Live-cell imaging of multiple subcellular structures is essential for understanding subcellular dynamics. However, the conventional multi-color sequential fluorescence microscopy suffers from significant imaging delays and limited number of subcellular structure separate labeling, resulting in substantial limitations for real-time live-cell research applications. Here, we present the Adaptive Explainable Multi-Structure Network (AEMS-Net), a deep-learning framework that enables simultaneous prediction of two subcellular structures from a single image. The model normalizes staining intensity and prioritizes critical image features by integrating attention mechanisms and brightness adaptation layers. Leveraging the Kolmogorov-Arnold representation theorem, our model decomposes learned features into interpretable univariate functions, enhancing the explainability of complex subcellular morphologies. We demonstrate that AEMS-Net allows real-time recording of interactions between mitochondria and microtubules, requiring only half the conventional sequential-channel imaging procedures. Notably, this approach achieves over 30% improvement in imaging quality compared to traditional deep learning methods, establishing a new paradigm for long-term, interpretable live-cell imaging that advances the ability to explore subcellular dynamics.

Alzheimer's disease (AD) is a heterogeneous, multifactorial neurodegenerative disorder characterized by beta-amyloid, pathologic tau, and neurodegeneration. There are no effective treatments for Alzheimer's disease at a late stage, urging for early intervention. However, existing statistical inference approaches of AD subtype identification ignore the pathological domain knowledge, which could lead to ill-posed results that are sometimes inconsistent with the essential neurological principles. Integrating systems biology modeling with machine learning, we propose a novel pathology steered stratification network (PSSN) that incorporates established domain knowledge in AD pathology through a reaction-diffusion model, where we consider non-linear interactions between major biomarkers and diffusion along brain structural network. Trained on longitudinal multimodal neuroimaging data, the biological model predicts long-term trajectories that capture individual progression pattern, filling in the gaps between sparse imaging data available. A deep predictive neural network is then built to exploit spatiotemporal dynamics, link neurological examinations with clinical profiles, and generate subtype assignment probability on an individual basis. We further identify an evolutionary disease graph to quantify subtype transition probabilities through extensive simulations. Our stratification achieves superior performance in both inter-cluster heterogeneity and intra-cluster homogeneity of various clinical scores. Applying our approach to enriched samples of aging populations, we identify six subtypes spanning AD spectrum, where each subtype exhibits a distinctive biomarker pattern that is consistent with its clinical outcome. PSSN provides insights into pre-symptomatic diagnosis and practical guidance on clinical treatments, which may be further generalized to other neurodegenerative diseases.

Converging evidence shows that disease-relevant brain alterations do not appear in random brain locations, instead, its spatial pattern follows large scale brain networks. In this context, a powerful network analysis approach with a mathematical foundation is indispensable to understand the mechanism of neuropathological events spreading throughout the brain. Indeed, the topology of each brain network is governed by its native harmonic waves, which are a set of orthogonal bases derived from the Eigen-system of the underlying Laplacian matrix. To that end, we propose a novel connectome harmonic analysis framework to provide enhanced mathematical insights by detecting frequency-based alterations relevant to brain disorders. The backbone of our framework is a novel manifold algebra appropriate for inference across harmonic waves that overcomes the limitations of using classic Euclidean operations on irregular data structures. The individual harmonic difference is measured by a set of common harmonic waves learned from a population of individual Eigen systems, where each native Eigen-system is regarded as a sample drawn from the Stiefel manifold. Specifically, a manifold optimization scheme is tailored to find the common harmonic waves which reside at the center of Stiefel manifold. To that end, the common harmonic waves constitute the new neuro-biological bases to understand disease progression. Each harmonic wave exhibits a unique propagation pattern of neuro-pathological burdens spreading across brain networks. The statistical power of our novel connectome harmonic analysis approach is evaluated by identifying frequency-based alterations relevant to Alzheimer's disease, where our learning-based manifold approach discovers more significant and reproducible network dysfunction patterns compared to Euclidian methods.