journal article Open Access May 02, 2025

Advancements in deep learning for early diagnosis of Alzheimer’s disease using multimodal neuroimaging: challenges and future directions

View at Publisher Save 10.3389/fninf.2025.1557177
Abstract
IntroductionAlzheimer’s disease is a progressive neurodegenerative disorder challenging early diagnosis and treatment. Recent advancements in deep learning algorithms applied to multimodal brain imaging offer promising solutions for improving diagnostic accuracy and predicting disease progression.MethodThis narrative review synthesizes current literature on deep learning applications in Alzheimer’s disease diagnosis using multimodal neuroimaging. The review process involved a comprehensive search of relevant databases (PubMed, Embase, Google Scholar and ClinicalTrials.gov), selection of pertinent studies, and critical analysis of findings. We employed a best-evidence approach, prioritizing high-quality studies and identifying consistent patterns across the literature.ResultsDeep learning architectures, including convolutional neural networks, recurrent neural networks, and transformer-based models, have shown remarkable potential in analyzing multimodal neuroimaging data. These models can effectively process structural and functional imaging modalities, extracting relevant features and patterns associated with Alzheimer’s pathology. Integration of multiple imaging modalities has demonstrated improved diagnostic accuracy compared to single-modality approaches. Deep learning models have also shown promise in predictive modeling, identifying potential biomarkers and forecasting disease progression.DiscussionWhile deep learning approaches show great potential, several challenges remain. Data heterogeneity, small sample sizes, and limited generalizability across diverse populations are significant hurdles. The clinical translation of these models requires careful consideration of interpretability, transparency, and ethical implications. The future of AI in neurodiagnostics for Alzheimer’s disease looks promising, with potential applications in personalized treatment strategies.
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References
195
[1]
Abbas "Seizure forecasting using single robust linear feature as correlation vector of seizure-like events in brain slices preparation in vitro" Neurol. Res. (2019) 10.1080/01616412.2018.1532481
[2]
Aberathne "Detection of Alzheimer’s disease onset using MRI and PET neuroimaging: longitudinal data analysis and machine learning" Neural Regen. Res. (2023) 10.4103/1673-5374.367840
[3]
Abrol "Deep learning encodes robust discriminative neuroimaging representations to outperform standard machine learning" Nat. Commun. (2021) 10.1038/s41467-020-20655-6
[4]
Peeking Inside the Black-Box: A Survey on Explainable Artificial Intelligence (XAI)

Amina Adadi, Mohammed Berrada

IEEE Access 2018 10.1109/access.2018.2870052
[5]
Adegoke (2025)
[6]
Adeniran "Explainable AI (XAI) in healthcare: enhancing trust and transparency in critical decision-making" World J. Adv. Res. Rev (2024) 10.30574/wjarr.2024.23.3.2936
[7]
Adler-Milstein "Meeting the moment: addressing barriers and facilitating clinical adoption of artificial intelligence in medical diagnosis" NAM Perspect. (2022) 10.31478/202209c
[8]
Afrazeh "Advances in imaging analysis for understanding brain disorders" Int. J. Sci. Appl. Res. (2024) 10.54756/ijsar.2024.15
[9]
Agarwal "Transfer learning for Alzheimer’s disease through neuroimaging biomarkers: A systematic review" Sensors (Basel, Switzerland) (2021) 10.3390/s21217259
[10]
Agosta "Resting state fMRI in Alzheimer's disease: beyond the default mode network" Neurobiol. Aging (2012) 10.1016/j.neurobiolaging.2011.06.007
[11]
Ahmed "Ensembles of patch-based classifiers for diagnosis of Alzheimer diseases" IEEE Access (2019) 10.1109/access.2019.2920011
[12]
Airlangga "Advancing Alzheimer’s diagnosis: a comparative analysis of deep learning architectures on multidimensional health data" J. Inform. Ekonomi Bisnis (2024) 10.37034/infeb.v6i4.1046
[13]
Albajes-Eizagirre "Meta-analysis of voxel-based neuroimaging studies using seed-based d mapping with permutation of subject images (SDM-PSI)" J. Vis. Exp. (2019) 10.3791/59841
[14]
Alharthi (2024)
[15]
Revolutionizing healthcare: the role of artificial intelligence in clinical practice

Shuroug A. Alowais, Sahar S. Alghamdi, Nada Alsuhebany et al.

