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Brain-PACE: A Deep Siamese MRI Framework for Modelling Longitudinal Brain Acceleration

arxiv.org/abs/2609.11378

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Updated 2 h ago · first seen 11 Sept 2026

paper_01M294H227VC7617WBVK271PJG

Published
11 Sept 2026
T1 · 2 h ago
arXiv
2609.11378
T1 · 2 h ago
Category
cs.CV
T1 · 2 h ago

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Abstractabstract1

Claim history for Abstract
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Brain age estimation has become a popular research proxy for assessing brain health and disease, yet longitudinal trajectories of brain ageing are still poorly defined, and clinical use is limited. Building on existing Siamese longitudinal frameworks, we develop Brain-Predicted Age Acceleration (Brain-PACE) to directly estimate the pace of structural brain ageing from paired T1-weighted MRI. Brain-PACE identified accelerated ageing in $42.6$% of participants with mild cognitive impairment. Faster Brain-PACE was associated with greater functional and cognitive impairment (FAQ; $r=0.35$, ADAS13; $r=0.30$, CDR-SB; $r=0.32$) and greater regional tau burden in the posterior cingulate ($r=0.59$), precuneus ($r=0.47$), and entorhinal cortex ($r=0.37$). These associations were stronger than those observed when pace was calculated indirectly from repeated cross-sectional brain age estimates, suggesting that direct longitudinal modelling captures complementary information relevant to ongoing pathological change. Methodologically, Brain-PACE extends the LILAC framework by combining spatial attention with soft label distribution learning and a Cram\'er distance objective, improving probabilistic performance and reducing prediction bias while providing measures of predictive uncertainty. Together, these findings support Brain-PACE as a complementary longitudinal imaging phenotype with sensitivity to relevant clinical and biological changes in early neurodegeneration.currentcurrentarXiv (Atom API + RSS)T1highdeterministic

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