Sep 2026· Journal of Alzheimer's Disease· Vol 113, pp. 1857 - 1871· 0 citations· 43 references
Medicine
TL;DR
The proposed DBTF-Net leverages temporal and time-frequency information in EEG signals and provides classification of AD and FTD, and visualization analysis indicates that the model attends to disease-relevant discriminative patterns in time-frequency representations, enhancing the interpretability of its classification decisions.
Abstract
Background Alzheimer's disease (AD) and frontotemporal dementia (FTD) exhibit substantial overlap in clinical manifestations and patterns of brain functional degeneration, which poses significant challenges for automated classification based on electroencephalography (EEG). Objective This study aims to develop an EEG-based framework capable of simultaneously capturing temporal dynamics and frequency-related characteristics of EEG signals for discrimination among AD, FTD, and cognitively normal (CN) subjects. Methods A Dual-Branch Time-Frequency Fusion Network (DBTF-Net) based on routine clinical resting-state EEG recordings acquired under eyes-closed conditions is proposed. The model employs parallel temporal and frequency branches to process raw EEG time-series signals and their corresponding time-frequency representations. A global temporal dependency construction mechanism is introduced in the temporal branch to capture both local temporal patterns and long-range temporal dependencies. Feature-level fusion is then performed across the two branches to achieve a collaborative representation of multidimensional brain functional information. The proposed method was systematically evaluated on one three-class classification task (AD versus FTD versus CN) and multiple binary classification tasks. Results Experimental results from five-fold cross-validation at the epoch level show the classification accuracies of DBTF-Net as 86.36%±4.28%, 83.01%±6.15%, 92.13%±10.35%, and 88.74%±7.69%% for AD versus FTD versus CN, AD versus CN, FTD versus CN, and AD versus FTD, respectively. Conclusions The proposed DBTF-Net leverages temporal and time-frequency information in EEG signals and provides classification of AD and FTD. Visualization analysis further indicates that the model attends to disease-relevant discriminative patterns in time-frequency representations, enhancing the interpretability of its classification decisions.
The proposed intelligent EEG diagnostic framework shows potential for deployment in primary healthcare institutions and may provide theoretical support for addressing the growing challenges of AD diagnosis and treatment in the context of global population aging.
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