Modeling Multi-Modal Brain Connectomes for Brain Disorder Diagnosis via Graph Diffusion Optimal Transport Network

Abstract Network analysis of human brain connectivity provides a fundamental framework for identifying the neurobiological mechanisms that cause cognitive variations and neurological disorders. However, existing diagnostic models often treat structural connectivity (SC) as a fixed or optimal topological scaffold for functional connectivity (FC). This consequently overlooks the higher-order dependencies between brain regions that are critical for characterizing pathological alterations. Moreover, the distinct spatial organizations of SC and FC complicate their direct integration, as naïve alignment methods may distort the inherent nonlinear patterns of brain connectivity. To address these limitations, we propose the Graph Diffusion Optimal Transport Network (GDOT-Net), which models disease-related topological evolution and achieves precise alignment between SC and FC. Unlike existing diffusion studies, the proposed model introduces an evolvable brain connectome modeling approach to infer the complex topological structure of brain networks, unveiling higher-order connectivity patterns linked to specific neuropsychiatric disorders. Furthermore, GDOT-Net incorporates a Pattern-Specific Alignment mechanism, leveraging optimal transport to align structural and functional topological representations in a geometry-aware manner. To capture nonlinear topological relationships between brain regions, a Neural Graph Aggregator Module was developed, which adaptively learns complex node interaction patterns in brain networks. By leveraging this module, GDOT-Net generates highly discriminative representations that form a robust basis for the precision diagnosis of brain disorders. Experiments on REST-meta-MDD and ADNI demonstrate that GDOT-Net surpasses SOTA methods in uncovering structural–functional misalignments and disorder-specific subnetworks. The source code is publicly available at this Link. Competing Interest Statement The authors have declared no competing interest.