🤖 AI Summary
Accurately predicting individualized, high-resolution cortical thickness (CTh) trajectories faces two key challenges: modeling non-Euclidean cortical geometry and effectively fusing multimodal data. To address these, we propose the Conditional Spherical U-Net (CoS-UNet), the first framework integrating a spherical Brownian bridge diffusion model with a bidirectional conditional generative mechanism to jointly model factual and counterfactual CTh trajectories. CoS-UNet employs spherical convolution and dense cross-attention to jointly encode structural MRI, cognitive scores, and other heterogeneous longitudinal data on the cortical sphere. Evaluated on the ADNI and OASIS longitudinal cohorts, our method significantly reduces vertex-wise CTh prediction error (p < 0.001). It enables submillimeter-accurate, subject-specific dynamic trajectory inference and early detection of neurodegenerative change. The geometrically grounded, interpretable architecture advances brain-age modeling and supports data-driven intervention planning.
📝 Abstract
Accurate forecasting of individualized, high-resolution cortical thickness (CTh) trajectories is essential for detecting subtle cortical changes, providing invaluable insights into neurodegenerative processes and facilitating earlier and more precise intervention strategies. However, CTh forecasting is a challenging task due to the intricate non-Euclidean geometry of the cerebral cortex and the need to integrate multi-modal data for subject-specific predictions. To address these challenges, we introduce the Spherical Brownian Bridge Diffusion Model (SBDM). Specifically, we propose a bidirectional conditional Brownian bridge diffusion process to forecast CTh trajectories at the vertex level of registered cortical surfaces. Our technical contribution includes a new denoising model, the conditional spherical U-Net (CoS-UNet), which combines spherical convolutions and dense cross-attention to integrate cortical surfaces and tabular conditions seamlessly. Compared to previous approaches, SBDM achieves significantly reduced prediction errors, as demonstrated by our experiments based on longitudinal datasets from the ADNI and OASIS. Additionally, we demonstrate SBDM's ability to generate individual factual and counterfactual CTh trajectories, offering a novel framework for exploring hypothetical scenarios of cortical development.