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Alzheimer's Association International Conference 2026

July 12-15, 2026 | London, United Kingdom, and Online

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4276

Predicting Longitudinal Progression Of Alzheimer’s Disease Brain Morphology From 3D MRI Via Latent Space Transformers

Part of Topic

Background:

•Alzheimer's disease (AD) has a prolonged progression, with brain changes believed to begin two decades or more before clinical symptoms.

•AD progression exhibits substantial inter-individual heterogeneity, with rates and patterns of brain atrophy varying widely across individuals, making individual-level longitudinal analysis essential.

•True longitudinal MRI datasets remain limited, and most available data are cross-sectional.

To address this limitation, we propose a novel transformer-based deep learning model that leverages large-scale cross-sectional MRI data to generate individualized longitudinal MRI and predict disease progression for patients with Alzheimer's disease.

 
Methods:

We utilized multi-timepoint T1-weighted MRI scans from the ADNI dataset. The proposed framework consists of two key stages.

Stage 1: a 3D Vector Quantized Variational Autoencoder (VQ-VAE) was trained to compress volumetric MRI images into compact, discrete latent codebooks, capturing time-independent anatomical representations of brain structure.

Stage 2: a Transformer-based temporal model was applied in this latent space to learn longitudinal temporal patterns of brain morphological changes.

By modeling sequences of latent representations across time, the Transformer captures disease-related temporal dynamics and predicts future brain morphology at the individual level.

 

Key Takeaways:

•Leverages large-scale cross-sectional MRI data to generate individualized longitudinal MRI trajectories.

•Employs a transformer-based framework to capture temporal progression patterns.

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