搜索结果：Therapeutic advances in neurological disorders

Canine gait analysis using wearable inertial sensors is gaining attention in veterinary clinical settings, as it provides valuable insights into a range of mobility impairments. Neurological and orthopedic conditions cannot always be easily distinguished even by experienced clinicians. The current study explored and developed a deep learning approach using inertial sensor readings to assess whether neurological and orthopedic gait could facilitate gait analysis. Our investigation focused on optimizing both performance and generalizability in distinguishing between these gait abnormalities. Variations in sensor configurations, assessment protocols, and enhancements to deep learning model architectures were further suggested. Using a dataset of 29 dogs, our proposed approach achieved 96% accuracy in the multiclass classification task (healthy/orthopedic/neurological) and 82% accuracy in the binary classification task (healthy/non-healthy) when generalizing to unseen dogs. Our results demonstrate the potential of inertial-based deep learning models to serve as a practical and objective diagnostic and clinical aid to differentiate gait assessment in orthopedic and neurological conditio

Advances in computational modeling, neuroimaging, and artificial intelligence are revolutionizing the modeling of neurological disorders for improved diagnostics, prognosis, and treatment planning. Mechanistic models provide valuable scientific insight into the disorders, but in practice they are often simplified with assumptions or computationally expensive and slow to solve. However, while purely data driven approaches provide speed and scalability, they require large, high quality data to train and generally suffer from interpretability and generalization issues. This perspective paper presents a structured overview of hybrid modeling strategies, which combine deep learning models with physics based solvers, and are categorized into parallel, series, and parallel-series architectures. Three main approaches that have been emphasized are residual modeling for missing or incomplete physics, Neural Ordinary Differential Equations (NODEs) for continuous time dynamics approximation, and solver in the loop that accelerates traditional solvers with neural approximations. These hybrid models integrate the governing differential equation based formulations and deep learning to characteriz

Despite the impressive advances achieved using deep learning for functional brain activity analysis, the heterogeneity of functional patterns and the scarcity of imaging data still pose challenges in tasks such as identifying neurological disorders. For functional Magnetic Resonance Imaging (fMRI), while data may be abundantly available from healthy controls, clinical data is often scarce, especially for rare diseases, limiting the ability of models to identify clinically-relevant features. We overcome this limitation by introducing a novel representation learning strategy integrating meta-learning with self-supervised learning to improve the generalization from normal to clinical features. This approach enables generalization to challenging clinical tasks featuring scarce training data. We achieve this by leveraging self-supervised learning on the control dataset to focus on inherent features that are not limited to a particular supervised task and incorporating meta-learning to improve the generalization across domains. To explore the generalizability of the learned representations to unseen clinical applications, we apply the model to four distinct clinical datasets featuring sc

Metabolic disorders, particularly type 2 diabetes mellitus (T2DM), represent a significant global health burden, disproportionately impacting genetically predisposed populations such as the Pima Indians (a Native American tribe from south central Arizona). This study introduces a novel machine learning (ML) framework that integrates predictive modeling with gene-agnostic pathway mapping to identify high-risk individuals and uncover potential therapeutic targets. Using the Pima Indian dataset, logistic regression and t-tests were applied to identify key predictors of T2DM, yielding an overall model accuracy of 78.43%. To bridge predictive analytics with biological relevance, we developed a pathway mapping strategy that links identified predictors to critical signaling networks, including insulin signaling, AMPK, and PPAR pathways. This approach provides mechanistic insights without requiring direct molecular data. Building upon these connections, we propose therapeutic strategies such as dual GLP-1/GIP receptor agonists, AMPK activators, SIRT1 modulators, and phytochemical, further validated through pathway enrichment analyses. Overall, this framework advances precision medicine by

In the last years in-vivo tractography has assumed an important role in neurosciences, for both research and clinical applications such as non-invasive investigation of brain connectivity and presurgical planning in neurosurgery. In more recent years there has been a growing interest in the applications of diffusion tractography for target identification in functional neurological disorders for an increasingly tailored approach. The growing diffusion of well-established neurosurgical procedures, such as deep brain stimulation or trans-cranial Magnetic Resonance-guided Focused Ultrasound, favored this trend. Tractography can indeed provide more accurate, patient-specific, information about the targeted region if compared to stereotactic atlases. On the other hand, this tractography-based approach is not very physician-friendly, and its heavily time consuming since it needs several hours for Magnetic Resonance Imaging data processing. In this study we propose a novel open-source deep learning framework called DeLTA-BIT (acronym of Deep-learning Local TrActography for BraIn Targeting) for fast target predictions, based on probabilistic tractography. The proposed framework exploits a c

