Autism Spectrum Disorder (ASD) diagnosis faces challenges from subjective behavioral assessments, highlighting need for objective neuroimaging approaches. Current methods face limitations in integrating multi-modal brain connectivity patterns and achieving clinically viable performance. We propose SMART-HetGNN, a framework integrating Selective Multi-Atlas ROI Transformer (SMART) mechanisms with heterogeneous graph neural networks for automated ASD diagnosis. SMART adaptively extracts connectivity features across brain atlases (AAL, CC200, Harvard-Oxford), while dual transformer architecture with cross-attention fusion processes multi-atlas features effectively. A heterogeneous graph neural network models complex interactions between subject features, ROI connectivity patterns, and phenotypic information through gated attention mechanisms. Experiments on ABIDE dataset demonstrate exceptional performance with 96.2% accuracy, 0.991 AUC, and perfect precision (100%), representing substantial improvements over state-of-the-art methods. Cross-site validation reveals strong generalization with minimal performance degradation (average 2.1% drop), significantly outperforming typical neuroimaging studies. Ablation studies validate importance of multi-atlas integration and phenotypic information. The framework offers potential for clinical deployment, providing objective ASD diagnosis with perfect precision while maintaining high sensitivity.

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SMART-HetGNN: A Novel Selective Multi-atlas ROI Transformer Heterogeneous Graph Neural Network for Autism Spectrum Disorder Diagnosis

  • Dashu Zhang

摘要

Autism Spectrum Disorder (ASD) diagnosis faces challenges from subjective behavioral assessments, highlighting need for objective neuroimaging approaches. Current methods face limitations in integrating multi-modal brain connectivity patterns and achieving clinically viable performance. We propose SMART-HetGNN, a framework integrating Selective Multi-Atlas ROI Transformer (SMART) mechanisms with heterogeneous graph neural networks for automated ASD diagnosis. SMART adaptively extracts connectivity features across brain atlases (AAL, CC200, Harvard-Oxford), while dual transformer architecture with cross-attention fusion processes multi-atlas features effectively. A heterogeneous graph neural network models complex interactions between subject features, ROI connectivity patterns, and phenotypic information through gated attention mechanisms. Experiments on ABIDE dataset demonstrate exceptional performance with 96.2% accuracy, 0.991 AUC, and perfect precision (100%), representing substantial improvements over state-of-the-art methods. Cross-site validation reveals strong generalization with minimal performance degradation (average 2.1% drop), significantly outperforming typical neuroimaging studies. Ablation studies validate importance of multi-atlas integration and phenotypic information. The framework offers potential for clinical deployment, providing objective ASD diagnosis with perfect precision while maintaining high sensitivity.