APLG-Net: an anatomy-guided local-global hybrid network with progression-aware supervision for structural MRI-based NC/MCI/AD classification - Report - MDSpire

APLG-Net: an anatomy-guided local-global hybrid network with progression-aware supervision for structural MRI-based NC/MCI/AD classification

  • By

  • Bin Shi

  • Zhimin Wang

  • Jing Lian

  • Zhaorui Yang

  • Xiaona Zuo

  • July 15, 2026

Share

Clinical Report: APLG-Net: A Hybrid Network for Classifying NC, MCI, and AD

Overview

APLG-Net classifies normal controls, mild cognitive impairment, and Alzheimer's disease using structural MRI. The model achieves accuracy and balanced metrics, outperforming existing classification methods.

Background

Alzheimer's disease (AD) is a leading cause of dementia, and accurate classification among normal cognition (NC), mild cognitive impairment (MCI), and AD is crucial for early diagnosis and intervention. Structural MRI provides valuable insights into brain morphology, yet challenges remain in distinguishing subtle anatomical variations associated with these conditions. The development of advanced models like APLG-Net aims to enhance diagnostic accuracy and patient stratification.

Data Highlights

MetricValue
Accuracy87.1%
Balanced Accuracy86.4%
Macro-F186.8%
MCI F185.6%

Key Findings

  • APLG-Net integrates a global whole-brain encoder and a local ROI-based encoder.
  • The model employs cross-attention fusion and vector-gated integration for enhanced feature interaction.
  • Ordinal supervision is introduced to model disease progression effectively.
  • APLG-Net outperforms CNN-based, Transformer-based, and hybrid baselines on the ADNI dataset.
  • Incorporating anatomical priors significantly improves MCI discrimination.

Clinical Implications

The APLG-Net model provides a framework for classifying NC, MCI, and AD.

Conclusion

APLG-Net advances MRI-based classification of Alzheimer's disease stages.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Author(s)/Org, Source, Year -- Title
  3. Author(s)/Org, Source, Year -- Title
  4. Author(s)/Org, Source, Year -- Title
  5. Revised criteria for diagnosis and staging of Alzheimer's disease: Alzheimer's Association Workgroup - PubMed
  6. LEQEMBI (lecanemab-irmb) Highlights of Prescribing Information
  7. Alzheimer's Association Clinical Practice Guideline on the use of blood‐based biomarkers in the diagnostic workup of suspected Alzheimer's disease within specialized care settings - Palmqvist - 2025 - Alzheimer's & Dementia - Wiley Online Library
  8. Revised criteria for diagnosis and staging of Alzheimer's disease: Alzheimer's Association Workgroup - PubMed
  9. LEQEMBI (lecanemab-irmb) Highlights of Prescribing Information
  10. Alzheimer's Association Clinical Practice Guideline on the use of blood‐based biomarkers in the diagnostic workup of suspected Alzheimer's disease within specialized care settings - Palmqvist - 2025 - Alzheimer's & Dementia - Wiley Online Library

Original Source(s)

Related Content