The COVID-19 pandemic has brought to light a concerning aspect of long-term neurological complications in post-recovery patients. This study delved into the investigation of such neurological sequelae in a cohort of 500 post-COVID-19 patients, encompassing individuals with varying illness severity. The primary aim was to predict outcomes using a machine learning approach based on diverse clinical data and neuroimaging parameters. The results revealed that 68% of the post-COVID-19 patients reported experiencing neurological symptoms, with fatigue, headache, and anosmia being the most common manifestations. Moreover, 22% of the patients exhibited more severe neurological complications, including encephalopathy and stroke. The application of machine learning models showed promising results in predicting long-term neurological outcomes. Notably, the Random Forest model achieved an accuracy of 85%, sensitivity of 80%, and specificity of 90% in identifying patients at risk of developing neurological sequelae. These findings underscore the importance of continuous monitoring and follow-up care for post-COVID-19 patients, particularly in relation to potential neurological complications. Th

Neurological disorders pose major global health challenges, driving advances in brain signal analysis. Scalp electroencephalography (EEG) and intracranial EEG (iEEG) are widely used for diagnosis and monitoring. However, dataset heterogeneity and task variations hinder the development of robust deep learning solutions. This review systematically examines recent advances in deep learning approaches for EEG/iEEG-based neurological diagnostics, focusing on applications across 7 neurological conditions using 46 datasets. For each condition, we review representative methods and their quantitative results, integrating performance comparisons with analyses of data usage, model design, and task-specific adaptations, while highlighting the role of pre-trained multi-task models in achieving scalable, generalizable solutions. Finally, we propose a standardized benchmark to evaluate models across diverse datasets and improve reproducibility, emphasizing how recent innovations are transforming neurological diagnostics toward intelligent, adaptable healthcare systems.

Deep learning-based EEG classification is crucial for the automated detection of neurological disorders, improving diagnostic accuracy and enabling early intervention. However, the low signal-to-noise ratio of EEG signals limits model performance, making feature selection (FS) vital for optimizing representations learned by neural network encoders. Existing FS methods are seldom designed specifically for EEG diagnosis; many are architecture-dependent and lack interpretability, limiting their applicability. Moreover, most rely on single-iteration data, resulting in limited robustness to variability. To address these issues, we propose IEFS-GMB, an Information Entropy-based Feature Selection method guided by a Gradient Memory Bank. This approach constructs a dynamic memory bank storing historical gradients, computes feature importance via information entropy, and applies entropy-based weighting to select informative EEG features. Experiments on four public neurological disease datasets show that encoders enhanced with IEFS-GMB achieve accuracy improvements of 0.64% to 6.45% over baseline models. The method also outperforms four competing FS techniques and improves model interpretabil

Neurological conditions, such as Alzheimer's Disease, are challenging to diagnose, particularly in the early stages where symptoms closely resemble healthy controls. Existing brain network analysis methods primarily focus on graph-based models that rely solely on imaging data, which may overlook important non-imaging factors and limit the model's predictive power and interpretability. In this paper, we present BrainPrompt, an innovative framework that enhances Graph Neural Networks (GNNs) by integrating Large Language Models (LLMs) with knowledge-driven prompts, enabling more effective capture of complex, non-imaging information and external knowledge for neurological disease identification. BrainPrompt integrates three types of knowledge-driven prompts: (1) ROI-level prompts to encode the identity and function of each brain region, (2) subject-level prompts that incorporate demographic information, and (3) disease-level prompts to capture the temporal progression of disease. By leveraging these multi-level prompts, BrainPrompt effectively harnesses knowledge-enhanced multi-modal information from LLMs, enhancing the model's capability to predict neurological disease stages and mean

