Evidence map›Paper›PMID 41457461›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

A vision-language foundation model for Alzheimer's disease diagnosis using MRI and clinical data.

Ping-Ju Lin, Zhaowei Jiang, Yingxu Liu, Wei Li, Yining Qi, Jinyao Sun, Shuo Ni, Liqi Shu, Mingyang Xia, Arthur W Toga and 1 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A vision-language foundation model for Alzheimer's disease diagnosis using MRI and clinical data.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ping-Ju LinLaboratory of Neuro Imaging, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-2769-6293
Zhaowei JiangSchool of Engineering, Brown University, Providence, Rhode Island, USA.
Yingxu LiuLaboratory of Neuro Imaging, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA.
Wei LiState Key Laboratory of Multimodal Artificial Intelligence Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China.
Yining QiLaboratory of Neuro Imaging, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA.
Jinyao SunDivision of Intelligent and Bio-mimetic Machinery, The State Key Laboratory of Tribology, Tsinghua University, Beijing, China.
Shuo NiLaboratory of Neuro Imaging, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA.
Liqi ShuUMPC Stroke Institute, Department of Neurology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Mingyang XiaLaboratory of Neuro Imaging, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA.
Arthur W TogaLaboratory of Neuro Imaging, USC Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA.
Alzheimer's Disease Neuroimaging Initiative, for the Health and Aging Brain Study (HABS‐HD) Study Team

Funding

The Health & Aging Brain Study - Health Disparities (HABS-HD)U19AG078109 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI LEIGH A JOHNSON · 2022 to 2026
$181.1M
Alzheimer's Disease Neuroimaging Initiative - SupplementU01AG024904 · NIA · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WEINER, MICHAEL W · 2004 to 2015
$121.0M
Health and Aging Brain among Latino Elders (HABLE-AT(N)) StudyR01AG058533 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI JOHNSON, LEIGH A, O'BRYANT, SID E · 2020 to 2025
$45.4M
USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI · 2020 to 2026
$27.8M
High Capacity, High Performance Storage System for NeuroscienceS10OD032285 · OD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TOGA, ARTHUR W · 2022 to 2022
$1.7M
NIA NIH HHS P30 AG066530NIA NIH HHS P30AG066530NIA NIH HHS R01AG058533NIA NIH HHS U01AG024904NIA NIH HHS U19AG078109NIH HHSNIH Office of the Director S10OD032285
6 · The paper itself

Abstract

introductionReliable early detection of Alzheimer's disease (AD) remains difficult due to heterogeneous progression trajectories and variability in clinical presentation. Multimodal approaches leveraging neuroimaging and clinical data offer promise but often struggle with effective integration and generalization.

methodsWe developed Alzheimer's Disease Language and Image Pre-Training (ADLIP), a vision-language framework that integrates 3D T1-weighted magnetic resonance imaging with structured clinical records. The model uses a multi-teacher training strategy to enhance generalizability and robustness across modalities, enabling more reliable representation learning for AD diagnosis.

resultsADLIP outperformed baseline CLIP and fine-tuned CLIP models in three-class classification and zero-shot diagnosis, achieving improved accuracy, F DISCUSSION: Our results demonstrate that contrastive multimodal representation learning enables clinically meaningful, generalizable, and temporally stable AD diagnosis across diverse populations. HIGHLIGHTS: A novel vision-language foundation model (Alzheimer's Disease Language and Image Pre-Training [ADLIP]) integrates 3D magnetic resonance imaging and clinical text for Alzheimer's disease diagnosis. ADLIP enables zero-shot prediction of unseen data and cognitive scores without task-specific fine-tuning. The model demonstrates strong generalizability across racially diverse cohorts, supporting equitable clinical use. Longitudinal evaluation shows alignment with disease progression, highlighting utility for monitoring applications.

Indexed as

Alzheimer DiseaseLanguageMagnetic Resonance ImagingAgedDisease ProgressionEarly DiagnosisFemaleHumansMaleNeuroimagingAlzheimer's disease knowledge graphcontrastive learningmulti‐model learningvision–language modelzero‐shot prediction

Identifiers

PMID41457461
PMCPMC12745493

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.