Preterm birth disrupts the typical trajectory of cortical neurodevelopment, increasing the risk of cognitive and behavioral difficulties. However, outcomes vary widely, posing a significant challenge for early prediction. To address this, individualized simulation offers a promising solution by modeling subject-specific neurodevelopmental trajectories, enabling the identification of subtle deviations from normative patterns that might act as biomarkers of risk. While generative models have shown potential for simulating neurodevelopment, prior approaches often struggle to preserve subject-specific cortical folding patterns or to reproduce region-specific morphological variations. In this paper, we present a novel graph-diffusion network that supports controllable simulation of cortical maturation. Using cortical surface data from the developing Human Connectome Project (dHCP), we demonstrate that the model maintains subject-specific cortical morphology while modeling cortical maturation sufficiently well to fool an independently trained age regression network, achieving a prediction accuracy of $0.85 \pm 0.62$.

Accurate estimation of postmenstrual age (PMA) at scan is crucial for assessing neonatal development and health. While deep learning models have achieved high accuracy in predicting PMA from brain MRI, they often function as black boxes, offering limited transparency and interpretability in clinical decision support. In this work, we address the dual challenge of accuracy and interpretability by adapting a multimodal large language model (MLLM) to perform both precise PMA prediction and clinically relevant explanation generation. We introduce a parameter-efficient fine-tuning (PEFT) strategy using instruction tuning and Low-Rank Adaptation (LoRA) applied to the Qwen2.5-VL-7B model. The model is trained on four 2D cortical surface projection maps derived from neonatal MRI scans. By employing distinct prompts for training and inference, our approach enables the MLLM to handle a regression task during training and generate clinically relevant explanations during inference. The fine-tuned model achieves a low prediction error with a 95 percent confidence interval of 0.78 to 1.52 weeks, while producing interpretable outputs grounded in developmental features, marking a significant step toward transparent and trustworthy AI systems in perinatal neuroscience.

Predicting behavioral variables from neuroimaging modalities such as magnetic resonance imaging (MRI) has the potential to allow the development of neuroimaging biomarkers of mental and neurological disorders. A crucial processing step to this aim is the extraction of suitable features. These can differ in how well they predict the target of interest, and how this prediction scales with sample size and scan time. Here, we compare nine feature subtypes extracted from resting-state functional MRI recordings for behavior prediction, ranging from regional measures of functional activity to functional connectivity (FC) and metrics derived with graph signal processing (GSP), a principled approach for the extraction of structure-informed functional features. We study 979 subjects from the Human Connectome Project Young Adult dataset, predicting summary scores for mental health, cognition, processing speed, and substance use, as well as age and sex. The scaling properties of the features are investigated for different combinations of sample size and scan time. FC comes out as the best feature for predicting cognition, age, and sex. Graph power spectral density is the second best for predicting cognition and age, while for sex, variability-based features show potential as well. When predicting sex, the low-pass graph filtered coupled FC slightly outperforms the simple FC variant. None of the other targets were predicted significantly. The scaling results point to higher performance reserves for the better-performing features. They also indicate that it is important to balance sample size and scan time when acquiring data for prediction studies. The results confirm FC as a robust feature for behavior prediction, but also show the potential of GSP and variability-based measures. We discuss the implications for future prediction studies in terms of strategies for acquisition and sample composition.

In recent years, the application of deep learning in task functional Magnetic Resonance Imaging (tfMRI) decoding has led to significant advancements. However, most studies remain constrained by assumption of temporal stationarity in neural activity, resulting in predominantly block - wise a nalysis with limited temporal resolution on the order of tens of seconds. This limitation restricts the ability to decode cognitive functions in detail . To address these limitations, this study proposes a deep neural networ k designed for volume - wise identification of task states within tfMRI data, thereby overcoming the constraints of conventional methods. Evaluated on Human Connectome Project (HCP) motor and gambling tfMRI datasets, the model achieved impressive mean accuracy rates of 94.0 8.2% and 79.6 7.1%, respectively. These results demonstrate a substantial enhancement in temporal resolution, enabling more detailed exploration of cognitive processes. The study further employs visualization algorithms to investigate dyna mic brain mappings during different tasks, marking a significant step forward in deep learning - based frame - level tfMRI decoding. This approach offers new methodologies and tools for examining dynamic changes in brain activities and understanding the underlying cognitive mechanisms.

Brain development in the first few months of human life is a critical phase characterized by rapid structural growth and functional organization. Accurately predicting developmental outcomes during this time is crucial for identifying delays and enabling timely interventions. This study introduces the SwiFT (Swin 4D fMRI Transformer) model, designed to predict Bayley-III composite scores using neonatal fMRI data from the Developing Human Connectome Project (dHCP). To enhance predictive accuracy, we apply dimensionality reduction via group independent component analysis (ICA) and pretrain SwiFT on large adult fMRI datasets to address the challenges of limited neonatal data. Our analysis shows that SwiFT significantly outperforms baseline models in predicting cognitive, motor, and language outcomes, leveraging both single-label and multi-label prediction strategies. The model's attention-based architecture processes spatiotemporal data end-to-end, delivering superior predictive performance. Additionally, we use Integrated Gradients with Smoothgrad sQuare (IG-SQ) to interpret predictions, identifying neural spatial representations linked to early cognitive and behavioral development. These findings underscore the potential of Transformer models to advance neurodevelopmental research and clinical practice.