Deductive formalisms have been strongly developed in recent years; among them, Answer Set Programming (ASP) gained some momentum, and has been lately fruitfully employed in many real-world scenarios. Nonetheless, in spite of a large number of success stories in relevant application areas, and even in industrial contexts, deductive reasoning cannot be considered the ultimate, comprehensive solution to AI; indeed, in several contexts, other approaches result to be more useful. Typical Bioinformatics tasks, for instance classification, are currently carried out mostly by Machine Learning (ML) based solutions. In this paper, we focus on the relatively new problem of analyzing the evolution of neurological disorders. In this context, ML approaches already demonstrated to be a viable solution for classification tasks; here, we show how ASP can play a relevant role in the brain evolution simulation task. In particular, we propose a general and extensible framework to support physicians and researchers at understanding the complex mechanisms underlying neurological disorders. The framework relies on a combined use of ML and ASP, and is general enough to be applied in several other applicat

Non-invasive brain imaging techniques allow understanding the behavior and macro changes in the brain to determine the progress of a disease. However, computational pathology provides a deeper understanding of brain disorders at cellular level, able to consolidate a diagnosis and make the bridge between the medical image and the omics analysis. In traditional histopathology, histology slides are visually inspected, under the microscope, by trained pathologists. This process is time-consuming and labor-intensive; therefore, the emergence of Computational Pathology has triggered great hope to ease this tedious task and make it more robust. This chapter focuses on understanding the state-of-the-art machine learning techniques used to analyze whole slide images within the context of brain disorders. We present a selective set of remarkable machine learning algorithms providing discriminative approaches and quality results on brain disorders. These methodologies are applied to different tasks, such as monitoring mechanisms contributing to disease progression and patient survival rates, analyzing morphological phenotypes for classification and quantitative assessment of disease, improvin

For many neurological disorders, prediction of disease state is an important clinical aim. Neuroimaging provides detailed information about brain structure and function from which such predictions may be statistically derived. A multinomial logit model with Gaussian process priors is proposed to: (i) predict disease state based on whole-brain neuroimaging data and (ii) analyze the relative informativeness of different image modalities and brain regions. Advanced Markov chain Monte Carlo methods are employed to perform posterior inference over the model. This paper reports a statistical assessment of multiple neuroimaging modalities applied to the discrimination of three Parkinsonian neurological disorders from one another and healthy controls, showing promising predictive performance of disease states when compared to nonprobabilistic classifiers based on multiple modalities. The statistical analysis also quantifies the relative importance of different neuroimaging measures and brain regions in discriminating between these diseases and suggests that for prediction there is little benefit in acquiring multiple neuroimaging sequences. Finally, the predictive capability of different b

Deep learning associated with neurological signals is poised to drive major advancements in diverse fields such as medical diagnostics, neurorehabilitation, and brain-computer interfaces. The challenge in harnessing the full potential of these signals lies in the dependency on extensive, high-quality annotated data, which is often scarce and expensive to acquire, requiring specialized infrastructure and domain expertise. To address the appetite for data in deep learning, we present Neuro-BERT, a self-supervised pre-training framework of neurological signals based on masked autoencoding in the Fourier domain. The intuition behind our approach is simple: frequency and phase distribution of neurological signals can reveal intricate neurological activities. We propose a novel pre-training task dubbed Fourier Inversion Prediction (FIP), which randomly masks out a portion of the input signal and then predicts the missing information using the Fourier inversion theorem. Pre-trained models can be potentially used for various downstream tasks such as sleep stage classification and gesture recognition. Unlike contrastive-based methods, which strongly rely on carefully hand-crafted augmentati

While imaging-genetics holds great promise for unraveling the complex interplay between brain structure and genetic variation in neurological disorders, traditional methods are limited to simplistic linear models or to black-box techniques that lack interpretability. In this paper, we present NeuroPathX, an explainable deep learning framework that uses an early fusion strategy powered by cross-attention mechanisms to capture meaningful interactions between structural variations in the brain derived from MRI and established biological pathways derived from genetics data. To enhance interpretability and robustness, we introduce two loss functions over the attention matrix - a sparsity loss that focuses on the most salient interactions and a pathway similarity loss that enforces consistent representations across the cohort. We validate NeuroPathX on both autism spectrum disorder and Alzheimer's disease. Our results demonstrate that NeuroPathX outperforms competing baseline approaches and reveals biologically plausible associations linked to the disorder. These findings underscore the potential of NeuroPathX to advance our understanding of complex brain disorders. Code is available at

