CFBrainAug: Modularity-Induced Counterfactual Brain Network Augmentation for Interpretable fMRI-based Autism Diagnosis

Resting-state fMRI (rs-fMRI) is a vital non-invasive tool for diagnosing brain disorders and uncovering pathological mechanisms. However, existing graph contrastive learning (GCL) methods often underexploit augmentation histories across training epochs and the relationships among different augmented views. In this paper, we introduce a topology-guided Multi-view graph Contrastive learning framework with Dynamic graph topology Augmentation (MCDA) for fMRI analysis. Unlike traditional GCL that uses fixed noise or edge-dropping, MCDA employs a Dynamic Augmentation Update (DAU) module that iteratively refines the augmented topology. Specifically, we incorporate self-aware and cross-sample augmentation strategies to simultaneously capture individual-specific functional signatures and inter-subject heterogeneity. We then design a topology-guided multi-view graph contrastive learning scheme that explores interrelationships not only between the original network and its augmented views, but also across different augmented views to maximize structural information preservation. We characterize the score-level optimization directions and establish a lower bound for the contrastive objective. The framework combines classification and contrastive losses for brain disorder diagnosis and examines discriminative functional connectivity patterns as potential biomarkers. Experiments on two public rs-fMRI datasets comprising 1,236 subjects demonstrate that MCDA outperforms the state-of-the-art methods. The code has been made publicly available at: https://github.com/goodcodingagoodboy/MCDA.

Anatomical brain parcellations dominate rs-fMRI-based Autism Spectrum Disorder (ASD) classification, yet their rigid boundaries may fail to capture the idiosyncratic connectivity patterns that characterise ASD. We present a graph-based deep learning framework comparing anatomical (AAL, 116 ROIs) and functionally-derived (MSDL, 39 ROIs) parcellation strategies on the ABIDE I dataset. Our FSL preprocessing pipeline handles multi-site heterogeneity across 400 balanced subjects, with site-stratified 70/15/15 splits to prevent data leakage. Gaussian noise augmentation within training folds expands samples from 280 to 1,680. A three phase pipeline progresses from a baseline GCN with AAL (73.3% accuracy, AUC=0.74), to an optimised GCN with MSDL (84.0%, AUC=0.84), to a Graph Attention Network ensemble achieving 95.0% accuracy (AUC=0.98), outperforming all recent GNN-based benchmarks on ABIDE I. The 10.7-point gain from atlas substitution alone demonstrates that functional parcellation is the most impactful modelling decision. Gradient-based saliency and GNNExplainer analyses converge on the Posterior Cingulate Cortex and Precuneus as core Default Mode Network hubs, validating that model decisions reflect ASD neuropathology rather than acquisition artefacts. All code and datasets will be publicly released upon acceptance.

Functional magnetic resonance imaging (fMRI) is widely used for studying and diagnosing brain disorders, with functional connectivity (FC) matrices providing powerful representations of large-scale neural interactions. However, existing diagnostic models are trained either on a single site or under full multi-site access, making them unsuitable for real-world scenarios where clinical data arrive sequentially from different institutions. This results in limited generalization and severe catastrophic forgetting. This paper presents the first continual learning framework specifically designed for fMRI-based diagnosis across heterogeneous clinical sites. Our framework introduces a structure-aware variational autoencoder that synthesizes realistic FC matrices for both patient and control groups. Built on this generative backbone, we develop a multi-level knowledge distillation strategy that aligns predictions and graph representations between new-site data and replayed samples. To further enhance efficiency, we incorporate a hierarchical contextual bandit scheme for adaptive replay sampling. Experiments on multi-site datasets for major depressive disorder (MDD), schizophrenia (SZ), and autism spectrum disorder (ASD) show that the proposed generative model enhances data augmentation quality, and the overall continual learning framework substantially outperforms existing methods in mitigating catastrophic forgetting. Our code is available at https://github.com/4me808/FORGE.