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@ARTICLE{Arco:285030,
author = {Arco, Juan E. and Jimenez-Mesa, Carmen and Ortiz, Andrés
and Ramírez, Javier and Levin, Johannes and Górriz, Juan
M.},
title = {{E}xplainable {I}ntermodality {M}edical {I}nformation
{T}ransfer {U}sing {S}iamese {A}utoencoders},
journal = {IEEE transactions on radiation and plasma medical sciences},
volume = {10},
number = {2},
issn = {2469-7311},
address = {New York, NY},
publisher = {IEEE},
reportid = {DZNE-2026-00155},
pages = {192 - 209},
year = {2026},
abstract = {Medical imaging fusion combines complementary information
from multiple modalities to enhance diagnostic accuracy.
However, evaluating the quality of fused images remains
challenging, with many studies relying solely on
classification performance, which may lead to incorrect
conclusions. We introduce a novel framework for improving
image fusion, focusing on preserving fine-grained details.
Our model uses a siamese autoencoder to process T1-MRI and
FDG-PET images in the context of Alzheimer’s disease (AD).
The framework optimizes fusion by minimizing reconstruction
error between generated and input images, while maximizing
differences between modalities through cosine distance.
Additionally, we propose a supervised variant, incorporating
binary cross-entropy loss between diagnostic labels and
probabilities. Fusion quality is rigorously assessed through
three tests: 1) classification of AD patients and controls
using fused images; 2) an atlas-based occlusion test for
identifying regions relevant to cognitive decline; and 3)
analysis of structural–functional relationships via
Euclidean distance. Results show an AUC of 0.92 for AD
detection, reveal the involvement of brain regions linked to
preclinical AD stages, and demonstrate preserved
structural–functional brain networks, indicating that
subtle differences are successfully captured through our
fusion approach.},
cin = {Clinical Research (Munich) / AG Levin},
ddc = {624},
cid = {I:(DE-2719)1111015 / I:(DE-2719)1111016},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
doi = {10.1109/TRPMS.2025.3577309},
url = {https://pub.dzne.de/record/285030},
}