MRC-GAT: A Meta-Relational Copula-Based Graph Attention Network for Interpretable Multimodal Alzheimer's Disease Diagnosis

📅 2026-02-17
📈 Citations: 0
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This work addresses the limitations of existing graph-based Alzheimer’s disease (AD) diagnostic models, whose rigid architectures struggle to accommodate patient heterogeneity, thereby compromising generalization and diagnostic flexibility. To overcome this, the authors propose MRC-GAT, a novel framework that integrates multimodal data—including risk factors, cognitive assessments, and MRI scans—within a meta-learning paradigm. Heterogeneous features are aligned via Copula transformations, and a multi-relational graph attention mechanism is introduced to enable interpretable disease classification. Evaluated on the TADPOLE and NACC datasets, MRC-GAT achieves accuracies of 96.87% and 92.31%, respectively, significantly outperforming current state-of-the-art methods. The model demonstrates strong generalization, adaptive flexibility across diverse patient profiles, and interpretable diagnostic insights across multiple disease stages.

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📝 Abstract
Alzheimer's disease (AD) is a progressive neurodegenerative condition necessitating early and precise diagnosis to provide prompt clinical management. Given the paramount importance of early diagnosis, recent studies have increasingly focused on computer-aided diagnostic models to enhance precision and reliability. However, most graph-based approaches still rely on fixed structural designs, which restrict their flexibility and limit generalization across heterogeneous patient data. To overcome these limitations, the Meta-Relational Copula-Based Graph Attention Network (MRC-GAT) is proposed as an efficient multimodal model for AD classification tasks. The proposed architecture, copula-based similarity alignment, relational attention, and node fusion are integrated as the core components of episodic meta-learning, such that the multimodal features, including risk factors (RF), Cognitive test scores, and MRI attributes, are first aligned via a copula-based transformation in a common statistical space and then combined by a multi-relational attention mechanism. According to evaluations performed on the TADPOLE and NACC datasets, the MRC-GAT model achieved accuracies of 96.87% and 92.31%, respectively, demonstrating state-of-the-art performance compared to existing diagnostic models. Finally, the proposed model confirms the robustness and applicability of the proposed method by providing interpretability at various stages of disease diagnosis.
Problem

Research questions and friction points this paper is trying to address.

Alzheimer's disease
graph-based diagnosis
heterogeneous data
generalization
early diagnosis
Innovation

Methods, ideas, or system contributions that make the work stand out.

Copula-based similarity alignment
relational attention
episodic meta-learning
multimodal fusion
interpretable graph neural network
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