广州医药 ›› 2026, Vol. 57 ›› Issue (1): 39-45.DOI: 10. 20223 / j. cnki. 1000-8535. 2026. 01. 006

• 论著 • 上一篇    下一篇

基于图卷积神经网络的孤独症谱系障碍多模态数据融合与诊断模型研究

黄仲羽1,2,3,4, 吕子畔5, 沈峰2, 严瀚3, 查彩慧6   

  1. 1 华南理工大学附属第二医院(广州市第一人民医院)临床医学研究所(广东广州 510180);
    2 华南理工大学附属第二医院(广州市第一人民医院)营养科(广东广州 510180);
    3 华南理工大学附属第二医院(广州市第一人民医院)骨科(广东广州 510180);
    4 暨南大学中医学院(广东广州 510632);
    5 新加坡南洋理工大学生命科学学院(新加坡 639798);
    6 广州市妇女儿童医疗中心心理科(广东广州 510632)
  • 收稿日期:2025-09-15 发布日期:2026-02-03
  • 通讯作者: 黄仲羽,E-mail:zy1717086@163.com
  • 基金资助:
    国家自然科学基金(82004256); 广东省基础与应用基础研究基金(2023A1515011432)

Development of an interpretable graph convolutional neural network for multimodal evidence integration and quantitative diagnosis of autism spectrum disorder

HUANG Zhongyu1,2,3,4, LYU Zipan5, SHEN Feng2, YAN Han3, ZHA Caihui6   

  1. 1 Institute of Clinical Medicine,Guangzhou First People' s Hospital,the Second Affiliated Hospital,School of Medicine,South China University of Technology,Guangzhou 510180,China;
    2 Department of Nutrition,Guangzhou First People' s Hospital,the Second Affiliated Hospital,School of Medicine,South China University of Technology,Guangzhou 510180,China;
    3 Department of Orthopedics,Guangzhou First People' s Hospital,the Second Affiliated Hospital,School of Medicine,South China University of Technology,Guangzhou 510180,China;
    4 College of Chinese Medicine,Jinan University,Guangzhou 510632,China;
    5 School of Biological Sciences,Nanyang Technology University,Singapore Avenue 639798,Singapore;
    6 Department of Psychology,Guangzhou Women and Children' s Medical Center,Guangzhou 510632,China
  • Received:2025-09-15 Published:2026-02-03

摘要: 目的 针对孤独症多模态证据融合与定量化辨识的关键问题,本研究提出基于图卷积神经网络(GCN)的孤独症谱系障碍(ASD)诊断模型研究思路。方法 通过对来源于ABIDE的ASD儿童脑部fMRI数据进行整理和筛选,提取脑区功能连接矩阵作为图结构的邻接矩阵,并融合临床表型数据,构建了ASD多模态关联网络。通过网络特征比较分析,识别出了ASD与典型发育组的脑功能连接网络组间差异。进一步地构建一个端到端的GCN模型,并尝试引入注意力机制,提高模型决策的可解释性。结果 该模型在诊断性能指标优于传统机器学习方法(准确率=0.710,精确率=0.709,召回率=0.780,F1=0.743,曲线下面积=0.746)。背侧注意网络与边缘系统-颞极枢纽的功能连接减弱是模型做出判断的最主要依据。结论 以异质图为多模态数据整合的基本架构,本模型为ASD的潜在病理机制探索提供了新的方法学范例。

关键词: 孤独症谱系障碍, 图卷积网络, 多模态, 可解释性, 脑连接网络

Abstract: Objective To develop a quantitative model for autism spectrum disorder(ASD)integration multimodal evidences. Methods The fMRI dataset from ABIDE was used for extracting connectivity function network of ASD after data preprocessing.Difference between ASD and typical development about their brain connectivity function was evaluated with t-test. Integrating phenotypic data and fMRI dataset,an graph convolutional neural network (GCN)with attention module was estimated and compared against benchmark models about their efficiency and interpretability. Results The GCN model was evaluated outperformed other models with better accuracy indices.And regions from Dorsal Attention Network and Limbic-Temporal Pole were ranked as the highest weights for the differentiation in the model. Conclusions This study provided a novel paradigm for quantitative diagnosis and exploring pathogenesis of ASD.

Key words: autism spectrum disorder, graph convolutional neural network, multimodal, interpretability, brain connectome