Multimodal neuroimages, such as diffusion tensor imaging (DTI) and resting-state functional MRI (fMRI), offer complementary perspectives on brain activities by capturing structural or functional interactions among brain regions. While existing studies suggest that fusing these multimodal data helps detect abnormal brain activity caused by neurocognitive decline, they are generally implemented in Euclidean space and can't effectively capture the intrinsic hierarchical organization of structural/functional brain networks. This paper presents a hyperbolic kernel graph fusion (HKGF) framework for neurocognitive decline analysis with multimodal neuroimages. It consists of a multimodal graph construction module, a graph representation learning module that encodes brain graphs in hyperbolic space through a family of hyperbolic kernel graph neural networks (HKGNNs), a cross-modality coupling module that enables effective multimodal data fusion, and a hyperbolic neural network for downstream predictions. Notably, HKGNNs represent graphs in hyperbolic space to capture both local and global dependencies among brain regions while preserving the hierarchical structure of brain networks. Extensive experiments involving over 4,000 subjects with DTI and/or fMRI data demonstrate the superiority of HKGF over state-of-the-art methods in two neurocognitive decline prediction tasks. The proposed HKGF is a general framework for multimodal data analysis, facilitating objective quantification of brain structural or functional connectivity changes associated with neurocognitive decline.

Subjective cognitive decline (SCD) is the preclinical stage of Alzheimer's disease (AD) which happens even earlier than mild cognitive impairment (MCI). Progressive SCD will convert to MCI with the potential of further evolving to AD. Therefore, early identification of progressive SCD with neuroimaging techniques (e.g., structural MRI) is of great clinical value for early intervention of AD. However, existing MRI-based machine/deep learning methods usually suffer the small-sample-size problem and lack interpretability. To this end, we propose an interpretable autoencoder model with domain transfer learning (IADT) for progression prediction of SCD. Firstly, the proposed model can leverage MRIs from both the target domain (i.e., SCD) and auxiliary domains (e.g., AD and NC) for progressive SCD identification. Besides, it can automatically locate the disease-related brain regions of interest (defined in brain atlases) through an attention mechanism, which shows good interpretability. In addition, the IADT model is straightforward to train and test with only 5 ∼ 10 seconds on CPUs and is suitable for medical tasks with small datasets. Extensive experiments on the publicly available ADNI dataset and a private CLAS dataset have demonstrated the effectiveness of the proposed method.