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Predicting Neuromodulation Outcome for Parkinson's Disease with Generative Virtual Brain Model

arXiv q-bio.NCby [Submitted on 31 Mar 2026]April 1, 20262 min read1 views
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arXiv:2603.29176v1 Announce Type: new Abstract: Parkinson's disease (PD) affects over ten million people worldwide. Although temporal interference (TI) and deep brain stimulation (DBS) are promising therapies, inter-individual variability limits empirical treatment selection, increasing non-negligible surgical risk and cost. Previous explorations either resort to limited statistical biomarkers that are insufficient to characterize variability, or employ AI-driven methods which is prone to overfitting and opacity. We bridge this gap with a pretraining-finetuning framework to predict outcomes directly from resting-state fMRI. Critically, a generative virtual brain foundation model, pretrained on a collective dataset (2707 subjects, 5621 sessions) to capture universal disorder patterns, was f

Authors:Siyuan Du, Siyi Li, Shuwei Bai, Ang Li, Haolin Li, Mingqing Xiao, Yang Pan, Dongsheng Li, Weidi Xie, Yanfeng Wang, Ya Zhang, Chencheng Zhang, Jiangchao Yao

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Abstract:Parkinson's disease (PD) affects over ten million people worldwide. Although temporal interference (TI) and deep brain stimulation (DBS) are promising therapies, inter-individual variability limits empirical treatment selection, increasing non-negligible surgical risk and cost. Previous explorations either resort to limited statistical biomarkers that are insufficient to characterize variability, or employ AI-driven methods which is prone to overfitting and opacity. We bridge this gap with a pretraining-finetuning framework to predict outcomes directly from resting-state fMRI. Critically, a generative virtual brain foundation model, pretrained on a collective dataset (2707 subjects, 5621 sessions) to capture universal disorder patterns, was finetuned on PD cohorts receiving TI (n=51) or DBS (n=55) to yield individualized virtual brains with high fidelity to empirical functional connectivity (r=0.935). By constructing counterfactual estimations between pathological and healthy neural states within these personalized models, we predicted clinical responses (TI: AUPR=0.853; DBS: AUPR=0.915), substantially outperforming baselines. External and prospective validations (n=14, n=11) highlight the feasibility of clinical translation. Moreover, our framework provides state-dependent regional patterns linked to response, offering hypothesis-generating mechanistic insights.

Subjects:

Neurons and Cognition (q-bio.NC); Artificial Intelligence (cs.AI); Computational Engineering, Finance, and Science (cs.CE); Computer Vision and Pattern Recognition (cs.CV)

Cite as: arXiv:2603.29176 [q-bio.NC]

(or arXiv:2603.29176v1 [q-bio.NC] for this version)

https://doi.org/10.48550/arXiv.2603.29176

arXiv-issued DOI via DataCite (pending registration)

Submission history

From: Siyuan Du [view email] [v1] Tue, 31 Mar 2026 02:36:10 UTC (12,782 KB)

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