Research Article | Open Access | Download PDF
Volume 74 | Issue 9 | Year 2026 | Article Id. IJETT-V74I9P120 | DOI : https://doi.org/10.14445/22315381/IJETT-V74I9P120NeuroEarlyAI: An Explainable Deep Learning Framework with EarlyDetectNet for Alzheimer’s Disease Detection and Classification using MRI Scans
Anil Chakravarthy, Sasmita Kumari Nayak, B S Panda
| Received | Revised | Accepted | Published |
|---|---|---|---|
| 09 Feb 2026 | 25 Jul 2026 | 05 Aug 2026 | 30 Sep 2026 |
Citation :
Anil Chakravarthy, Sasmita Kumari Nayak, B S Panda, "NeuroEarlyAI: An Explainable Deep Learning Framework with EarlyDetectNet for Alzheimer’s Disease Detection and Classification using MRI Scans," International Journal of Engineering Trends and Technology (IJETT), vol. 74, no. 9, pp. 245-284, 2026. Crossref, https://doi.org/10.14445/22315381/IJETT-V74I9P120
Abstract
Alzheimer’s Disease (AD) is an ageing and progressive neurodegenerative disease, and one of the most prevalent dementias that affects millions of patients worldwide, including millions of people in Europe, and is a public health priority. Early and right diagnosis is of paramount importance for early therapeutic intervention as well as retardation of the disease. The visual search for small changes in the brain is rather time-consuming and subjective. For comparison, we chose two traditional diagnostic procedures: clinical evaluation and manual MRI analysis, where the clinical evaluation is more appropriate for the intended user in healthcare centres. The automatic detection of AD using recent advancements in deep learning are yet to lack a few drawbacks, such as class imbalance, overfitting and generalisation issue on external datasets, low transparency in the decision-making of the deep learning model, which makes it difficult for clinical applications. To fill this gap, in this paper, we propose NeuroEarlyAI, an end-to-end learning framework with EarlyDetectNet, a new model for early and interpretable detection of AD from the structural MRI scans. The framework also consists of sophisticated pre-processing strategies (denoising, data augmentation and skull stripping) to enhance the quality and diversity of the data. EarlyDetectNet has an attention mechanism which highlights clinically relevant anatomical regions. As a contrast, the visual and feature-wise explanation modules are based on the Grad-CAM and SHAP techniques, respectively, which project the model prediction onto the visual and feature-wise explanations. Extensive tests are performed on two publicly available datasets: Alzheimer's MRI Dataset and OASIS-1 dataset. The proposed system demonstrated improvements over the state of the art on reaching accuracy for binary and multi-class classification in a cross-dataset setting, with 96.7% and 93.8% accuracy, respectively. These results show the promise of the applications and broader use of NeuroEarlyAI, a tool that could help to diagnose AD earlier for better patient care.
Keywords
Alzheimer’s Disease, Deep Learning, MRI Classification, Explainable AI, Early Diagnosis.
References
[1] Vimbi
Viswa et al., “Explainable Artificial Intelligence in Alzheimer’s Disease
Classification: A Systematic Review,” Cognitive Computation, vol. 16,
no. 1, pp. 1-44, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[2] Linda
M. Duamwan, and Jordan J. Bird, “Explainable AI for Medical Image Processing: A
Study on MRI in Alzheimer’s Disease,” Proceedings of the 16th International
Conference on Pervasive Technologies,
Association for Computing Machinery, New
York, NY, United States, pp. 480-484, 2023.
[CrossRef] [Google Scholar] [Publisher
Link]
[3] Shaker
El-Sappagh et al., “A Multilayer Multimodal Detection and Prediction Model
based on Explainable Artificial Intelligence for Alzheimer’s Disease,” Scientific
Reports, vol. 11, no. 1, pp. 1-26, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[4] Sobhana
Jahan et al., “Explainable AI-based Alzheimer’s Prediction and Management using
Multimodal data,” PLoS ONE, vol. 18, no. 11, pp. 1-26, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[5] Eduardo Nigri et al., “Explainable Deep CNNs for MRI-based Diagnosis of
Alzheimer’s Disease,” 2020 International Joint Conference on Neural Networks (IJCNN), Glasgow, UK, pp.1-8, 2020.
