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Volumetric spline-based Kolmogorov-Arnold architectures surpass CNNs, vision transformers, and graph networks for Parkinson’s disease detection

Abstract:
Background: Parkinson’s Disease diagnosis remains challenging due to subtle early brain changes. Deep learning approaches using brain scans may assist diagnosis, but optimal architectures remain unclear. This study applies Convolutional Kolmogorov-Arnold Networks (ConvKANs), which use flexible mathematical functions for feature extraction, to classify Parkinson’s Disease from structural brain scans. Methods: We implemented the first three-dimensional ConvKAN architecture for medical imaging and compared performance against established deep learning models, including Convolutional Neural Networks, Vision Transformers, and Graph Convolutional Networks. Three publicly available datasets containing brain scans from 142 participants (75 with Parkinson’s Disease, 67 healthy controls) were analyzed. Models were evaluated using both two-dimensional brain slices and complete three-dimensional volumes, with performance assessed through cross-validation and independent dataset testing. Results: Here we show that two‑dimensional ConvKAN achieved an AUC of 0.973 for Parkinson’s‑disease detection, outperforming a pretrained ResNet (AUC 0.878, p = 0.047). On the early‑stage PPMI hold‑out set, the three‑dimensional variant generalised better than the two‑dimensional model (AUC 0.600 vs 0.378, p = 0.013). Furthermore, ConvKAN required 97% less training time than conventional CNNs while maintaining superior accuracy. Conclusions: ConvKAN architectures offer promising improvements for Parkinson’s Disease detection from brain scans, particularly for early-stage cases where diagnosis is most challenging. The computational efficiency and strong performance across diverse datasets suggest potential for clinical implementation. These findings establish a framework for artificial intelligence-assisted diagnosis that could support earlier detection and intervention in Parkinson’s Disease.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s43856-025-01141-w

Authors

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Institution:
University of Oxford
Role:
Author
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Role:
Author
ORCID:
0000-0002-2321-8091
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Institution:
University of Oxford
Division:
MSD
Department:
Surgical Sciences
Sub department:
Surgical Sciences
Role:
Author
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Institution:
University of Oxford
Role:
Author


Publisher:
Nature Research
Journal:
communications medicine More from this journal
Volume:
5
Issue:
1
Article number:
451
Publication date:
2025-11-03
Acceptance date:
2025-07-30
DOI:
EISSN:
2730-664X
ISSN:
2730-664X


Language:
English
Pubs id:
2328979
UUID:
uuid_0c543b58-6736-4c18-b5c1-94e689a79077
Local pid:
pubs:2328979
Source identifiers:
3435135
Deposit date:
2025-11-03
ARK identifier:
This ORA record was generated from metadata provided by an external service. It has not been edited by the ORA Team.

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