Dementia is a progressive neurodegenerative disorder with multiple etiologies, including Alzheimer's disease, Parkinson's disease, frontotemporal dementia, and vascular dementia. Its clinical and biological heterogeneity makes diagnosis and subtype differentiation highly challenging. Graph Neural Networks (GNNs) have recently shown strong potential in modeling brain connectivity, but their limited robustness, data scarcity, and lack of interpretability constrain clinical adoption. Explainable Graph Neural Networks (XGNNs) have emerged to address these barriers by combining graph-based learning with interpretability, enabling the identification of disease-relevant biomarkers, analysis of brain network disruptions, and provision of transparent insights for clinicians. This paper presents the first comprehensive review dedicated to XGNNs in dementia research. We examine their applications across Alzheimer's disease, Parkinson's disease, mild cognitive impairment, and multi-disease diagnosis. A taxonomy of explainability methods tailored for dementia-related tasks is introduced, alongside comparisons of existing models in clinical scenarios. We also highlight challenges such as limited generalizability, underexplored domains, and the integration of Large Language Models (LLMs) for early detection. By outlining both progress and open problems, this review aims to guide future work toward trustworthy, clinically meaningful, and scalable use of XGNNs in dementia research.

After an acute stroke, accurately estimating stroke severity is crucial for healthcare professionals to effectively manage patient's treatment. Graph theory methods have shown that brain connectivity undergoes frequency-dependent reorganization post-stroke, adapting to new conditions. Traditional methods often rely on handcrafted features that may not capture the complexities of clinical phenomena. In this study, we propose a novel approach using Graph Neural Networks (GNNs) to predict stroke severity, as measured by the NIH Stroke Scale (NIHSS). We analyzed electroencephalography (EEG) recordings from 71 patients at the time of hospitalization. For each patient, we generated five graphs weighted by Lagged Linear Coherence (LLC) between signals from distinct Brodmann Areas, covering $\delta$ (2-4 Hz), $\theta$ (4-8 Hz), $\alpha_1$ (8-10.5 Hz), $\alpha_2$ (10.5-13 Hz), and $\beta_1$ (13-20 Hz) frequency bands. To emphasize key neurological connections and maintain sparsity, we applied a sparsification process based on structural and functional brain network properties. We then trained a graph attention model to predict the NIHSS. By examining its attention coefficients, our model reveals insights into brain reconfiguration, providing clinicians with a valuable tool for diagnosis, personalized treatment, and early intervention in neurorehabilitation.

Synthetic Aperture Radar (SAR) images are commonly utilized in military applications for automatic target recognition (ATR). Machine learning (ML) methods, such as Convolutional Neural Networks (CNN) and Graph Neural Networks (GNN), are frequently used to identify ground-based objects, including battle tanks, personnel carriers, and missile launchers. Determining the vehicle class, such as the BRDM2 tank, BMP2 tank, BTR60 tank, and BTR70 tank, is crucial, as it can help determine whether the target object is an ally or an enemy. While the ML algorithm provides feedback on the recognized target, the final decision is left to the commanding officers. Therefore, providing detailed information alongside the identified target can significantly impact their actions. This detailed information includes the SAR image features that contributed to the classification, the classification confidence, and the probability of the identified object being classified as a different object type or class. We propose a GNN-based ATR framework that provides the final classified class and outputs the detailed information mentioned above. This is the first study to provide a detailed analysis of the classification class, making final decisions more straightforward. Moreover, our GNN framework achieves an overall accuracy of 99.2\% when evaluated on the MSTAR dataset, improving over previous state-of-the-art GNN methods.

Graph neural networks (GNNs) have demonstrated a significant boost in prediction performance on graph data. At the same time, the predictions made by these models are often hard to interpret. In that regard, many efforts have been made to explain the prediction mechanisms of these models from perspectives such as GNNExplainer, XGNN and PGExplainer. Although such works present systematic frameworks to interpret GNNs, a holistic review for explainable GNNs is unavailable. In this survey, we present a comprehensive review of explainability techniques developed for GNNs. We focus on explainable graph neural networks and categorize them based on the use of explainable methods. We further provide the common performance metrics for GNNs explanations and point out several future research directions.