Alzheimer's disease (AD) diagnosis is complex, requiring the integration of imaging and clinical data for accurate assessment. While deep learning has shown promise in brain MRI analysis, it often functions as a black box, limiting interpretability and lacking mechanisms to effectively integrate critical clinical data such as biomarkers, medical history, and demographic information. To bridge this gap, we propose NeuroSymAD, a neuro-symbolic framework that synergizes neural networks with symbolic reasoning. A neural network percepts brain MRI scans, while a large language model (LLM) distills medical rules to guide a symbolic system in reasoning over biomarkers and medical history. This structured integration enhances both diagnostic accuracy and explainability. Experiments on the ADNI dataset demonstrate that NeuroSymAD outperforms state-of-the-art methods by up to 2.91% in accuracy and 3.43% in F1-score while providing transparent and interpretable diagnosis.
View on arXiv@article{he2025_2503.00510, title={ NeuroSymAD: A Neuro-Symbolic Framework for Interpretable Alzheimer's Disease Diagnosis }, author={ Yexiao He and Ziyao Wang and Yuning Zhang and Tingting Dan and Tianlong Chen and Guorong Wu and Ang Li }, journal={arXiv preprint arXiv:2503.00510}, year={ 2025 } }