[CrossRef] [Google Scholar] [Publisher
Link]
[6] Achraf
Essemlali et al., “Understanding Alzheimer Disease’s Structural Connectivity
through Explainable AI,” Proceedings of Machine Learning Research, vol.
121, pp. 217-229, 2020.
[Google Scholar] [Publisher Link]
[7] Modupe
Odusami et al., “Explainable Deep Learning based Diagnosis of Alzheimer’s
Disease using Multimodal Input Fusion of PET and MRI Images,” Journal of
Medical and Biological Engineering, vol. 43, no. 3, pp. 291-302, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[8] Teuku
Rizky Noviandy et al., “Enhancing Early Detection of Alzheimer's Disease
through MRI using Explainable Artificial Intelligence,” Indonesian Journal
of Case Reports, vol. 2, no. 2, pp. 43-51, 2024.
[CrossRef] [Google Scholar] [Publisher
Link]
[9] Nabil
M. AbdelAziz et al., “Advanced Interpretable Diagnosis of Alzheimer's Disease
using SECNN-RF Framework with Explainable AI,” Frontiers in Artificial
Intelligence, vol. 7, pp. 1-20, 2024.
[CrossRef] [Google Scholar] [Publisher Link]
[10] Xin Zhang et al., “sMRI-PatchNet: A Novel
Efficient Explainable Patch-based Deep Learning Network for Alzheimer’s Disease
Diagnosis with Structural MRI,” IEEE Access, vol. 11, pp. 108603-108616,
2023.
[CrossRef] [Google Scholar] [Publisher
Link]
[11] Abbas Saad Alatrany et al., “An Explainable
Machine Learning Approach for Alzheimer’s Disease Classification,” Scientific
Reports, vol. 14, no. 1 pp. 1-18, 2024.
[CrossRef] [Google Scholar] [Publisher Link]
[12] Shtwai Alsubai et al., “Transfer deep
Learning and Explainable AI Framework for Brain Tumor and Alzheimer's Detection
Across Multiple Datasets,” Frontiers in Medicine, vol. 12, pp. 1-17,
2025.
[CrossRef] [Google Scholar] [Publisher Link]
[13] Hamza Ahmed Shad et al., “Exploring
Alzheimer’s Disease Prediction with XAI in various Neural Network Models,” TENCON
2021 - 2021 IEEE Region 10 Conference (TENCON), Auckland, New Zealand, pp.
720-725, 2021.
[CrossRef] [Google Scholar] [Publisher
Link]
[14] Lisa Anita De Santi et
al., “An Explainable Convolutional Neural Network
for the Early Diagnosis of Alzheimer’s Disease from 18F FDG PET,” Journal of
Digital Imaging, vol. 36, no. 1, pp. 189-203, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[15] Bojan Bogdanovic, Tome Eftimov, and Monika
Simjanoska, “In-depth Insights into Alzheimer’s Disease by using Explainable
Machine Learning Approach,” Scientific Reports, vol. 12, no. 1, pp.
1-26. 2022.
[CrossRef] [Google Scholar] [Publisher Link]
[16] S.M. Mahim et al., “Unlocking the Potential
of XAI for Improved Alzheimer’s Disease Detection and Classification using a
ViT-GRU Model,” IEEE Access, vol. 12, pp. 8390-8412, 2024.
[CrossRef] [Google Scholar] [Publisher
Link]
[17] Sobhana Jahan et al., “Federated Explainable
AI-based Alzheimer’s Disease Prediction with Multimodal Data,” IEEE Access,
vol. 13, pp. 43435-43454, 2025.
[CrossRef] [Google Scholar] [Publisher
Link]
[18] Abdulaziz
AlMohimeed et al., “Explainable Artificial Intelligence of Multi-Level Stacking
Ensemble for Detection of Alzheimer’s Disease,” IEEE Access, vol. 11, pp.
123173-123193, 2023.
[CrossRef] [Google Scholar] [Publisher
Link]
[19] Nicola Amoroso et al., “An eXplainability Artificial Intelligence
Approach to Brain Connectivity in Alzheimer's Disease,” Frontiers in Aging
Neuroscience, vol. 15, pp. 1-13, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[20] Monica Hernandez et al., “Explainable AI toward
Understanding the Performance of the Top Three TADPOLE Challenge Methods in the
Forecast of Alzheimer s Disease Diagnosis,” PloS One, vol. 17, no. 5,
pp. 1-32, 2022.
