International Journal of Engineering
Trends and Technology

Research Article | Open Access | Download PDF
Volume 74 | Issue 9 | Year 2026 | Article Id. IJETT-V74I9P120 | DOI : https://doi.org/10.14445/22315381/IJETT-V74I9P120

NeuroEarlyAI: 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]