Organizations: Naqi Logix, Paris, France · Inria Center at Univ. Bordeaux / LaBRI, Talence, France · LITIS, INSA Rouen-Normandy, France
Abstract
We investigate whether a generative model can supply useful synthetic motor-imagery (MI) electroencephalography (EEG) trials that improve the accuracy of independent downstream classifiers. We train a class-conditional variational autoencoder (CVAE) with an integrated latent classifier on the Zhou motor-imagery dataset, using the learned per-class prior as a generator: sampling the prior for a given label and decoding it into a synthetic, label-consistent signal. A constraint on the covariance matrix of the generated data encourages preservation of covariance structure, and the model is trained with a schedule that alternates ordinary VAE training with a decoder-focused phase that sharpens the generative pathway used for augmentation. We measure the effect of adding synthetic trials to the training set under two evaluation protocols -- within-user (pooled 60/20/20 split across subjects) and cross-user (leave-one-subject-out, LOSO) -- across four representative EEG classification pipelines: Common Spatial Patterns with Linear Discriminant Analysis (CSP+LDA), tangent-space features with a Support Vector Machine (TGSP+SVM), Minimum Distance to Riemannian Mean (MDM), and a neural network based on EEGNetv4 (henceforth EEGNet). Results are aggregated across independent augmentation draws, random seeds (within-user), or leave-one-subject-out folds (cross-user), with uncertainty reported as 95% confidence intervals (Student's t-distribution) computed over per-seed/per-fold averages. We find that synthetic EEG from the CVAE is most credible as a source of class-structured, covariance-like data rather than as a substitute for real raw EEG: it can raise the point estimate for MDM, but the broader augmentation claim remains conservative -- observed gains are small and classifier-dependent.
Electroencephalography (EEG) is a promising, non-invasive, and cost-effective modality for Alzheimer's disease (AD) detection, but deep learning methods are limited by small and imbalanced clinical datasets. Generative augmentation offers a solution, yet existing approaches rely on inefficient class-specific models or fail to capture complex spatial and temporal brain dynamics. To address this, we propose GraM-Diff, a unified classifier-guided Graph-Mamba diffusion framework for EEG synthesis. It embeds Graph Convolutional Networks within a diffusion U-Net to model inter-electrode connectivity and Bidirectional Mamba state-space blocks for linear-complexity long-range temporal modeling. Latent-space classifier guidance lets a single model generate both healthy and pathological EEG within a shared representation, avoiding fragmented per-cohort pipelines. Across four EEG-based AD benchmarks, synthetic augmentation improves classification, yields superior Context-FID and correlation scores over strong generative baselines, and enhances robustness in data-scarce settings.
Generative augmentation is often proposed as a remedy for small medical-image datasets, but synthetic images are only useful when they improve downstream task performance. "Augmentation" here means synthetic supplementation: GAN-generated samples added to the real training pool, not geometric or photometric transforms of existing images. Twelve class-plane StyleGAN2-ADA generators were trained on constrained BRISC 2025 partitions to test whether their output, with or without InceptionV3 feature-space filtering, improves held-out tumour classification across three classifier families: a random forest (RF) on InceptionV3 features, a compact two-headed convolutional neural network (CNN), and MobileViTV2, a mobile hybrid convolutional-transformer. Each was evaluated at 1:1 and 1:2 real-to-synthetic ratios. An independent GPT-5.5 blind test placed gated real-versus-synthetic discrimination at 57.73% (95% CI: 54.48--60.92%) on the model-legible subset -- modestly above chance. The RF classifier did not benefit from the synthetic MRIs. The CNN showed consistent mean gains that did not survive Holm correction. MobileViTV2 showed the clearest benefit: filtered 1:1 augmentation improved tumour classification accuracy by 1.02% absolute (95% CI: 0.54--1.54%; Holm-corrected p = 0.0104). A secondary efficiency analysis found that every augmented CNN condition selected its checkpoint 42--64% earlier than baseline, while compute-matched MobileViTV2 runs reached selection after 50--67% fewer real-data epochs. Overall, augmentation utility was found to be architecture- and ratio-dependent, not guaranteed by visual fidelity alone.
Deep learning-based Major Depressive Disorder (MDD) detection using Electroencephalography (EEG) is fundamentally constrained by the "small-sample dilemma." Prevailing generative data augmentation methods not only incur heavy computational overhead but also risk introducing synthetic noise, thereby blurring classification boundaries. To challenge the traditional "data quantity first" convention, we propose a novel framework "Beyond Augmentation": Score-Guided Classification (SGC). SGC does not synthesize pseudo-samples; instead, it utilizes an unsupervised generative network architecture to model the structural and statistical anomaly degrees of samples, serving as the core "Pathological Prior". This prior, after robust normalization, is explicitly fused with deep feature representations, thereby precisely guiding the classifier's decision boundary. Furthermore, to dynamically adapt to varying channel configurations, we propose a Cross-Channel Spatial Adaptation module, utilizing a spatial mapping mechanism to effectively resolve the hardware heterogeneity of mismatched channels in multi-center datasets. Extensive experiments on the Mumtaz2016 and high-density MODMA datasets demonstrate the effectiveness and exceptional generalizability of our method under the challenging "zero data augmentation" setting and at "zero sample synthesis cost". Keywords: Electroencephalography (EEG), Depression Detection, Anomaly Score, Diffusion Models, Few-Shot Learning