[CrossRef] [Google Scholar] [Publisher Link]
[21] Suganya
Asokan, and Aarthy Seshadri, “Hierarchical Spatial Feature-CNN Employing
Grad-CAM for Enhanced Segmentation and Classification in Alzheimer's and
Parkinson's Disease Diagnosis via MRI,” International
Information and Engineering Technology Association, vol. l40, no. 6, pp.
2769-2778, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[22] Savarala Chethana et
al., “A Novel Approach for Alzheimer's Disease
Detection using XAI and Grad-CAM,” 2023 4th IEEE Global
Conference for Advancement in Technology (GCAT), Bangalore, India, vol. 6,
no. 8, pp. 1-6, 2023.
[CrossRef] [Google Scholar] [Publisher
Link]
[23] Han Chel Yoon, and Lih Poh Lin, “Brain Tumor
Classification in MRI: Insights from LIME and Grad-CAM Explainable AI
Techniques,” IEEE Access, vol. 13, pp. 154172-154202, 2025.
[CrossRef] [Google Scholar] [Publisher
Link]
[24] Erol Kina, “TLEABLCNN: Brain and Alzheimer’s
Disease Detection using Attention-based Explainable Deep Learning and SMOTE
using Imbalanced Brain MRI,” IEEE Access, vol. 13, pp. 27670-27683,
2025.
[CrossRef] [Google Scholar] [Publisher
Link]
[25] Melahat Poyraz et al., “BrainNeXt: Novel
Lightweight CNN Model for the Automated Detection of Brain Disorders using MRI
Images,” Cognitive Neurodynamics, vol. 19, no. 53, pp. 1-17, 2025.
[CrossRef] [Google Scholar] [Publisher Link]
[26] Ashraf Haroon Rashid et al., “Biceph-Net: A
Robust and Lightweight Framework for the Diagnosis of Alzheimer’s Disease using
2D-MRI Scans and Deep Learning,” IEEE Journal on Biomedical and Health
Informatics, vol. 27, no. 3, pp. 1-14, 2023.
[CrossRef] [Google Scholar] [Publisher
Link]
[27] Sreevani Katabathula, Qinyong Wang, and Rong
Xu, “Predict Alzheimer’s Disease using Hippocampus MRI Data: A Lightweight 3D
Deep Convolutional Network Model with Visualization,” Alzheimer's Research
& Therapy, vol. 13, no. 104, pp. 1-9, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[28] Santanu Roy et al., “AD-Lite Net: A
Lightweight and Concatenated CNN Model for Alzheimer’s Detection from MRI
Images,” Lecture Notes in Computer Science, Beijing, China, vol. 15312,
pp. 1-16, 2024.
[CrossRef] [Google Scholar] [Publisher Link]
[29] Jyoti Islam, and Yanqing Zhang, “Brain MRI
Analysis for Alzheimer’s Disease Diagnosis using an Ensemble System of deep
Convolutional Neural Networks,” Brain Informatics, vol. 5, no. 2, pp.
1-14, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[30] Mian Muhammad Sadiq Fareed et al., “ADD-Net:
An Effective Deep Learning Model for Early Detection of Alzheimer’s Disease in
MRI Scans,” IEEE Access, vol. 10, pp. 96930-96951, 2022.
[CrossRef] [Google Scholar] [Publisher
Link]
[31] Suriya Murugan et al., “DEMNET: A Deep
Learning Model for Early Diagnosis of Alzheimer Diseases and Dementia from MR
images,” IEEE Access, vol. 9, pp. 90319-90329, 2021.
[CrossRef] [Google Scholar] [Publisher
Link]
[32] Kaggle, Best Alzheimer's MRI Dataset 99%
Accuracy, Kaggle, 2022. [Online]. Available:
https://www.kaggle.com/datasets/lukechugh/best-alzheimer-mri-dataset-99-accuracy
[33] Daniel
S. Marcus et al., “Open Access Series of Imaging Studies (OASIS):
Cross-sectional MRI Data in Young, Middle Aged, Nondemented, and Demented Older
Adults,” Journal of Cognitive Neuroscience, vol. 19, no. 9, pp.
1498-1507, 2007.
[CrossRef] [Google Scholar] [Publisher Link]