🤖 AI Summary
This study addresses brain disorder classification from diffusion MRI tractography data by proposing an interpretable graph neural network (GNN) framework for subject-specific white matter connectome modeling and sex/age prediction. Methodologically, it introduces the first integration of anatomy-constrained graph convolution with self-attention: a structural guidance graph is constructed from FreeSurfer cortical parcellations, edge weights are defined by tract density to encode connection strength, and topology-aware dynamic feature aggregation is performed. Evaluated on the ADNI dataset, the model achieves 92.3% accuracy in Alzheimer’s disease classification—outperforming pure CNN and GNN baselines by 4.1%—while demonstrating superior generalizability and biological interpretability. The framework establishes a novel paradigm for white matter network–driven precision neuroimaging analysis.