Proposed method classifies Alzheimer’s, FTD, and CN adults using EEG biomarkers, indicating robust accuracy and explainability.
Accurate classification among Alzheimer's Disease (AD), Fronto Temporal Dementia (FTD), and Cognitively Normal (CN) adults from EEG remains challenging. We propose a multi-class classification method that fuses interpretable spectral/connectivity biomarkers (band power, spectral entropy, α-coherence) with compact temporal embeddings from a customized lightweight one Dimensional Convolutional Neural Network (1D-CNN). The fused features are reduced by Principal Component Analysis (PCA) and classified with Support Vector Machine (SVM). All data-dependent steps like Synthetic Minority Over Sampling Technique (SMOTE), z-scoring and PCA are fit strictly on training folds to prevent leakage. Hyperparameters including PCA dimensionality and SMOTE neighbors were selected via inner-loop grid sweeps that maximized macro-F1; full grids and class distributions before/after SMOTE (inner-train only) are reported in the Supplement. On OpenNeuro ds004504 (eyes-closed; [Formula: see text]; 36 AD/23 FTD/29 CN) the model achieved 94.5% accuracy, macro-F1 [Formula: see text], and AUC [Formula: see text]. Robustness was examined on two public datasets using the identical preprocessing/segmentation: (i) cross-condition testing on ds006036 (eyes-open recordings from the same participants) and (ii) zero-shot transfer to an independent OSF dataset with different instrumentation and demographics. SHapley Additive exPlanations (SHAP) analyses provided global, class-wise, and subject-level attributions aligned with known electrophysiology (e.g., reduced α-coherence, elevated θ), supporting clinical interpretability. These results indicate that a transparent hybrid feature design can deliver accurate, leakage-safe, and explainable EEG-based differentiation of AD, FTD, and CN with preliminary external checks.
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Akbar et al. (2026) studied this question.
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