BMC Medical Education 2023 10.1186/s12909-023-04698-z
[16]
Alshamlan "Improving Alzheimer's disease prediction with different machine learning approaches and feature selection techniques" Diagnostics (Basel, Switzerland) (2024) 10.3390/diagnostics14192237
[17]
Alsubaie "Alzheimer’s disease detection using deep learning on neuroimaging: a systematic review" Mach. Learn. Knowl. Extract. (2024) 10.3390/make6010024
[18]
Amira (2015)
[19]
Aramadaka "Neuroimaging in Alzheimer's disease for early diagnosis: a comprehensive review" Cureus (2023) 10.7759/cureus.38544
[20]
Arevalo-Rodriguez "Mini-mental state examination (MMSE) for the early detection of dementia in people with mild cognitive impairment (MCI)" Cochrane Database Syst. Rev. (2021) 10.1002/14651858.cd010783.pub3
[21]
Asaduzzaman "ALZENET: deep learning-based early prediction of Alzheimer's disease through magnetic resonance imaging analysis" Telemat. Inform. Rep. (2025) 10.1016/j.teler.2025.100189
[22]
Asokan "Hierarchical spatial feature-CNN employing grad-CAM for enhanced segmentation and classification in Alzheimer's and Parkinson's disease diagnosis via MRI" Traitement du Signal (2023) 10.18280/ts.400637
[23]
Atri "The Alzheimer's disease clinical Spectrum: diagnosis and management" Med. Clin. North Am. (2019) 10.1016/j.mcna.2018.10.009
[24]
Babb de Villiers "Understanding polygenic models, their development and the potential application of polygenic scores in healthcare" J. Med. Genet. (2020) 10.1136/jmedgenet-2019-106763
[25]
Band "Application of explainable artificial intelligence in medical health: a systematic review of interpretability methods" Inform. Med. Unlocked (2023) 10.1016/j.imu.2023.101286
[26]
Behrad "An overview of deep learning methods for multimodal medical data mining" Expert Syst. Appl. (2022) 10.1016/j.eswa.2022.117006
[27]
Bilgel "Temporal order of Alzheimer's disease-related cognitive marker changes in BLSA and WRAP longitudinal studies" J. Alzheimers Dis. (2017) 10.3233/jad-170448
[28]
Binnewijzend "Resting-state fMRI changes in Alzheimer's disease and mild cognitive impairment" Neurobiol. Aging (2012) 10.1016/j.neurobiolaging.2011.07.003
[29]
Birkenbihl "Differences in cohort study data affect external validation of artificial intelligence models for predictive diagnostics of dementia-lessons for translation into clinical practice" EPMA J. (2020) 10.1007/s13167-020-00216-z
[30]
Bouts "Single subject classification of Alzheimer’s disease and behavioral variant frontotemporal dementia using anatomical, diffusion tensor, and resting-state functional magnetic resonance imaging" J. Alzheimers Dis. (2018) 10.3233/jad-170893
[31]
Braithwaite "Detection of medications associated with Alzheimer's disease using ensemble methods and cooperative game theory" Int. J. Med. Inform. (2020) 10.1016/j.ijmedinf.2020.104142
[32]
Breton "Continuous glucose monitoring and insulin informed advisory system with automated titration and dosing of insulin reduces glucose variability in type 1 diabetes mellitus" Diabetes Technol. Ther. (2018) 10.1089/dia.2018.0079
[33]
Cao "Integrated analysis of multimodal single-cell data with structural similarity" Nucleic Acids Res. (2022) 10.1093/nar/gkac781
[34]
Castellano "Automated detection of Alzheimer’s disease: a multi-modal approach with 3D MRI and amyloid PET" Sci. Rep. (2024) 10.1038/s41598-024-56001-9
[35]
Chaddad "Survey of explainable AI techniques in healthcare" Sensors (Basel, Switzerland) (2023) 10.3390/s23020634
[36]
Choudhury "A coupled-GAN architecture to fuse MRI and PET image features for multi-stage classification of Alzheimer’s disease" Inform. Fusion (2024) 10.1016/j.inffus.2024.102415
[37]
Chouliaras "The use of neuroimaging techniques in the early and differential diagnosis of dementia" Mol. Psychiatry (2023) 10.1038/s41380-023-02215-8
[38]
Cui "Temporal-relational hypergraph tri-attention networks for stock trend prediction" Pattern Recogn. (2023) 10.1016/j.patcog.2023.109759
[39]
Almeida "How do deep-learning models generalize across populations? Cross-ethnicity generalization of COPD detection" Insights Imaging (2024) 10.1186/s13244-024-01781-x
[40]
Dachena (2020)
[41]
Dakdareh "Diagnosis of Alzheimer’s disease and mild cognitive impairment using convolutional neural networks" J. Alzheimers Dis. Rep. (2024) 10.3233/adr-230118
[42]
Damoiseaux "Resting-state fMRI as a biomarker for Alzheimer's disease?" Alzheimers Res. Ther. (2012) 10.1186/alzrt106
[43]
Lack of Transparency and Potential Bias in Artificial Intelligence Data Sets and Algorithms

Roxana Daneshjou, Mary P. Smith, Mary D. Sun et al.

JAMA Dermatology 2021 10.1001/jamadermatol.2021.3129
[44]
Degtiar "A review of generalizability and transportability" Ann. Rev. Stat. Appl. (2023) 10.1146/annurev-statistics-042522-103837
[45]
Ding "A deep learning model to predict a diagnosis of Alzheimer disease by using 18F-FDG PET of the brain" Radiology (2019) 10.1148/radiol.2018180958
[46]
Ding "Quantitative radiomic features as new biomarkers for Alzheimer’s disease: An amyloid PET study" Cereb. Cortex (2021) 10.1093/cercor/bhab061
[47]
Du "Longitudinal plasma phosphorylated-tau 217 and other related biomarkers in a non-demented Alzheimer's risk-enhanced sample" Alzheimers Dement. 10.1002/alz.14100
[48]
Du "Unveiling the future: advancements in MRI imaging for neurodegenerative disorders" Ageing Res. Rev. 10.1016/j.arr.2024.102230
[49]
Du "Accurate prediction of coronary heart disease for patients with hypertension from electronic health records with big data and machine-learning methods: model development and performance evaluation" JMIR Med. Inform. (2020) 10.2196/17257
[50]
Deep learning in cancer pathology: a new generation of clinical biomarkers

Amelie Echle, Niklas Timon Rindtorff, Titus Josef Brinker et al.

British Journal of Cancer 2021 10.1038/s41416-020-01122-x

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Published
May 02, 2025
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Cite This Article
Muhammad Liaquat Raza, Syed Tawassul Hassan, Subia Jamil, et al. (2025). Advancements in deep learning for early diagnosis of Alzheimer’s disease using multimodal neuroimaging: challenges and future directions. Frontiers in Neuroinformatics, 19. https://doi.org/10.3389/fninf.2025.1557177
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