Interactions between the brain and body are of fundamental importance for human behavior and health. Functional magnetic resonance imaging (fMRI) captures whole-brain activity noninvasively, and modeling how fMRI signals interact with physiological dynamics of the body can provide new insight into brain function and offer potential biomarkers of disease. However, physiological recordings are not always possible to acquire since they require extra equipment and setup, and even when they are, the recorded physiological signals may contain substantial artifacts. To overcome this limitation, machine learning models have been proposed to directly extract features of respiratory and cardiac activity from resting-state fMRI signals. To date, such work has been carried out only in healthy young adults and in a pediatric population, leaving open questions about the efficacy of these approaches on older adults. Here, we propose a novel framework that leverages Transformer-based architectures for reconstructing two key physiological signals - low-frequency respiratory volume (RV) and heart rate (HR) fluctuations - from fMRI data, and test these models on a dataset of individuals aged 36-89 years old. Our framework outperforms previously proposed approaches (attaining median correlations between predicted and measured signals of r ~ .698 for RV and r ~ .618 for HR), indicating the potential of leveraging attention mechanisms to model fMRI-physiological signal relationships. We also evaluate several model training and fine-tuning strategies, and find that incorporating young-adult data during training improves the performance when predicting physiological signals in the aging cohort. Overall, our approach successfully infers key physiological variables directly from fMRI data from individuals across a wide range of the adult lifespan.

This paper presents an annotated dataset of brain MRI images designed to advance the field of brain symmetry study. Magnetic resonance imaging (MRI) has gained interest in analyzing brain symmetry in neonatal infants, and challenges remain due to the vast size differences between fetal and adult brains. Classification methods for brain structural MRI use scales and visual cues to assess hemisphere symmetry, which can help diagnose neonatal patients by comparing hemispheres and anatomical regions of interest in the brain. Using the Developing Human Connectome Project dataset, this work presents a dataset comprising cerebral images extracted as slices across selected portions of interest for clinical evaluation . All the extracted images are annotated with the brain's midline. All the extracted images are annotated with the brain's midline. From the assumption that a decrease in symmetry is directly related to possible clinical pathologies, the dataset can contribute to a more precise diagnosis because it can be used to train deep learning model application in neonatal cerebral MRI anomaly detection from postnatal infant scans thanks to computer vision. Such models learn to identify and classify anomalies by identifying potential asymmetrical patterns in medical MRI images. Furthermore, this dataset can contribute to the research and development of methods using the relative symmetry of the two brain hemispheres for crucial diagnosis and treatment planning.

Despite the impact of psychiatric disorders on clinical health, early-stage diagnosis remains a challenge. Machine learning studies have shown that classifiers tend to be overly narrow in the diagnosis prediction task. The overlap between conditions leads to high heterogeneity among participants that is not adequately captured by classification models. To address this issue, normative approaches have surged as an alternative method. By using a generative model to learn the distribution of healthy brain data patterns, we can identify the presence of pathologies as deviations or outliers from the distribution learned by the model. In particular, deep generative models showed great results as normative models to identify neurological lesions in the brain. However, unlike most neurological lesions, psychiatric disorders present subtle changes widespread in several brain regions, making these alterations challenging to identify. In this work, we evaluate the performance of transformer-based normative models to detect subtle brain changes expressed in adolescents and young adults. We trained our model on 3D MRI scans of neurotypical individuals (N=1,765). Then, we obtained the likelihood of neurotypical controls and psychiatric patients with early-stage schizophrenia from an independent dataset (N=93) from the Human Connectome Project. Using the predicted likelihood of the scans as a proxy for a normative score, we obtained an AUROC of 0.82 when assessing the difference between controls and individuals with early-stage schizophrenia. Our approach surpassed recent normative methods based on brain age and Gaussian Process, showing the promising use of deep generative models to help in individualised analyses.

Dropout is conventionally used during the training phase as regularization method and for quantifying uncertainty in deep learning. We propose to use dropout during training as well as inference steps, and average multiple predictions to improve the accuracy, while reducing and quantifying the uncertainty. The results are evaluated for fractional anisotropy (FA) and mean diffusivity (MD) maps which are obtained from only 3 direction scans. With our method, accuracy can be improved significantly compared to network outputs without dropout, especially when the training dataset is small. Moreover, confidence maps are generated which may aid in diagnosis of unseen pathology or artifacts.

Gaussian blurring is a well-established method for image data augmentation: it may generate a large set of images from a small set of pictures for training and testing purposes for Artificial Intelligence (AI) applications. When we apply AI for non-imagelike biological data, hardly any related method exists. Here we introduce the "Newtonian blurring" in human braingraph (or connectome) augmentation: Started from a dataset of 1053 subjects, we first repeat a probabilistic weighted braingraph construction algorithm 10 times for describing the connections of distinct cerebral areas, then take 7 repetitions in every possible way, delete the lower and upper extremes, and average the remaining 7-2=5 edge-weights for the data of each subject. This way we augment the 1053 graph-set to 120 x 1053 = 126,360 graphs. In augmentation techniques, it is an important requirement that no artificial additions should be introduced into the dataset. Gaussian blurring and also this Newtonian blurring satisfy this goal. The resulting dataset of 126,360 graphs, each in 5 resolutions (i.e., 631,800 graphs in total), is freely available at the site https://braingraph.org/cms/download-pit-group-connectomes/. Augmenting with Newtonian blurring may also be applicable in other non-image related fields, where probabilistic processing and data averaging are implemented.