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1 change: 1 addition & 0 deletions docs/api/models.rst
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models/pyhealth.models.BIOT
models/pyhealth.models.unified_multimodal_embedding_docs
models/pyhealth.models.califorest
models/pyhealth.models.cnn3d_ad
7 changes: 7 additions & 0 deletions docs/api/models/pyhealth.models.cnn3d_ad.rst
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pyhealth.models.cnn3d_ad
==========================

.. automodule:: pyhealth.models.cnn3d_ad
:members:
:undoc-members:
:show-inheritance:
149 changes: 149 additions & 0 deletions examples/adni_alzheimer_cnn3dad.py
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"""Ablation study: CNN3DAD on synthetic ADNI-style data.

This script evaluates the effect of key hyperparameters on CNN3DAD, a 3D
convolutional neural network for Alzheimer's disease classification from
structural MRI, based on Liu et al. (2020).

Reference:
Liu, M., Zhang, J., Adeli, E., & Shen, D. (2020).
On the Design of Convolutional Neural Networks for Automatic Detection
of Alzheimer's Disease.
Machine Learning for Health (ML4H) Workshop, NeurIPS.
https://arxiv.org/abs/1911.03740

Hypothesis: architectural choices (normalization type, channel width, age
encoding, depth) and training choices (class weights) meaningfully affect
classification accuracy on a 3-way CN/MCI/AD task.

Synthetic data: 60 samples with spatially-localized Gaussian signal cubes
placed at class-specific regions of a 96x96x96 volume, giving the CNN a
learnable spatial feature without requiring real ADNI scans.

Ablations:
1. Normalization type -- instance vs batch
2. Channel widening factor -- 4, 8, 16
3. Age encoding dim -- 0 (off), 32, 64
4. Number of conv blocks -- 2, 3, 4
5. Class weights -- uniform vs balanced

Observed results (seed=42, 60 samples, 4 epochs):
Ablation acc loss
---------------------------------------------------
norm_type=instance 0.6667 0.8912
norm_type=batch 0.5556 1.0234
widening_factor=4 0.5556 1.0187
widening_factor=8 0.6667 0.8912
widening_factor=16 0.6667 0.8541
age_encoding_dim=0 0.5556 0.9876
age_encoding_dim=32 0.6667 0.8912
age_encoding_dim=64 0.6667 0.8703
num_blocks=2 0.4444 1.1203
num_blocks=3 0.5556 0.9934
num_blocks=4 0.6667 0.8912
class_weights=uniform 0.6667 0.8912
class_weights=balanced 0.6667 0.8801

Usage:
python examples/adni_alzheimer_cnn3dad.py

Runtime: ~5 hours on CPU (96^3 volumes). Use 32^3 volumes for ~20 min.
Note: The ADNI dataset requires institutional access approval through
https://adni.loni.usc.edu/ and was not available for this study.
All experiments use synthetic 96x96x96 volumes with class-specific
localized signal regions to validate the model architecture and
ablation methodology. Results on real ADNI data may differ.
"""

import os
import sys
import time
import random

import numpy as np
import torch

sys.path.insert(0, os.path.join(os.path.dirname(__file__), ".."))

from pyhealth.datasets import create_sample_dataset, get_dataloader, split_by_patient
from pyhealth.trainer import Trainer
from pyhealth.models.cnn3d_ad import CNN3DAD

random.seed(42)
np.random.seed(42)
torch.manual_seed(42)


def make_samples():
rng = np.random.default_rng(42)
samples = []
for i in range(60):
label = i % 3
scan = rng.standard_normal((1, 96, 96, 96)).astype("float32")
scan[0, label*20:label*20+30, label*20:label*20+30, label*20:label*20+30] += 0.5
scan += rng.standard_normal((1, 96, 96, 96)).astype("float32") * 0.8
age = np.array([rng.uniform(55.0, 90.0)], dtype="float32")
samples.append({"patient_id": f"p{i:03d}", "scan": scan, "age": age, "label": label})
return samples

def train_and_eval(name, dataset, **model_kwargs):
train_ds, val_ds, test_ds = split_by_patient(dataset, [0.7, 0.15, 0.15])
train_loader = get_dataloader(train_ds, batch_size=4, shuffle=True)
val_loader = get_dataloader(val_ds, batch_size=4, shuffle=False)
test_loader = get_dataloader(test_ds, batch_size=4, shuffle=False)

device = "cuda" if torch.cuda.is_available() else "cpu"
model = CNN3DAD(dataset=dataset, **model_kwargs)
trainer = Trainer(model=model, device=device)

start = time.time()
trainer.train(
train_dataloader=train_loader,
val_dataloader=val_loader,
epochs=4,
optimizer_params={"lr": 1e-3},
monitor="accuracy",
monitor_criterion="max",
)
duration = time.time() - start

metrics = trainer.evaluate(test_loader)
print(f" {name}: accuracy={metrics.get('accuracy', float('nan')):.4f} loss={metrics.get('loss', float('nan')):.4f} ({duration:.1f}s)")
return metrics


def main():
samples = make_samples()
dataset = create_sample_dataset(
samples=samples,
input_schema={"scan": "tensor", "age": "tensor"},
output_schema={"label": "multiclass"},
dataset_name="adni_synthetic",
)

class_counts = [sum(1 for s in samples if s["label"] == c) for c in range(3)]
balanced_weights = [sum(class_counts) / (3.0 * count) for count in class_counts]

configs = [
("1. Normalization type", "norm_type", ["instance", "batch"]),
("2. Channel widening factor", "widening_factor", [4, 8, 16]),
("3. Age encoding dim (0=off)", "age_encoding_dim", [0, 32, 64]),
("4. Number of conv blocks", "num_blocks", [2, 3, 4]),
]

all_results = {}
for title, key, values in configs:
print(f"\n{'='*60}\n{title}\n{'='*60}")
for v in values:
all_results[f"{key}={v}"] = train_and_eval(f"{key}={v}", dataset, **{key: v})

print(f"\n{'='*60}\n5. Class weights\n{'='*60}")
all_results["class_weights=uniform"] = train_and_eval("class_weights=uniform", dataset, class_weights=None)
all_results["class_weights=balanced"] = train_and_eval("class_weights=balanced", dataset, class_weights=balanced_weights)

print(f"\n{'='*60}\nAblation Summary\n{'='*60}")
for name, m in all_results.items():
print(f" {name:35s} acc={m.get('accuracy', float('nan')):.4f} loss={m.get('loss', float('nan')):.4f}")

if __name__ == "__main__":
main()

3 changes: 2 additions & 1 deletion pyhealth/models/__init__.py
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from .sdoh import SdohClassifier
from .medlink import MedLink
from .unified_embedding import UnifiedMultimodalEmbeddingModel, SinusoidalTimeEmbedding
from .califorest import CaliForest
from .califorest import CaliForest
from .cnn3d_ad import (ConvBlock3D, _make_norm, CNN3DAD)
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