines CNNs and EBMs for the diagnosis and prediction of AD. We develop an innovative training strategy that alternatingly trains the CNN component as a feature extractor and the EBM component as the output block to form an end-to-end model. The model takes imaging data as input and provides both predictions and interpretable feature importance measures. We validated the proposed model on the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset and the Health-RI Parelsnoer Neurodegenerative Diseases Biobank (PND) as an external testing set. The proposed model achieved an area-under-the-curve (AUC) of 0.956 for AD and control classification, and 0.694 for the prediction of conversion of mild cognitive impairment (MCI) to AD on the ADNI cohort. The proposed model is a glass-box model that achieves a comparable performance with other state-of-the-art black-box models. Our code is publicly available at: https://anonymous.4open.science/r/GL-ICNN.
title GL-ICNN: An End-To-End Interpretable Convolutional Neural Network for the Diagnosis and Prediction of Alzheimer's Disease
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2501.11715