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Cross-Modal Knowledge Distillation for PET-Free Amyloid-Beta Detection from MRI

Chiumento, Francesco orcid logoORCID: 0009-0003-3371-021X, Dietlmeier, Julia orcid logoORCID: 0000-0001-9980-0910, Killeen, Ronan P., Curran, Kathleen M. orcid logoORCID: 0000-0003-0095-9337, O'Connor, Noel E. orcid logoORCID: 0000-0002-4033-9135 and Liu, Mingming orcid logoORCID: 0000-0002-8988-2104 (2026) Cross-Modal Knowledge Distillation for PET-Free Amyloid-Beta Detection from MRI. In: IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR) Workshops 2026, 3-7 June 2026, Denver, Colorado, USA.

Abstract
Detecting amyloid-β (Aβ) positivity is crucial for early diagnosis of Alzheimer's disease but typically requires PET imaging, which is costly, invasive, and not widely accessible, limiting its use for population-level screening. We address this gap by proposing a PET-guided knowledge distillation framework that enables Aβ prediction from MRI alone, without requiring non-imaging clinical covariates or PET at inference. Our approach employs a BiomedCLIP-based teacher model that learns PET-MRI alignment via cross-modal attention and triplet contrastive learning with PET-informed (Centiloid-aware) online negative sampling. An MRI-only student then mimics the teacher via feature-level and logit-level distillation. Evaluated across four MRI contrasts (T1w, T2w, FLAIR, T2*) and two independent datasets, our approach demonstrates effective knowledge transfer (best AUC: 0.74 on OASIS-3, 0.68 on ADNI) while maintaining interpretability and eliminating the need for clinical variables. Saliency analysis confirms that predictions focus on anatomically relevant cortical regions, supporting the clinical viability of PET-free Aβ screening. Code is available at github.com/FrancescoChiumento/pet-guided-mri-amyloid-detection.
Metadata
Item Type:Conference or Workshop Item (Paper)
Event Type:Workshop
Refereed:Yes
Subjects:Computer Science > Artificial intelligence
Computer Science > Image processing
Computer Science > Machine learning
DCU Faculties and Centres:DCU Faculties and Schools > Faculty of Engineering and Computing > School of Electronic Engineering
Research Institutes and Centres
Research Institutes and Centres > INSIGHT Centre for Data Analytics
Published in: Proceedings of IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR) Workshops 2026. . Computer Vision Foundation.
Publisher:Computer Vision Foundation
Official URL:https://openaccess.thecvf.com/content/CVPR2026W/PH...
Funders:Research Ireland Insight Centre for Data Analytics, SFI Centre for Research Training in Machine Learning (ML-Labs) at DCU
ID Code:32859
Deposited On:29 Jun 2026 13:50 by Francesco Chiumento . Last Modified 29 Jun 2026 13:50
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