# Interpretable Alzheimer's Diagnosis via Multimodal Fusion of Regional Brain Experts

arXiv: https://arxiv.org/abs/2512.10966 · HTML: https://mlsanity.com/paper/2512.10966/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and biomedical MoE, one of 12 directions in Mixture-of-experts.
- Builds on 18 of its 58 references that are in the map.
- First posted on arXiv 30 Nov 2025.

## Placed in

- Mixture-of-experts / [Medical and biomedical MoE](https://mlsanity.com/moe/medical-and-biomedical-moe/)

## Builds on (most cited first, 18 of 18)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [A Unified Approach to Interpreting Model Predictions](https://mlsanity.com/paper/1705.07874/) (2017)
- [Neural Machine Translation by Jointly Learning to Align and Translate](https://mlsanity.com/paper/1409.0473/) (2014)
- [Optuna: A Next-generation Hyperparameter Optimization Framework](https://mlsanity.com/paper/1907.10902/) (2019)
- [Revisiting Deep Learning Models for Tabular Data](https://mlsanity.com/paper/2106.11959/) (2021)
- [TabPFN: A Transformer That Solves Small Tabular Classification Problems in a Second](https://mlsanity.com/paper/2207.01848/) (2022)
- [Multimodal Transformer for Unaligned Multimodal Language Sequences](https://mlsanity.com/paper/1906.00295/) (2019)
- [Neural Oblivious Decision Ensembles for Deep Learning on Tabular Data](https://mlsanity.com/paper/1909.06312/) (2019)
- [Are Multimodal Transformers Robust to Missing Modality?](https://mlsanity.com/paper/2204.05454/) (2022)
- [Tree-Structured Parzen Estimator: Understanding Its Algorithm Components and Their Roles for Better Empirical Performance](https://mlsanity.com/paper/2304.11127/) (2023)
- [A Survey of Visual Transformers](https://mlsanity.com/paper/2111.06091/) (2021)
- [TabM: Advancing Tabular Deep Learning with Parameter-Efficient Ensembling](https://mlsanity.com/paper/2410.24210/) (2024)
- [Deep Multimodal Learning with Missing Modality: A Survey](https://mlsanity.com/paper/2409.07825/) (2024)
- [Flex-MoE: Modeling Arbitrary Modality Combination via the Flexible Mixture-of-Experts](https://mlsanity.com/paper/2410.08245/) (2024)
- [I2MoE: Interpretable Multimodal Interaction-aware Mixture-of-Experts](https://mlsanity.com/paper/2505.19190/) (2025)
- [M4oE: A Foundation Model for Medical Multimodal Image Segmentation with Mixture of Experts](https://mlsanity.com/paper/2405.09446/) (2024)
- [Interpretable Graph Convolutional Network of Multi-Modality Brain Imaging for Alzheimer's Disease Diagnosis](https://mlsanity.com/paper/2204.13188/) (2022)
- [M4: Multi-Proxy Multi-Gate Mixture of Experts Network for Multiple Instance Learning in Histopathology Image Analysis](https://mlsanity.com/paper/2407.17267/) (2024)

## Abstract (arXiv)

Accurate and early diagnosis of Alzheimer's disease (AD) is critical for effective intervention and requires integrating complementary information from multimodal neuroimaging data. However, conventional fusion approaches often rely on simple concatenation of features, which cannot adaptively balance the contributions of biomarkers such as amyloid PET and MRI across brain regions. In this work, we propose MREF-AD, a Multimodal Regional Expert Fusion model for AD diagnosis. It is a Mixture-of-Experts (MoE) framework that models mesoscopic brain regions within each modality as independent experts and employs a gating network to learn subject-specific fusion weights. Utilizing tabular neuroimaging and demographic information from the Alzheimer's Disease Neuroimaging Initiative (ADNI), MREF-AD achieves competitive performance over strong classic and deep baselines while providing interpretable, modality- and region-level insight into how structural and molecular imaging jointly contribute to AD diagnosis. The source code is available at https://github.com/PennShenLab/mref-ad.