EEGDecoder-x: an explainable deep learning framework for cross-subject EEG-based detection of Alzheimer's and Creutzfeldt–Jakob disease - Summary - MDSpire

EEGDecoder-x: A Transparent Deep Learning Approach for Cross-Subject Detection of Alzheimer's Disease and Creutzfeldt–Jakob Disease Using EEG Data

  • By

  • Muhammad Suffian

  • Nadia Mammone

  • Cosimo Ieracitano

  • Giovanbattista Gaspare Tripodi

  • Angelo Pascarella

  • Edoardo Ferlazzo

  • Francesco Carlo Morabito

  • July 20, 2026

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Objective:

To develop an interpretable framework for decoding EEG signals to distinguish between Alzheimer's disease, Creutzfeldt–Jakob disease, and healthy controls.

Approach:
  • EEGDecoder-Net: A hybrid attention network combining convolutional neural networks with dual attention mechanisms for efficient spatio-temporal feature extraction.
  • EEGDecoder-XAI: An explainability module providing local and global insights into the model's learning process.
Key Findings:
  • Achieved 97.22% classification accuracy using a Leave-One-Subject-Out evaluation on a dataset of 36 subjects (12 with AD, 12 with CJD, and 12 healthy controls).
  • Outperformed baseline models, demonstrating both effectiveness and interpretability.
Interpretation:

Limitations:
  • The study relies on a small dataset of 36 subjects, which may limit generalizability.
  • Potential challenges in real-world clinical settings due to EEG signal contamination, which may affect model performance.
Conclusion:

EEGDecoder-x presents a novel approach for EEG-based classification of neurodegenerative diseases, balancing robustness, evaluation reliability, and interpretability.

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