Development of a deep learning-based early Alzheimer’s disease screening system using MRI for the Thai healthcare context
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Abstract
Thailand’s transition into an aging society has increased the prevalence of Alzheimer’s disease, making early-stage screening essential for improving patient outcomes. This paper proposes a deep learning-based screening system for early detection of Alzheimer’s disease using magnetic resonance imaging (MRI), tailored to the context of the Thai public healthcare system. A total of 6,400 MRI images has been used and classified into four categories: Non-Demented, Very Mild Demented, Mild Demented, and Moderate Demented. Data preprocessing and augmentation techniques have been applied to enhance model performance. Four models have been evaluated, including the proposed Custom CNN, MobileNetV2, ResNet50, and VGG16. The results show that the proposed Custom CNN achieves the highest accuracy of 97.12%, with strong generalization and stable training performance. The model has also effectively reduced misclassification in early-stage categories. The proposed system demonstrates strong potential as a practical screening tool for early Alzheimer’s detection in Thailand, particularly in primary healthcare settings.
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References
สำนักงานสถิติแห่งชาติ, "รายงานสถิติประชากรประเทศไทย ประจำปี 2551," สำนักงานสถิติแห่งชาติ, กรุงเทพฯ, 2551. [Online]. Available: https://www.nso.go.th
K. Chauhan, N. Kishore, N. Goel, and Monika, "Deep learning based multi-stage classification of Alzheimer’s disease using T1-weighted MRI images," Franklin Open, vol. 15, p. 100557, 2026/06/01/ 2026, doi: https://doi.org/10.1016/j.fraope.2026.100557.
H. Zhu, J. Huang, K. Chen, X. Ying, and Y. Qian, "multiPI-TransBTS: A multi-path learning framework for brain tumor image segmentation based on multi-physical information," Computers in Biology and Medicine, vol. 191, p. 110148, 2025/06/01/ 2025, doi: https://doi.org/10.1016/j.compbiomed.2025.110148.
X. Zhang et al., "Unsupervised brain MRI tumour segmentation via two-stage image synthesis," Medical Image Analysis, vol. 102, p. 103568, 2025/05/01/ 2025, doi: https://doi.org/10.1016/j.media.2025.103568.
V. Shevchenko et al., "A comparative machine learning study of schizophrenia biomarkers derived from functional connectivity," Scientific Reports, vol. 15, no. 1, p. 2849, 2025/01/22 2025, doi: 10.1038/s41598-024-84152-2.
V. G. Shankar, D. S. Sisodia, and P. Chandrakar, "Alzheimer's stage progression modeling using graph neural network and MRI biomarkers," Neural Computing and Applications, 2025/06/05 2025, doi: 10.1007/s00521-025-11353-9.
H. Schulz and S. Behnke, "Deep Learning," KI - Künstliche Intelligenz, vol. 26, no. 4, pp. 357-363, 2012/11/01 2012, doi: 10.1007/s13218-012-0198-z.
I. Goodfellow, Y. Bengio, and A. Courville, Convolutional Neural Networks (CNNs). Cambridge, MA: MIT Press, 2016, pp. 326-359.
r. ranokphanuwat, "ระบบควบคุมโรงเรือนผักไฮโดรโปรนิกส์อัตโนมัติโดยใช้เทคโนโลยี IoT และเครื่องมือการเรียนรู้เชิงลึก," วารสารวิทยาการและเทคโนโลยีสารสนเทศ, vol. 8, no. 2, pp. 74-82, 12/25 2018, doi: 10.14456/jist.2018.8.
P. Luengvongsakorn and W. Pijitrojana, "Comparative Study of ML and DL in Optical Transceiver Failure Diagnosis," วารสารวิทยาการและเทคโนโลยีสารสนเทศ, vol. 15, no. 2, pp. 24-36, 12/27 2025. [Online]. Available: https://ph02.tci-thaijo.org/index.php/JIST/article/view/260843.
ณ. หงษ์บุญมี and จ. กันยาประสิทธิ์, "การวิเคราะห์ปัญหาสุขภาพจากภาพถ่ายเล็บด้วยเทคนิคการเรียนรู้เชิงลึก," วารสารวิทยาการและเทคโนโลยีสารสนเทศ, vol. 11, no. 2, pp. 10-20, 12/28 2021, doi: 10.14456/jist.2021.12.
M. Sandler, A. G. Howard, M. Zhu, A. Zhmoginov, and L.-C. Chen, "MobileNetV2: Inverted Residuals and Linear Bottlenecks," 2018 IEEE/CVF Conference on Computer Vision and Pattern Recognition, pp. 4510-4520, 2018.
K. He, X. Zhang, S. Ren, and J. Sun, "Deep Residual Learning for Image Recognition," presented at the Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition (CVPR), 2016.
C. W. Chun, N. T. Yousir, S. Mohammed Abdulameer, and A. A. Hezam, "Deep Learning Approach for Predicting Prostate Cancer from MRI Images," Journal of Soft Computing and Data Mining, vol. 3, no. 2, pp. 1-9, %08/%08 2022. [Online]. Available: https://publisher.
uthm.edu.my/ojs/index.php/jscdm/article/view/12220.
Kaggle. Alzheimer’s Disease Multiclass Images Dataset, Kaggle. [Online]. Available: https://www.kaggle.com/
datasets/tourist55/alzheimers-dataset-4-class-of-images
J. Islam and Y. Zhang, "Brain MRI analysis for Alzheimer's disease diagnosis using an ensemble system of deep convolutional neural networks," (in eng), Brain Inform, vol. 5, no. 2, p. 2, May 31 2018, doi: 10.1186/s40708-018-0080-3.
N. Raza, A. Naseer, M. Tamoor, and K. Zafar, "Alzheimer Disease Classification through Transfer Learning Approach," (in eng), Diagnostics (Basel), vol. 13, no. 4, Feb 20 2023, doi: 10.3390/diagnostics
C. Mahanty et al., "Effective Alzheimer's disease detection using enhanced Xception blending with snapshot ensemble," (in eng), Sci Rep, vol. 14, no. 1, p. 29263, Nov 26 2024, doi: 10.1038/s41598-024-80548-2.
S. Fathi, A. Ahmadi, A. Dehnad, M. Almasi-Dooghaee, and M. Sadegh, "A Deep Learning-Based Ensemble Method for Early Diagnosis of Alzheimer's Disease using MRI Images," (in eng), Neuroinformatics, vol. 22, no. 1, pp. 89-105, Jan 2024, doi: 10.1007/s12021-023-09646-2.
S. B. Shahid et al., "Novel deep learning for multi-class classification of Alzheimer’s in disability using MRI datasets," (in English), Frontiers in Bioinformatics, Original Research vol. Volume 5 - 2025, 2025-August-20 2025, doi: 10.3389/fbinf.2025.1567219.
A. Y. Bayahya, H. Banjar, O. Talabay, and S. H. Alamri, "Comparative analysis of multiple deep learning models with mitigation-driven approaches for enhanced Alzheimer's disease classification," (in eng), Sci Rep, vol. 15, no. 1, p. 44098, Nov 22 2025, doi: 10.1038/s41598-025-27914-w.