The ability to use digitally recorded and quantified neurological exam information is important to help healthcare systems deliver better care, in-person and via telehealth, as they compensate for a growing shortage of neurologists. Current neurological digital biomarker pipelines, however, are narrowed down to a specific neurological exam component or applied for assessing specific conditions. In this paper, we propose an accessible vision-based exam and documentation solution called Digitized Neurological Examination (DNE) to expand exam biomarker recording options and clinical applications using a smartphone/tablet. Through our DNE software, healthcare providers in clinical settings and people at home are enabled to video capture an examination while performing instructed neurological tests, including finger tapping, finger to finger, forearm roll, and stand-up and walk. Our modular design of the DNE software supports integrations of additional tests. The DNE extracts from the recorded examinations the 2D/3D human-body pose and quantifies kinematic and spatio-temporal features. The features are clinically relevant and allow clinicians to document and observe the quantified movem

Therapeutic art activities, such as expressive drawing and painting, require the synergy between creative visual production and interactive dialogue. Recent advancements in Multimodal Large Language Models (MLLMs) have expanded the capacity of computing systems to interpret both textual and visual data, offering a new frontier for AI-mediated therapeutic support. This work-in-progress paper introduces an MLLM-powered chatbot that analyzes visual creation in real-time while engaging the creator in reflective conversations. We conducted an evaluation with five experts in art therapy and related fields, which demonstrated the chatbot's potential to facilitate therapeutic engagement, and highlighted several areas for future development, including entryways and risk management, bespoke alignment of user profile and therapeutic style, balancing conversational depth and width, and enriching visual interactivity. These themes provide a design roadmap for designing the future AI-mediated creative expression tools.

Musculoskeletal and neurological disorders are the most common causes of walking problems among older people, and they often lead to diminished quality of life. Analyzing walking motion data manually requires trained professionals and the evaluations may not always be objective. To facilitate early diagnosis, recent deep learning-based methods have shown promising results for automated analysis, which can discover patterns that have not been found in traditional machine learning methods. We observe that existing work mostly applies deep learning on individual joint features such as the time series of joint positions. Due to the challenge of discovering inter-joint features such as the distance between feet (i.e. the stride width) from generally smaller-scale medical datasets, these methods usually perform sub-optimally. As a result, we propose a solution that explicitly takes both individual joint features and inter-joint features as input, relieving the system from the need of discovering more complicated features from small data. Due to the distinctive nature of the two types of features, we introduce a two-stream framework, with one stream learning from the time series of joint

It is essential to understand the complex structure of the human brain to develop new treatment approaches for neurodegenerative disorders (NDDs). This review paper comprehensively discusses the challenges associated with modelling the complex brain networks and dynamic processes involved in NDDs, particularly Alzheimer's disease (AD), Parkinson's disease (PD), and cortical spreading depression (CSD). We investigate how the brain's biological processes and associated multiphysics interact and how this influences the structure and functionality of the brain. We review the literature on brain network models and dynamic processes, highlighting the need for sophisticated mathematical and statistical modelling techniques. Specifically, we go through large-scale brain network models relevant to AD and PD, highlighting the pathological mechanisms and potential therapeutic strategies investigated in the literature. Additionally, we investigate the propagation of CSD in the brain and its implications for neurological disorders. Furthermore, we discuss how data-driven approaches and artificial neural networks refine and validate models related to NDDs. Overall, this review underscores the si

In this study, we present a multimodal framework for predicting neuro-facial disorders by capturing both vocal and facial cues. We hypothesize that explicitly disentangling shared and modality-specific representations within multimodal foundation model embeddings can enhance clinical interpretability and generalization. To validate this hypothesis, we propose DIVINE a fully disentangled multimodal framework that operates on representations extracted from state-of-the-art (SOTA) audio and video foundation models, incorporating hierarchical variational bottlenecks, sparse gated fusion, and learnable symptom tokens. DIVINE operates in a multitask learning setup to jointly predict diagnostic categories (Healthy Control,ALS, Stroke) and severity levels (Mild, Moderate, Severe). The model is trained using synchronized audio and video inputs and evaluated on the Toronto NeuroFace dataset under full (audio-video) as well as single-modality (audio-only and video-only) test conditions. Our proposed approach, DIVINE achieves SOTA result, with the DeepSeek-VL2 and TRILLsson combination reaching 98.26% accuracy and 97.51% F1-score. Under modality-constrained scenarios, the framework performs we