Research Appraisalother

Transfer learning from 2D natural images to 4D fMRI brain images via geometric mapping

Medical image analysisGao, Kai, Wang, Lubin, Li, Liang et al.1 May 2026DOI

Clinical Snapshot

70CEBM
Evidence: Moderateother

PICO Framework

P — PopulationHuman participants from Human Connectome Project (HCP) dataset and 23 depression datasets
I — InterventionNovel geometric mapping-based fMRI transfer learning method with Multi-scale Multi-domain Feature Aggregation (MMFA) module
C — ComparatorExisting fMRI analysis methods and direct transfer learning approaches
O — OutcomesSex classification accuracy, age estimation performance, behavioral measurement prediction, and depression diagnosis effectiveness

Bottom Line

This methodological study presents a novel approach to transfer learning from natural images to fMRI data using geometric mapping techniques. The method addresses a significant technical challenge in neuroimaging by enabling the application of pre-trained models to brain imaging data while preserving anatomical relationships. While the approach shows promise across multiple validation tasks including sex classification, age estimation, and depression diagnosis, the clinical utility remains to be established through rigorous prospective validation. The computational complexity and implementation requirements may limit immediate clinical adoption. Clinicians should await further validation studies with detailed statistical reporting and cost-effectiveness analyses before considering clinical implementation.

Evidence: Moderate

Key Findings

  • P Value: Not reported

  • Effect Size: Not specified in available information

  • Primary Outcome: State-of-the-art performance in sex classification, age estimation, and behavioral measurement prediction

  • Nnt Or Sensitivity: Effectiveness demonstrated on 23 depression datasets for cascaded transfer learning approach

  • Confidence Interval: Not reported

Clinical Application

Requires significant computational resources and technical expertise for implementation Could enhance fMRI analysis capabilities in Australian neuroimaging centres, potentially improving diagnostic accuracy for mental health conditions covered under Medicare mental health plans Patients undergoing fMRI for neuropsychiatric assessment, particularly depression screening and cognitive evaluation

Abstract

Functional magnetic resonance imaging (fMRI) allows real-time observation of brain activity through blood oxygen level-dependent (BOLD) signals and is extensively used in studies related to sex classification, age estimation, behavioral measurements prediction, and mental disorder diagnosis. However, the application of deep learning techniques to brain fMRI analysis is hindered by the small sample size of fMRI datasets. Transfer learning offers a solution to this problem, but most existing approaches are designed for large-scale 2D natural images. The heterogeneity between 4D fMRI data and 2D natural images makes direct model transfer infeasible. This study proposes a novel geometric mapping-based fMRI transfer learning method that enables transfer learning from 2D natural images to 4D fMRI brain images, bridging the transfer learning gap between fMRI data and natural images. The proposed Multi-scale Multi-domain Feature Aggregation (MMFA) module extracts effective aggregated features and reduces the dimensionality of fMRI data to 3D space. By treating the cerebral cortex as a folded Riemannian manifold in 3D space and mapping it into 2D space using surface geometric mapping, we make the transfer learning from 2D natural images to 4D brain images possible. Moreover, the topological relationships of the cerebral cortex are maintained with our method, and calculations are performed along the Riemannian manifold of the brain, effectively addressing signal interference problems. The experimental results based on the Human Connectome Project (HCP) dataset demonstrate the effectiveness of the proposed method. Our method achieved state-of-the-art performance in sex classification, age estimation, and behavioral measurement prediction tasks. Moreover, we propose a cascaded transfer learning approach for depression diagnosis, and proved its effectiveness on 23 depression datasets. In summary, the proposed fMRI transfer learning method, which accounts for the structural characteristics of the brain, is promising for applying transfer learning from natural images to brain fMRI images, significantly enhancing the performance in various fMRI analysis tasks.

References

  1. 1.Gao, K., Wang, L., Li, L., Chen, X., Lu, B., Wang, Y.-W., Li, X.-Y., Wang, Z.-H., Li, H.-X., Liao, Y.-F., Cao, L.-P., Chen, G.-M., Chen, J.-S., Chen, T., Chen, T.-L., Chen, Y.-R., Cheng, Y.-Q., Chu, Z.-S., Cui, S.-X., Cui, X.-L., Deng, Z.-Y., Gao, Q.-L., Gong, Q.-Y., Guo, W.-B., He, C.-C., Hu, Z.-J.-Y., Huang, Q., Ji, X.-L., Jia, F.-N., Kuang, L., Li, B.-J., Li, F., Li, T., Li, X., Lian, T., Liu, X.-Y., Liu, Y.-S., Liu, Z.-N., Long, Y.-C., Lu, J.-P., Qiu, J., Shan, X.-X., Si, T.-M., Sun, P.-F., Wang, C.-Y., Wang, H.-L., Wang, X., Wang, Y., Wu, C.-N., Wu, X.-P., Wu, X.-R., Wu, Y.-K., Xie, C.-M., Xie, G.-R., Xie, P., Xu, X.-F., Xue, Z.-P., Yang, H., Yang, J., Yu, H., Yu, Y.-Q., Yuan, M.-L., Yuan, Y.-G., Zhang, A.-X., Zhang, K.-R., Zhang, W., Zhang, Z.-J., Zhao, J.-P., Zhu, J.-J., Zuo, X.-N., Wang, H.-N., Yan, C.-G., Zang, Y.-F., & Hu, D. (2026). Transfer learning from 2D natural images to 4D fMRI brain images via geometric mapping. Medical Image Analysis, 103949. https://doi.org/10.1016/j.media.2026.103949
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