Interpretable Neuropsychiatric Diagnosis via Concept-Guided Graph Neural Networks

Fuente: arXiv
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Hauptverfasser: Wang, Song, Lei, Zhenyu, Tan, Zhen, Li, Jundong, Rasero, Javier, Zhang, Aiying, Agarwal, Chirag
Format: Preprint
Veröffentlicht: 2025
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author Wang, Song
Lei, Zhenyu
Tan, Zhen
Li, Jundong
Rasero, Javier
Zhang, Aiying
Agarwal, Chirag
author_facet Wang, Song
Lei, Zhenyu
Tan, Zhen
Li, Jundong
Rasero, Javier
Zhang, Aiying
Agarwal, Chirag
contents Nearly one in five adolescents currently live with a diagnosed mental or behavioral health condition, such as anxiety, depression, or conduct disorder, underscoring the urgency of developing accurate and interpretable diagnostic tools. Resting-state functional magnetic resonance imaging (rs-fMRI) provides a powerful lens into large-scale functional connectivity, where brain regions are modeled as nodes and inter-regional synchrony as edges, offering clinically relevant biomarkers for psychiatric disorders. While prior works use graph neural network (GNN) approaches for disorder prediction, they remain complex black-boxes, limiting their reliability and clinical translation. In this work, we propose CONCEPTNEURO, a concept-based diagnosis framework that leverages large language models (LLMs) and neurobiological domain knowledge to automatically generate, filter, and encode interpretable functional connectivity concepts. Each concept is represented as a structured subgraph linking specific brain regions, which are then passed through a concept classifier. Our design ensures predictions through clinically meaningful connectivity patterns, enabling both interpretability and strong predictive performance. Extensive experiments across multiple psychiatric disorder datasets demonstrate that CONCEPTNEURO-augmented GNNs consistently outperform their vanilla counterparts, improving accuracy while providing transparent, clinically aligned explanations. Furthermore, concept analyses highlight disorder-specific connectivity patterns that align with expert knowledge and suggest new hypotheses for future investigation, establishing CONCEPTNEURO as an interpretable, domain-informed framework for psychiatric disorder diagnosis.
format Preprint
id arxiv_https___arxiv_org_abs_2510_03351
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Interpretable Neuropsychiatric Diagnosis via Concept-Guided Graph Neural Networks
Wang, Song
Lei, Zhenyu
Tan, Zhen
Li, Jundong
Rasero, Javier
Zhang, Aiying
Agarwal, Chirag
Machine Learning
Artificial Intelligence
Image and Video Processing
Nearly one in five adolescents currently live with a diagnosed mental or behavioral health condition, such as anxiety, depression, or conduct disorder, underscoring the urgency of developing accurate and interpretable diagnostic tools. Resting-state functional magnetic resonance imaging (rs-fMRI) provides a powerful lens into large-scale functional connectivity, where brain regions are modeled as nodes and inter-regional synchrony as edges, offering clinically relevant biomarkers for psychiatric disorders. While prior works use graph neural network (GNN) approaches for disorder prediction, they remain complex black-boxes, limiting their reliability and clinical translation. In this work, we propose CONCEPTNEURO, a concept-based diagnosis framework that leverages large language models (LLMs) and neurobiological domain knowledge to automatically generate, filter, and encode interpretable functional connectivity concepts. Each concept is represented as a structured subgraph linking specific brain regions, which are then passed through a concept classifier. Our design ensures predictions through clinically meaningful connectivity patterns, enabling both interpretability and strong predictive performance. Extensive experiments across multiple psychiatric disorder datasets demonstrate that CONCEPTNEURO-augmented GNNs consistently outperform their vanilla counterparts, improving accuracy while providing transparent, clinically aligned explanations. Furthermore, concept analyses highlight disorder-specific connectivity patterns that align with expert knowledge and suggest new hypotheses for future investigation, establishing CONCEPTNEURO as an interpretable, domain-informed framework for psychiatric disorder diagnosis.
title Interpretable Neuropsychiatric Diagnosis via Concept-Guided Graph Neural Networks
topic Machine Learning
Artificial Intelligence
Image and Video Processing
url https://arxiv.org/abs/2510.03351