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Synthesizing individualized aging brains in health and disease with generative models and parallel transport
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Medical Imaging.ORCID iD: 0000-0003-4175-395X
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Medical Imaging.ORCID iD: 0009-0003-4183-0633
Computer Science and Artificial Intelligence Laboratory, Massachusetts Institute of Technology, MA, USA.
Division of Clinical Geriatrics, Center for Alzheimer Research, Karolinska Institute, Stockholm, Sweden; Facultad de Ciencias de la Salud, Universidad Fernando Pessoa Canarias, Las Palmas, Spain.
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2025 (English)In: Medical Image Analysis, ISSN 1361-8415, E-ISSN 1361-8423, Vol. 105, article id 103669Article in journal (Refereed) Published
Abstract [en]

Simulating prospective magnetic resonance imaging (MRI) scans from a given individual brain image is challenging, as it requires accounting for canonical changes in aging and/or disease progression while also considering the individual brain's current status and unique characteristics. While current deep generative models can produce high-resolution anatomically accurate templates for population-wide studies, their ability to predict future aging trajectories for individuals remains limited, particularly in capturing subject-specific neuroanatomical variations over time. In this study, we introduce Individualized Brain Synthesis (InBrainSyn), a framework for synthesizing high-resolution subject-specific longitudinal MRI scans that simulate neurodegeneration in both Alzheimer's disease (AD) and normal aging. InBrainSyn uses a parallel transport algorithm to adapt the population-level aging trajectories learned by a generative deep template network, enabling individualized aging synthesis. As InBrainSyn uses diffeomorphic transformations to simulate aging, the synthesized images are topologically consistent with the original anatomy by design. We evaluated InBrainSyn both quantitatively and qualitatively on AD and healthy control cohorts from the Open Access Series of Imaging Studies - version 3 dataset. Experimentally, InBrainSyn can also model neuroanatomical transitions between normal aging and AD. An evaluation of an external set supports its generalizability. Overall, with only a single baseline scan, InBrainSyn synthesizes realistic 3D spatiotemporal T1w MRI scans, producing personalized longitudinal aging trajectories. The code for InBrainSyn is available at https://github.com/Fjr9516/InBrainSyn.

Place, publisher, year, edition, pages
Elsevier BV , 2025. Vol. 105, article id 103669
Keywords [en]
Alzheimer's disease, Brain aging, Diffeomorphic registration, Medical image generation, Parallel transport
National Category
Neurosciences Radiology and Medical Imaging Medical Imaging
Identifiers
URN: urn:nbn:se:kth:diva-368670DOI: 10.1016/j.media.2025.103669ISI: 001521507900001PubMedID: 40570808Scopus ID: 2-s2.0-105008782001OAI: oai:DiVA.org:kth-368670DiVA, id: diva2:1990956
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QC 20250821

Available from: 2025-08-21 Created: 2025-08-21 Last updated: 2025-10-03Bibliographically approved

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Fu, JingruZheng, YuqiMoreno, Rodrigo

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