LEAD: An EEG Foundation Model for Alzheimer’s Disease Detection

Abstract: Electroencephalography (EEG) provides a non-invasive, highly accessible, and cost-effective approach for detecting Alzheimer’s disease (AD). However, existing methods, whether based on handcrafted feature engineering or standard deep learning, face three major challenges: 1) the lack of large-scale EEG-based AD datasets for robust representation learning and evaluation; 2) limited cross-subject generalizability; and 3) difficulty in adapting to highly heterogeneous data. To address these challenges, we curate the world’s largest EEG-AD corpus to date, comprising 2,238 subjects. Leveraging this unique resource, we propose LEAD, the first foundation model for EEG-based AD detection. Specifically, we design a gated temporal-spatial Transformer that can adapt to EEG recordings with arbitrary lengths, channel configurations, and sampling rates. In addition, we introduce a subject-regularized training strategy to enhance end-to-end subject-level detection. We further employ medical contrastive learning to pre-train on 13 datasets, including 4 AD datasets and 9 non-AD neurological disorder datasets, and fine-tune/test the model on the other 5 AD datasets. LEAD achieves the best average ranking across all 20 evaluations on 5 downstream datasets, substantially outperforming existing approaches, including state-of-the-art (SOTA) EEG foundation models. These results strongly demonstrate the effectiveness and practical potential of the proposed method for real-world EEG-based AD detection. Source code: https://anonymous.4open.science/r/LEAD-3B51

Submission Type: Long submission (more than 12 pages of main content)

Assigned Action Editor: ~Min_Wu2

Submission Number: 8699